Sniff nasal inspiratory pressure. A noninvasive assessment of inspiratory muscle strength.

1994 ◽  
Vol 150 (6) ◽  
pp. 1678-1683 ◽  
Author(s):  
F Héritier ◽  
F Rahm ◽  
P Pasche ◽  
J W Fitting
2014 ◽  
Vol 27 (3) ◽  
pp. 371-377
Author(s):  
Marlene Aparecida Moreno ◽  
Juliana Viana Paris ◽  
Raphael do Nascimento Pereira ◽  
Antonio Roberto Zamunér ◽  
Tais Mendes de Camargo ◽  
...  

Objective To analyze the values of maximal inspiratory pressure (MIP) and sniff nasal inspiratory pressure (SNIP) and to verify the existence of concordance between the two evaluation methodologies, in subjects with tetraplegia. Materials and methods Cross-sectional study with 17 tetraplegic men, aged 30.42 ± 7.67 years, who underwent MIP and SNIP evaluation using a respiratory pressure meter. Results The MIP and SNIP values obtained showed no difference when compared to each other (88.42 ± 29.39 vs. 86.68 ± 25.40 cmH2O, respectively). They were, however, significantly lower compared to the predicted values (MIP = 128.92 ± 7.18; SNIP = 114.11 ± 3.19 cmH2O), with the MIP values presenting correlation (r2 = 0.94; p < 0.0001) and concordance with those of the SNIP. Conclusions Both the MIP and SNIP values obtained were lower than the predicted values, indicating a reduction in inspiratory muscle strength (IMS). Both techniques showed correlation and concordance, suggesting that MIP can be used as a noninvasive method for IMS evaluation in this population.


2004 ◽  
Vol 1 (4) ◽  
pp. 475-478 ◽  
Author(s):  
Hélène Prigent ◽  
Michèle Lejaille ◽  
Line Falaize ◽  
Alain Louis ◽  
Maria Ruquet ◽  
...  

Author(s):  
Patricia Rehder-Santos ◽  
Raphael M. Abreu ◽  
Étore De F. Signini ◽  
Claudio D. da Silva ◽  
Camila A. Sakaguchi ◽  
...  

Background and Objective: Inspiratory muscle training (IMT) produced outstanding results in the physical performance of active subjects; however, little is known about the best training intensity for this population. The objective was to investigate the impact of an IMT of high intensity, using the critical inspiratory pressure (CIP), on inspiratory muscle strength (IMS), inspiratory muscle endurance (IME), peak power, and oxygen uptake of recreational cyclists; and to compare these results with moderate-intensity IMT (60% of maximal inspiratory pressure [MIP]). Methods: Thirty apparently healthy male recreational cyclists, 20–40 years old, underwent 11 weeks of IMT (3 times per week; 55 min per session). Participants were randomized into 3 groups: sham group (6 cmH2O; n = 8); 60% MIP (MIP60; n = 10) and CIP (n = 12). All participants performed the IMS test and incremental IME test at the first, fifth, ninth, and 13th weeks of the experimental protocol. Cardiopulmonary exercise testing was performed on an electromagnetic braking cycle ergometer pre-IMT and post-IMT. Data were analyzed using a 2-way repeated measures ANOVA (group and period factors). Results: IMS increased in CIP and MIP60 groups at the ninth and 13th weeks compared with the sham group (P < .001; β = 0.99). Regarding IME, there was an interaction between the CIP and MIP60 groups in all periods, except in the initial evaluation (P < .001; β = 1.00). Peak power (in watts) increased after IMT in CIP and MIP60 groups (P = .01; β = 0.67). Absolute oxygen uptake did not increase after IMT (P = .49; β = 0.05). Relative oxygen uptake to lean mass values did not change significantly (P = .48; β = 0.05). Conclusion: High-intensity IMT is beneficial on IMS, IME, and peak power, but does not provide additional gain to moderate intensity in recreational cyclists.


Author(s):  
Maura Rigoldi Simões da ROCHA ◽  
Stefane SOUZA ◽  
Carolina Moraes da COSTA ◽  
Daniela Faleiros Bertelli MERINO ◽  
Maria Imaculada de Lima MONTEBELO ◽  
...  

ABSTRACT Background: Bariatric surgery can trigger postoperative pulmonary complications due to factors inherent to the procedure, mainly due to diaphragmatic dysfunction. Aim: To evaluate and compare the effects of two levels of positive pressure and exercises with inspiratory load on lung function, inspiratory muscle strength and respiratory muscle resistance, and the prevalence of atelectasis after gastroplasty. Methods: Clinical, randomized and blind trial, with subjects submitted to bariatric surgery, allocated to two groups: positive pressure group, who received positive pressure at two levels during one hour and conventional respiratory physiotherapy and inspiratory load group, who performed exercises with load linear inspiratory pressure, six sets of 15 repetitions, in addition to conventional respiratory physiotherapy, both of which were applied twice in the immediate postoperative period and three times a day on the first postoperative day. Spirometry was performed for pulmonary function analysis, nasal inspiratory pressure for inspiratory muscle strength and incremental test of respiratory muscle resistance for sustained maximal inspiratory pressure, both preoperatively and on hospital discharge on the second postoperative day. Results: There was no significant difference (p> 0.05) in the expiratory reserve volume and in the tidal volume in the pre and postoperative periods when compared intra and intergroup. There was no significant difference (p>0.05) in the nasal inspiratory pressure and the maximal inspiratory pressure maintained in the inspiratory load group in the intragroup evaluation, but with a significant difference (p<0.05) compared to the positive pressure group. The prevalence of atelectasis was 5% in both groups with no significant difference (p>0.05) between them. Conclusion: Both groups, associated with conventional respiratory physiotherapy, preserved expiratory reserve volume and tidal volume and had a low atelectasis rate. The inspiratory loading group still maintained inspiratory muscle strength and resistance of respiratory muscles.


Author(s):  
Toshiyuki Ohya ◽  
Kenta Kusanagi ◽  
Jun Koizumi ◽  
Ryosuke Ando ◽  
Keisho Katayama ◽  
...  

Purpose: Inspiratory muscle strength training (IMST) can improve exercise performance. Increased maximal inspiratory mouth pressure (MIP) could be beneficial for swimmers to enhance their performance. This study aimed to clarify the effect of high-intensity IMST for 6 weeks on MIP and swimming performance in highly trained competitive swimmers. Methods: Thirty male highly trained competitive swimmers were assigned to high-intensity IMST (HI; n = 10), moderate-intensity IMST (MOD; n = 10), and control (n = 10) groups. The 6-week IMST intervention comprised twice daily sessions for 6 d/wk at inspiratory pressure threshold loads equivalent to 75% MIP (HI) and 50% MIP (MOD). Before and after the intervention, MIP and swimming performance were assessed. Swimming performance was evaluated in free and controlled frequency breathing 100-m freestyle swimming time trials in a 25-m pool. For controlled frequency breathing, participants took 1 breath every 6 strokes. Results: The MIP values after 2 and 6 weeks of IMST in the HI and MOD groups were significantly higher than those before IMST (P = .0001). The magnitudes of the MIP increases after 6 weeks of IMST did not differ between the HI (13.4% [8.7%]) and MOD (13.1% [10.1%]) groups (P = .44). The 100-m freestyle swimming times under the controlled frequency condition were significantly shorter after IMST than those before IMST in both the HI (P = .046) and MOD (P = .042) groups. Conclusions: Inspiratory pressure threshold load equivalent to 50% MIP could be sufficient to improve MIP and swimming performance under the controlled frequency breathing condition in highly trained competitive swimmers.


2018 ◽  
Vol 4 (91) ◽  
Author(s):  
Maija Rumaka ◽  
Imants Upitis ◽  
Juris Grants ◽  
Liga Aberberga Augškalne

Research  background  and  hypothesis.  We  checked  hypothesis  that  swimming  skill  improvement  is  more dependent on inspiratory muscle strength than endurance volume to be ventilated.Research aim was to determine associations between maximal static inspiratory (MIP) and expiratory (MEP) pressures, swimming skills, parameters of forced spirometry. Research methods. Investigation involved 62 female students (age 22.13 ± 1.3 years, height 168.4 ± 6.6 cm, and weight 61.3 ± 7.0 kg) of the Latvian Academy of Sports Education. All of them were non-smokers. Swimming skills in four strokes were evaluated by a swimming coach. MIP and MEP were measured at the mouth level outside the swimming pool and repeated in the swimming pool while the subject was immersed up to the neck level. Forced spirometry was performed according ATS guidelines outside the water. Research  results.  Average  value  for  MIP  outside  the  water  was  109  ±  30  cm  H 2 0  and  for  MEP  it  was 147 ± 33 cm H 2 0. There was positive correlation between peak expiratory flow and MIP, MEP, and the rate of increase of both pressures (p < 0.05). Forced vital capacity was not related to maximal pressures. Faster rate of inspiratory pressure increase was positively related to forced inspiratory volume in one second (p < 0.05). There was a significant decrease of MIP and the rate of increase of inspiratory pressure in the immersion state while no changes of expiratory parameters were observed. Discussion and conclusions. Swimming skill improvement is more dependent on inspiratory muscle strength than volume to be ventilated. Students with higher PEF have higher respiratory pressure parameters. Immersion in water decreases MIP, IMRPD and increases IMMRR. Changes of these parameters due to immersion are not related  to swimming skills.Keywords: maximal inspiratory pressure, maximal expiratory pressure, swimming education, immersion in water. 


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