The effect of inspiratory muscle training on the quality of life, immune response, inspiratory and lower limb muscle strength of older adults: a randomized controlled trial

Abstract Objective: To evaluate the impact of inspiratory muscle training (IMT) on the quality of life, immune response, inspiratory and lower limb muscle strength of older adults. Method: A randomized clinical trial was conducted with 30 institutionalized older adults. They were allocated into two groups: the IMT group (n=15), which underwent IMT with PowerBreathe Classic, using a load of 60% of maximal inspiratory pressure (MIP). This was performed using a 30 repetition protocol, three times a week, for six weeks. The second group was the control group (n=15) which did not perform any type of therapeutic intervention. In both groups, MIP, lower limb strength by sit-up test, quality of life by the SF-36 questionnaire and C-reactive protein (CRP) were evaluated. Results: The results demonstrated the homogeneity between the groups regarding the demographic and clinical variables. The IMT group showed an increase in the variation of MIP (9.20±7.36 cmH2O) compared to the control (0.93±8.79 cmH2O). Improvement was also observed in the sitting and standing test (p<0.05) (Tukey Test) in the difference between the values before and after the IMT. In terms of quality of life, two of the eight SF-36 domains were influenced by the IMT, namely: functional capacity and limitations due to physical factors. There were no changes in CRP in either group. Conclusion: IMT improved the inspiratory muscle strength, lower limb strength and quality of life of institutionalized older adults. These findings reinforce the contribution of this therapy to reducing the deleterious effects of aging.

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Effects of inspiratory muscle training on lung volumes, respiratory muscle strength, and quality of life in patients with ataxia telangiectasia

Pediatric Pulmonology ◽

10.1002/ppul.22828 ◽

2013 ◽

Vol 49 (3) ◽

pp. 238-244 ◽

Cited By ~ 14

Author(s):

Erika Félix ◽

Ana Cristina Gimenes ◽

Beatriz Tavares Costa-Carvalho

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Ataxia Telangiectasia ◽

Respiratory Muscle ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Respiratory Muscle Strength ◽

Muscle Training ◽

Lung Volumes

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Evaluation of a geriatric day rehabilitation centre: subjective and objective outcomes in community-dwelling older adults

Australian Journal of Primary Health ◽

10.1071/py08054 ◽

2009 ◽

Vol 15 (2) ◽

pp. 117 ◽

Cited By ~ 2

Author(s):

A. Foley ◽

S. Hillier ◽

R. Barnard

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Lower Limb ◽

Daily Living ◽

Community Dwelling ◽

Rehabilitation Centre ◽

Lower Limb Strength ◽

The Mean ◽

Community Dwelling Older Adults

Pre and post testing were conducted on community-dwelling older adults referred to a geriatric day rehabilitation centre (DRC). Consecutive DRC clients were screened for inclusion over a 16-month period and were eligible if: aged 60+ years; cognitively intact; and reason for referral involved spinal or lower limb musculoskeletal impairment, disability or surgery, and/or reduced functional mobility or falls. Clients were excluded if they had a neurological disorder, or did not complete the program. Outcome measures included: lower limb strength; balance; mobility; self-reported pain; activities of daily living; and quality of life. Data were summarised using descriptive statistics and analysed using paired t-tests. Of the 137 participants recruited, 110 were female and the mean age was 79.5 ± 7.3 years. In total, 106 participants completed the DRC program and were assessed at baseline and re-assessed at discharge. The mean length of stay was 12.4 ± 2.9 weeks, with 21.4 ± 5.4 attendances. From baseline to discharge, statistically significant differences were found for all objective measures of physical functioning, balance, and for all lower limb strength tests (P < 0.0001). Glasgow Pain Questionnaire scores demonstrated statistically significant improvements in all five domains of the scale (P < 0.0001). The Barthel Index and Multi-dimensional Functional Assessment Questionnaire both showed a statistically significant improvement in the level of independence in activities of daily living (ADL) (P < 0.05). The Assessment of Quality of Life Questionnaire showed a statistically significant improvement (P = 0.027). The Exercise Benefits/Barriers Scale also showed a statistically significant improvement over DRC attendance (P = 0.005). The Falls Efficacy Scale showed a positive change, but the improvement was not statistically significant (P = 0.80). The study’s results indicate that community-dwelling older adults with physical disabilities and multiple comorbidities who attended the interdisciplinary geriatric DRC, significantly improved their lower limb strength, balance and physical function, and also showed significant decreases in self-reported pain, and improvements in independence in ADL and quality of life. Given the limitations of the current study, further research, in the form of high quality studies with larger sample sizes that involve direct comparisons with other forms of care or against a control group, is needed to determine whether day rehabilitation centre programs provide the optimum mode of rehabilitation for this population in the most cost effective manner.

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Impact of respiratory muscle training on respiratory muscle strength, respiratory function and quality of life in individuals with tetraplegia: a randomised clinical trial

Thorax ◽

10.1136/thoraxjnl-2019-213917 ◽

2020 ◽

Vol 75 (3) ◽

pp. 279-288 ◽

Cited By ~ 4

Author(s):

Claire L Boswell-Ruys ◽

Chaminda R H Lewis ◽

Nirupama S Wijeysuriya ◽

Rachel A McBain ◽

Bonsan Bonne Lee ◽

...

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Lung Function ◽

Respiratory Muscle ◽

Respiratory Health ◽

Inspiratory Muscle ◽

Respiratory Muscle Training ◽

Muscle Training ◽

Inspiratory Muscle Strength

BackgroundRespiratory complications remain a leading cause of morbidity and mortality in people with acute and chronic tetraplegia. Respiratory muscle weakness following spinal cord injury-induced tetraplegia impairs lung function and the ability to cough. In particular, inspiratory muscle strength has been identified as the best predictor of the likelihood of developing pneumonia in individuals with tetraplegia. We hypothesised that 6 weeks of progressive respiratory muscle training (RMT) increases respiratory muscle strength with improvements in lung function, quality of life and respiratory health.MethodsSixty-two adults with tetraplegia participated in a double-blind randomised controlled trial. Active or sham RMT was performed twice daily for 6 weeks. Inspiratory muscle strength, measured as maximal inspiratory pressure (PImax) was the primary outcome. Secondary outcomes included lung function, quality of life and respiratory health. Between-group comparisons were obtained with linear models adjusting for baseline values of the outcomes.ResultsAfter 6 weeks, there was a greater improvement in PImax in the active group than in the sham group (mean difference 11.5 cmH2O (95% CI 5.6 to 17.4), p<0.001) and respiratory symptoms were reduced (St George Respiratory Questionnaire mean difference 10.3 points (0.01–20.65), p=0.046). Significant improvements were observed in quality of life (EuroQol-Five Dimensional Visual Analogue Scale 14.9 points (1.9–27.9), p=0.023) and perceived breathlessness (Borg score 0.64 (0.11–1.17), p=0.021). There were no significant improvements in other measures of respiratory function (p=0.126–0.979).ConclusionsProgressive RMT increases inspiratory muscle strength in people with tetraplegia, by a magnitude which is likely to be clinically significant. Measurement of baseline PImax and provision of RMT to at-risk individuals may reduce respiratory complications after tetraplegia.Trial registration numberAustralian New Zealand Clinical Trials Registry (ACTRN 12612000929808).

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Effect Of Inspiratory Muscle Training On Exercise Capacity And Quality Of Life In Older Adults

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000355671.09478.0a ◽

2009 ◽

Vol 41 ◽

pp. 368-369

Author(s):

Kathleen M. Knutzen ◽

Morgan A. Jackson ◽

Lorraine R. Brilla ◽

Brandi S. Row

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Exercise Capacity ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Muscle Training

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Inspiratory muscle training in children and adolescents living with neuromuscular diseases: A pre-experimental study

South African Journal of Physiotherapy ◽

10.4102/sajp.v77i1.1577 ◽

2021 ◽

Vol 77 (1) ◽

Author(s):

Anri Human ◽

Brenda M. Morrow

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Respiratory Muscle ◽

Neuromuscular Diseases ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Muscle Training ◽

Upper Limb Function ◽

Inspiratory Muscle Strength

Background: Children with neuromuscular diseases (NMD) are at risk of morbidity and mortality because of progressive respiratory muscle weakness and ineffective cough. Inspiratory muscle training (IMT) aims to preserve or improve respiratory muscle strength, thereby reducing morbidity and improving health-related quality of life (HRQoL).Objectives: To describe the safety and feasibility of a 6-week IMT programme using an electronic threshold device (Powerbreathe®). Any adverse events and changes in functional ability, spirometry, peak expiratory cough flow (PECF), inspiratory muscle strength and HRQoL (Pediatric Quality of Life [PedsQL]) were recorded.Methods: A convenience sample of eight participants (n = 4 boys; median [interquartile range {IQR}] age: 12.21 [9.63–16.05] years) with various NMD were included in a pre-experimental, observational pre-test post-test feasibility study. Training consisted of 30 breaths, twice daily, 5 days a week, for 6 weeks.Results: There were significant pre- to post-intervention improvements in upper limb function and coordination (p = 0.03) and inspiratory muscle strength: maximum inspiratory mouth pressure (Pimax) (p = 0.01); strength-index (p = 0.02); peak inspiratory flow (PIF) (p = 0.02), with no evidence of change in spirometry, PECF or HRQoL. No adverse events occurred and participant satisfaction and adherence levels were high.Conclusion: Inspiratory muscle training (at an intensity of 30% Pimax) appears safe, feasible and acceptable, in a small sample of children and adolescents with NMD and was associated with improved inspiratory muscle strength, PIF and upper limb function and coordination.Clinical implications: Larger, longer-term randomised controlled trials are warranted to confirm the safety and efficacy of IMT as an adjunct respiratory management strategy in children with NMD.

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Effect of Inspiratory Muscle Training on Muscle Strength and Quality of Life in Patients With Chronic Airflow Limitation: a Randomized Controlled Trial

Archivos de Bronconeumología (English Edition) ◽

10.1016/s1579-2129(06)60293-0 ◽

2005 ◽

Vol 41 (11) ◽

pp. 601-606 ◽

Cited By ~ 3

Author(s):

P. Serón ◽

P. Riedemann ◽

S. Muñoz ◽

A. Doussoulin ◽

P. Villarroel ◽

...

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Muscle Strength ◽

Controlled Trial ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Airflow Limitation ◽

Muscle Training ◽

Randomized Controlled

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Inspiratory muscle training in severe spinal muscular atrophy: a case report

International Journal of Therapy and Rehabilitation ◽

10.12968/ijtr.2017.0108 ◽

2019 ◽

Vol 26 (4) ◽

pp. 1-19

Author(s):

Anri Human ◽

Engela Honey ◽

Brenda Morrow

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Muscular Atrophy ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Health Related Quality ◽

Muscle Training ◽

Related Quality ◽

Health Related

Background/Aims Inspiratory muscle training aims to preserve or improve respiratory muscle strength in children with neuromuscular diseases in order to prevent or minimise pulmonary morbidity. The aim of this study was to determine the effect of inspiratory muscle training on clinical outcomes and health-related quality of life in a child with advanced neuromuscular disease and severe pulmonary restriction. Methods A one patient pre-test post-test study design was implemented. General function, spirometry, peak expiratory cough flow and health-related quality of life were measured at baseline and after a 6-week inspiratory muscle training programme. Inspiratory muscle strength (maximal inspiratory mouth pressure and sniff nasal inspiratory pressure) was measured every 2 weeks. The patient used a tapered flow threshold inspiratory training device (POWERbreathe K3) at an intensity of ± 30% of maximal inspiratory mouth pressure twice a day, 5 days per week. Findings The non-ambulatory 10-year-old girl with type 2 spinal muscular atrophy initially had a forced vital capacity of 18% predicted and peak expiratory cough flow of 60 litres/minute. A substantial improvement was seen in inspiratory muscle strength between baseline and 4 weeks. Patient health-related quality of life improved and patient satisfaction was high, with a score of 9/10. The patient developed a lower respiratory tract infection towards the end of the inspiratory muscle training period. No other adverse events occurred. Conclusions Improved inspiratory muscle strength and health-related quality of life was associated with inspiratory muscle training in a child with advanced spinal muscular atrophy. Controlled clinical trials are recommended to determine the safety and efficacy of inspiratory muscle training in children with advanced spinal muscular atrophy and severe respiratory muscle weakness to inform clinical practice.

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Inspiratory Muscle Training and the Perception of Dyspnea in Parkinson's Disease

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s0317167100003991 ◽

2005 ◽

Vol 32 (2) ◽

pp. 213-217 ◽

Cited By ~ 47

Author(s):

Rivka Inzelberg ◽

Nana Peleg ◽

Puiu Nisipeanu ◽

Rasmi Magadle ◽

Ralph L. Carasso ◽

...

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Respiratory Muscle ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Muscle Performance ◽

Training Period ◽

Muscle Training ◽

Pulmonary Functions

ABSTRACT:Background:Pulmonary and respiratory muscle function impairment are common in patients with Parkinson's disease (PD). Inspiratory muscle training may improve strength, dyspnea and functional capacity in healthy subjects and in those with chronic obstructive pulmonary disease. This study investigated the effect of specific inspiratory muscle training (SIMT) on pulmonary functions, inspiratory muscle performance, dyspnea and quality of life, in patients with PD.Patients and Methods:Twenty patients with PD (stage II and III Hoehn and Yahr scale) were recruited for the study and were divided into two groups: a) ten patients who received SIMT and b) ten patients who received sham training, for three months. Pulmonary functions, the respiratory muscle strength and endurance, the perception of dyspnea (POD) and the quality of life were studied before and within one week after the training period. All subjects trained daily, six times a week, each session consisting of 1/2 hour, for 12 weeks.Results:Following the training period, there was a significant improvement, in the training group but not in the control group, in the following parameters: inspiratory muscle strength, (PImax, increased from 62.0±8.2 to 78.0±7.5 cm of H2O (p<0.05), inspiratory muscle endurance (increased from 20.0±2.8 to 29.0±3.0 cm of H2O (p<0.05), and the POD (decreased from 17.9±3.2 to 14.0±2.4 units (p<0.05). There was a close correlation between the increase in the inspiratory muscle performance and the decrease in the POD.Conclusions:The inspiratory muscle performance may be improved by SIMT in patients with PD. This improvement is associated with a significant decrease in their POD.

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