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Inspiratory muscle training in adults with chronic obstructive pulmonary disease: a systematic review.

Abstract

The purpose of this study was to conduct a systematic review to determine the effect of inspiratory muscle training (IMT) on inspiratory muscle strength and endurance, exercise capacity, dyspnea and quality of life for adults with chronic obstructive pulmonary disease (COPD). A systematic review of the literature was conducted according the Cochrane Collaboration protocol using Medline and CINAHL. Nineteen of 274 extracted articles met the inclusion criteria and addressed comparisons of interest which included: IMT versus sham; IMT versus no intervention; low- versus high-intensity IMT; and two different modes of IMT. Thirteen meta-analyses were reported. Results indicate that targeted resistive or threshold IMT was associated with significant improvements in some outcomes of inspiratory muscle strength (PI(max) (cm H2O)) and endurance (Inspiratory Threshold Loading (kPa)), exercise capacity (Borg Scale for Respiratory Effort (modified Borg scale), Work Rate maximum (Watts)), and dyspnea (Transition Dyspnea Index), whereas IMT without a target or not using threshold training did not show improvement in these variables. There was no conclusive evidence regarding quality of life measures. IMT is effective for adults with COPD when using threshold or targeted devices that control or provide a target for training intensity.

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  • Authors+Show Affiliations

    ,

    School of Rehabilitation Science, IAHS-Room 403, McMaster University, 1400 Main Street West, Hamilton, Ont., Canada L8S 1C7. geddesl@mcmaster.ca

    , , ,

    Source

    Respiratory medicine 99:11 2005 Nov pg 1440-58

    MeSH

    Adolescent
    Adult
    Aged
    Dyspnea
    Exercise Tolerance
    Humans
    Middle Aged
    Pulmonary Disease, Chronic Obstructive
    Quality of Life
    Respiratory Muscles
    Respiratory Therapy

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Review
    Systematic Review

    Language

    eng

    PubMed ID

    15894478

    Citation

    Geddes, E Lynne, et al. "Inspiratory Muscle Training in Adults With Chronic Obstructive Pulmonary Disease: a Systematic Review." Respiratory Medicine, vol. 99, no. 11, 2005, pp. 1440-58.
    Geddes EL, Reid WD, Crowe J, et al. Inspiratory muscle training in adults with chronic obstructive pulmonary disease: a systematic review. Respir Med. 2005;99(11):1440-58.
    Geddes, E. L., Reid, W. D., Crowe, J., O'Brien, K., & Brooks, D. (2005). Inspiratory muscle training in adults with chronic obstructive pulmonary disease: a systematic review. Respiratory Medicine, 99(11), pp. 1440-58.
    Geddes EL, et al. Inspiratory Muscle Training in Adults With Chronic Obstructive Pulmonary Disease: a Systematic Review. Respir Med. 2005;99(11):1440-58. PubMed PMID: 15894478.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Inspiratory muscle training in adults with chronic obstructive pulmonary disease: a systematic review. AU - Geddes,E Lynne, AU - Reid,W Darlene, AU - Crowe,Jean, AU - O'Brien,Kelly, AU - Brooks,Dina, PY - 2004/07/08/received PY - 2005/5/17/pubmed PY - 2006/5/26/medline PY - 2005/5/17/entrez SP - 1440 EP - 58 JF - Respiratory medicine JO - Respir Med VL - 99 IS - 11 N2 - The purpose of this study was to conduct a systematic review to determine the effect of inspiratory muscle training (IMT) on inspiratory muscle strength and endurance, exercise capacity, dyspnea and quality of life for adults with chronic obstructive pulmonary disease (COPD). A systematic review of the literature was conducted according the Cochrane Collaboration protocol using Medline and CINAHL. Nineteen of 274 extracted articles met the inclusion criteria and addressed comparisons of interest which included: IMT versus sham; IMT versus no intervention; low- versus high-intensity IMT; and two different modes of IMT. Thirteen meta-analyses were reported. Results indicate that targeted resistive or threshold IMT was associated with significant improvements in some outcomes of inspiratory muscle strength (PI(max) (cm H2O)) and endurance (Inspiratory Threshold Loading (kPa)), exercise capacity (Borg Scale for Respiratory Effort (modified Borg scale), Work Rate maximum (Watts)), and dyspnea (Transition Dyspnea Index), whereas IMT without a target or not using threshold training did not show improvement in these variables. There was no conclusive evidence regarding quality of life measures. IMT is effective for adults with COPD when using threshold or targeted devices that control or provide a target for training intensity. SN - 0954-6111 UR - https://www.unboundmedicine.com/medline/citation/15894478/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0954-6111(05)00100-9 DB - PRIME DP - Unbound Medicine ER -