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Comparison study of chest physiotherapy home training programmes on respiratory functions in patients with muscular dystrophy.
Clin Rehabil. 2008 Aug; 22(8):741-8.CR

Abstract

OBJECTIVE

To compare the effects of home training programmes, threshold inspiratory muscle training and breathing exercise on spirometry and maximal pressures in patients with muscular dystrophy.

DESIGN

Prospective blinded 12-week study.

SETTINGS

Cardiopulmonary department of university hospital.

SUBJECTS

Twenty-three patients with muscular dystrophy (17 patients with limb girdle muscular dystrophy and 6 patients with Becker muscular dystrophy) assigned to the threshold inspiratory muscle training and breathing exercise groups with alternate allocation.

METHODS

Spirometry, maximal inspiratory pressure (PImax) and maximal expiratory pressure (PEmax) were measured before and after training. In the threshold inspiratory muscle training group threshold pressure load was determined as equal to 30% of weekly PImax measurement. In the breathing exercise group, patients performed deep and forceful diaphragmatic and segmental exercises. All patients performed exercises at home and once a week at hospital under supervision.

RESULTS

The improvement of PImax in the threshold inspiratory muscle training group was more significant than the improvement observed in the breathing exercise group (P=0.05). PEmax increased significantly only in the breathing exercise group (P=0.01). Spirometry results did not change significantly in both groups after the training.

CONCLUSIONS

We conclude that respiratory muscle strength is enhanced by training in the patients with muscular dystrophy who are ambulatory, but inspiratory and/or expiratory training effect is specific to the trained muscles. The techniques that improve the strength of respiratory muscles should be included in the physiotherapy management of patients with muscular dystrophy.

Authors+Show Affiliations

School of Physical Therapy and Rehabilitation, Department of Cardiopulmonary Rehabilitation, Cardiology Institute, Istanbul University, Istanbul, Turkey. ipekyeldan@gmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18678574

Citation

Yeldan, Ipek, et al. "Comparison Study of Chest Physiotherapy Home Training Programmes On Respiratory Functions in Patients With Muscular Dystrophy." Clinical Rehabilitation, vol. 22, no. 8, 2008, pp. 741-8.
Yeldan I, Gurses HN, Yuksel H. Comparison study of chest physiotherapy home training programmes on respiratory functions in patients with muscular dystrophy. Clin Rehabil. 2008;22(8):741-8.
Yeldan, I., Gurses, H. N., & Yuksel, H. (2008). Comparison study of chest physiotherapy home training programmes on respiratory functions in patients with muscular dystrophy. Clinical Rehabilitation, 22(8), 741-8. https://doi.org/10.1177/0269215508091203
Yeldan I, Gurses HN, Yuksel H. Comparison Study of Chest Physiotherapy Home Training Programmes On Respiratory Functions in Patients With Muscular Dystrophy. Clin Rehabil. 2008;22(8):741-8. PubMed PMID: 18678574.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison study of chest physiotherapy home training programmes on respiratory functions in patients with muscular dystrophy. AU - Yeldan,Ipek, AU - Gurses,H Nilgun, AU - Yuksel,Husniye, PY - 2008/8/6/pubmed PY - 2009/1/15/medline PY - 2008/8/6/entrez SP - 741 EP - 8 JF - Clinical rehabilitation JO - Clin Rehabil VL - 22 IS - 8 N2 - OBJECTIVE: To compare the effects of home training programmes, threshold inspiratory muscle training and breathing exercise on spirometry and maximal pressures in patients with muscular dystrophy. DESIGN: Prospective blinded 12-week study. SETTINGS: Cardiopulmonary department of university hospital. SUBJECTS: Twenty-three patients with muscular dystrophy (17 patients with limb girdle muscular dystrophy and 6 patients with Becker muscular dystrophy) assigned to the threshold inspiratory muscle training and breathing exercise groups with alternate allocation. METHODS: Spirometry, maximal inspiratory pressure (PImax) and maximal expiratory pressure (PEmax) were measured before and after training. In the threshold inspiratory muscle training group threshold pressure load was determined as equal to 30% of weekly PImax measurement. In the breathing exercise group, patients performed deep and forceful diaphragmatic and segmental exercises. All patients performed exercises at home and once a week at hospital under supervision. RESULTS: The improvement of PImax in the threshold inspiratory muscle training group was more significant than the improvement observed in the breathing exercise group (P=0.05). PEmax increased significantly only in the breathing exercise group (P=0.01). Spirometry results did not change significantly in both groups after the training. CONCLUSIONS: We conclude that respiratory muscle strength is enhanced by training in the patients with muscular dystrophy who are ambulatory, but inspiratory and/or expiratory training effect is specific to the trained muscles. The techniques that improve the strength of respiratory muscles should be included in the physiotherapy management of patients with muscular dystrophy. SN - 0269-2155 UR - https://www.unboundmedicine.com/medline/citation/18678574/Comparison_study_of_chest_physiotherapy_home_training_programmes_on_respiratory_functions_in_patients_with_muscular_dystrophy_ L2 - http://journals.sagepub.com/doi/full/10.1177/0269215508091203?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -