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Critical inspiratory pressure - a new methodology for evaluating and training the inspiratory musculature for recreational cyclists: study protocol for a randomized controlled trial.
Trials 2019; 20(1):258T

Abstract

BACKGROUND

Inspiratory muscle training (IMT) has brought great benefits in terms of improving physical performance in healthy individuals. However, there is no consensus regarding the best training load, as in most cases the maximal inspiratory pressure (MIP) is used, mainly the intensity of 60% of MIP. Therefore, prescribing an IMT protocol that takes into account inspiratory muscle strength and endurance may bring additional benefits to the commonly used protocols, since respiratory muscles differ from other muscles because of their greater muscular resistance. Thus, IMT using critical inspiratory pressure (PThC) can be an alternative, as the calculation of PThC considers these characteristics. Therefore, the aim of this study is to propose a new IMT protocol to determine the best training load for recreational cyclists.

METHODS

Thirty recreational cyclists (between 20 and 40 years old) will be randomized into three groups: sham (SG), PThC (CPG) and 60% of MIP, according to age and aerobic functional capacity. All participants will undergo the following evaluations: pulmonary function test (PFT), respiratory muscle strength test (RMS), cardiopulmonary exercise test (CPET), incremental inspiratory muscle endurance test (iIME) (maximal sustained respiratory pressure for 1 min (PThMAX)) and constant load test (CLT) (95%, 100% and 105% of PThMÁX) using a linear load inspiratory resistor (PowerBreathe K5). The PThC will be calculated from the inspiratory muscle endurance time (TLIM) and inspiratory loads of each CLT. The IMT will last 11 weeks (3 times/week and 55 min/session). The session will consist of 5-min warm-up (50% of the training load) and three sets of 15-min breaths (100% of the training load), with a 1-min interval between them. RMS, iIME, CLT and CPET will be performed beforehand, at week 5 and 9 (to adjust the training load) and after training. PFT will be performed before and after training. The data will be analyzed using specific statistical tests (parametric or non-parametric) according to the data distribution and their respective variances. A p value <0.05 will be considered statistically significant.

DISCUSSIONS

It is expected that the results of this study will enable the training performed with PThC to be used by health professionals as a new tool to evaluate and prescribe IMT.

TRIAL REGISTRATION

ClinicalTrials.gov, NCT02984189 . Registered on 6 December 2016.

Authors+Show Affiliations

Cardiovascular Physical Therapy Laboratory, Nucleus of Research in Physical Exercise, Department of Physical Therapy, Federal University of São Carlos, Via Washington Luiz, km 235, CP: 676, São Carlos, São Paulo, 13565-905, Brazil.Cardiovascular Physical Therapy Laboratory, Nucleus of Research in Physical Exercise, Department of Physical Therapy, Federal University of São Carlos, Via Washington Luiz, km 235, CP: 676, São Carlos, São Paulo, 13565-905, Brazil.Cardiovascular Physical Therapy Laboratory, Nucleus of Research in Physical Exercise, Department of Physical Therapy, Federal University of São Carlos, Via Washington Luiz, km 235, CP: 676, São Carlos, São Paulo, 13565-905, Brazil.Cardiovascular Physical Therapy Laboratory, Nucleus of Research in Physical Exercise, Department of Physical Therapy, Federal University of São Carlos, Via Washington Luiz, km 235, CP: 676, São Carlos, São Paulo, 13565-905, Brazil.Cardiovascular Physical Therapy Laboratory, Nucleus of Research in Physical Exercise, Department of Physical Therapy, Federal University of São Carlos, Via Washington Luiz, km 235, CP: 676, São Carlos, São Paulo, 13565-905, Brazil.Nutrition Course, Central University of Paulista, São Carlos, São Paulo, Brazil.Cardiovascular Physical Therapy Laboratory, Nucleus of Research in Physical Exercise, Department of Physical Therapy, Federal University of São Carlos, Via Washington Luiz, km 235, CP: 676, São Carlos, São Paulo, 13565-905, Brazil. mcatai@ufscar.br.

Pub Type(s)

Clinical Trial Protocol
Journal Article

Language

eng

PubMed ID

31064379

Citation

Rehder-Santos, Patricia, et al. "Critical Inspiratory Pressure - a New Methodology for Evaluating and Training the Inspiratory Musculature for Recreational Cyclists: Study Protocol for a Randomized Controlled Trial." Trials, vol. 20, no. 1, 2019, p. 258.
Rehder-Santos P, Minatel V, Milan-Mattos JC, et al. Critical inspiratory pressure - a new methodology for evaluating and training the inspiratory musculature for recreational cyclists: study protocol for a randomized controlled trial. Trials. 2019;20(1):258.
Rehder-Santos, P., Minatel, V., Milan-Mattos, J. C., Signini, É. F., de Abreu, R. M., Dato, C. C., & Catai, A. M. (2019). Critical inspiratory pressure - a new methodology for evaluating and training the inspiratory musculature for recreational cyclists: study protocol for a randomized controlled trial. Trials, 20(1), p. 258. doi:10.1186/s13063-019-3353-0.
Rehder-Santos P, et al. Critical Inspiratory Pressure - a New Methodology for Evaluating and Training the Inspiratory Musculature for Recreational Cyclists: Study Protocol for a Randomized Controlled Trial. Trials. 2019 May 7;20(1):258. PubMed PMID: 31064379.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Critical inspiratory pressure - a new methodology for evaluating and training the inspiratory musculature for recreational cyclists: study protocol for a randomized controlled trial. AU - Rehder-Santos,Patricia, AU - Minatel,Vinicius, AU - Milan-Mattos,Juliana Cristina, AU - Signini,Étore De Favari, AU - de Abreu,Raphael Martins, AU - Dato,Carla Cristina, AU - Catai,Aparecida Maria, Y1 - 2019/05/07/ PY - 2018/12/24/received PY - 2019/04/03/accepted PY - 2019/5/9/entrez PY - 2019/5/9/pubmed PY - 2019/12/21/medline KW - Critical power KW - Physical exercise KW - Physical performance KW - Physiotherapy KW - Respiratory muscle SP - 258 EP - 258 JF - Trials JO - Trials VL - 20 IS - 1 N2 - BACKGROUND: Inspiratory muscle training (IMT) has brought great benefits in terms of improving physical performance in healthy individuals. However, there is no consensus regarding the best training load, as in most cases the maximal inspiratory pressure (MIP) is used, mainly the intensity of 60% of MIP. Therefore, prescribing an IMT protocol that takes into account inspiratory muscle strength and endurance may bring additional benefits to the commonly used protocols, since respiratory muscles differ from other muscles because of their greater muscular resistance. Thus, IMT using critical inspiratory pressure (PThC) can be an alternative, as the calculation of PThC considers these characteristics. Therefore, the aim of this study is to propose a new IMT protocol to determine the best training load for recreational cyclists. METHODS: Thirty recreational cyclists (between 20 and 40 years old) will be randomized into three groups: sham (SG), PThC (CPG) and 60% of MIP, according to age and aerobic functional capacity. All participants will undergo the following evaluations: pulmonary function test (PFT), respiratory muscle strength test (RMS), cardiopulmonary exercise test (CPET), incremental inspiratory muscle endurance test (iIME) (maximal sustained respiratory pressure for 1 min (PThMAX)) and constant load test (CLT) (95%, 100% and 105% of PThMÁX) using a linear load inspiratory resistor (PowerBreathe K5). The PThC will be calculated from the inspiratory muscle endurance time (TLIM) and inspiratory loads of each CLT. The IMT will last 11 weeks (3 times/week and 55 min/session). The session will consist of 5-min warm-up (50% of the training load) and three sets of 15-min breaths (100% of the training load), with a 1-min interval between them. RMS, iIME, CLT and CPET will be performed beforehand, at week 5 and 9 (to adjust the training load) and after training. PFT will be performed before and after training. The data will be analyzed using specific statistical tests (parametric or non-parametric) according to the data distribution and their respective variances. A p value <0.05 will be considered statistically significant. DISCUSSIONS: It is expected that the results of this study will enable the training performed with PThC to be used by health professionals as a new tool to evaluate and prescribe IMT. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02984189 . Registered on 6 December 2016. SN - 1745-6215 UR - https://www.unboundmedicine.com/medline/citation/31064379/Critical_inspiratory_pressure___a_new_methodology_for_evaluating_and_training_the_inspiratory_musculature_for_recreational_cyclists:_study_protocol_for_a_randomized_controlled_trial_ L2 - https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-019-3353-0 DB - PRIME DP - Unbound Medicine ER -