Effects of Inspiratory Muscle Training in Subjects With Sarcoidosis: A Randomized Controlled Clinical Trial.

BACKGROUND: Respiratory muscle weakness occurs in sarcoidosis and is related to decreased exercise capacity, greater fatigue, dyspnea, and lower quality of life in sarcoidosis patients. The effects of inspiratory muscle training in this population have not been comprehensively investigated so far. T...

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Publicado en:Respiratory Care Vol. 61; no. 4; pp. 483 - 495
Autores principales: Karadallı, Müşerrefe Nur, Boşnak-Güçlü, Meral, Camcıoğlu, Burcu, Kokturk, Nurdan, Türktaş, Haluk
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Mary Ann Liebert, Inc. Apr2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2016
      vid: 61
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      pub: Mary Ann Liebert, Inc.
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        atl: Effects of Inspiratory Muscle Training in Subjects With Sarcoidosis: A Randomized Controlled Clinical Trial.
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        au:
          Karadallı, Müşerrefe Nur
          Boşnak-Güçlü, Meral
          Camcıoğlu, Burcu
          Kokturk, Nurdan
          Türktaş, Haluk
        affil: Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Gazi University, Ankara, Turkey
      sug:
        subj:
          Sarcoidosis
          Respiratory Muscles
          Respiratory Therapy
          Human
          Treatment Outcomes
          Randomized Controlled Trials
          Respiratory Function Tests
          Depression
          Quality of Life
          Dyspnea
          P-Value
          Fatigue
          Spirometry
          Clinical Assessment Tools
          Muscle Strength
          Dynamometry
          Scales
          Questionnaires
          Data Analysis Software
          T-Tests
          Confidence Intervals
          Chi Square Test
          Analysis of Covariance
          Pretest-Posttest Design
          Post Hoc Analysis
          Adult
          Middle Age
          Male
          Female
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: BACKGROUND: Respiratory muscle weakness occurs in sarcoidosis and is related to decreased exercise capacity, greater fatigue, dyspnea, and lower quality of life in sarcoidosis patients. The effects of inspiratory muscle training in this population have not been comprehensively investigated so far. This study was planned to investigate the effects of inspiratory muscle training on exercise capacity, respiratory and peripheral muscle strength, pulmonary function and diffusing capacity, fatigue, dyspnea, depression, and quality of life in subjects with sarcoidosis. METHODS: This was a prospective, randomized, controlled, and double blind study. Fifteen sarcoidosis subjects (treatment group) received inspiratory muscle training at 40% of maximal inspiratory pressure (PImax), and 15 subjects (control group) received sham therapy (5% of PImax) for 6 weeks. Functional and maximal exercise capacity, respiratory and peripheral muscle strength, pulmonary function and diffusing capacity, fatigue, dyspnea, depression, and quality of life were evaluated. RESULTS: Functional (P < .001) and maximal exercise capacity (P = .038), respiratory muscle strength (PImax [P < .001] and PEmax [P = .001]), severe fatigue (P = .002), and dyspnea perception (P = .02) were statistically significantly improved in the treatment group compared with controls; no significant improvements were observed in pulmonary function and diffusing capacity, peripheral muscle strength, fatigue, depression, and quality of life between groups after inspiratory muscle training. CONCLUSIONS: Inspiratory muscle training improves functional and maximal exercise capacity and respiratory muscle strength and decreases severe fatigue and dyspnea perception in subjects with early stages of sarcoidosis. Inspiratory muscle training can be safely and effectively included in rehabilitation programs. (ClinicalTrials.gov registration NCT02270333.)
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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