Multifactorial inspiratory muscle training and its impact on respiratory and functional parameters of patients with diabetic polyneuropathy—A Randomized Controlled Trial.

Background and Purpose: Diabetic polyneuropathy is a long‐standing microvascular complication of diabetes that affects the postural control and functional mobility of patients. There are other microvascular complications, including pulmonary complications that reduce lung function. Multifactorial In...

Descripción completa

Detalles Bibliográficos
Publicado en:Physiotherapy Research International Vol. 29; no. 4; pp. 1 - 13
Autores principales: Sheraz, Suman, Malik, Arshad Nawaz, Ferraro, Francesco Vincenzo, Siddiqi, Furqan Ahmed
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Oct2024
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180521101&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 180521101
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        13582267
        GPG
      jtl: Physiotherapy Research International
      issn: 13582267
      maglogo: Y
    pubinfo:
      dt: Oct2024
      vid: 29
      iid: 4
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        180521101
        180521101
        180521101
        10.1002/pri.2127
        180521101
      ppf: 1
      ppct: 12
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: C
          – @attributes:
              type: P
      tig:
        atl: Multifactorial inspiratory muscle training and its impact on respiratory and functional parameters of patients with diabetic polyneuropathy—A Randomized Controlled Trial.
      aug:
        au:
          Sheraz, Suman
          Malik, Arshad Nawaz
          Ferraro, Francesco Vincenzo
          Siddiqi, Furqan Ahmed
        affil: Faculty of Rehabilitation & Allied Health Sciences, Riphah International University, Islamabad, Pakistan
      sug:
        subj:
          Diabetic Neuropathies Physiopathology
          Diabetic Neuropathies Rehabilitation
          Breathing Exercises
          Muscle Strengthening Physiology
          Respiratory Muscles Physiopathology
          Treatment Outcomes
          Human
          Male
          Female
          Middle Age
          Randomized Controlled Trials
          Random Assignment
          Data Analysis Software
          Descriptive Statistics
          Analysis of Variance
          Respiratory Function Tests
          Pakistan
          Pretest-Posttest Design
          Comparative Studies
          Diaphragm Physiopathology
          Rising
          Diabetes Mellitus Complications
          Diabetic Patients
          Post Hoc Analysis
          Clinical Assessment Tools
          Functional Status
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background and Purpose: Diabetic polyneuropathy is a long‐standing microvascular complication of diabetes that affects the postural control and functional mobility of patients. There are other microvascular complications, including pulmonary complications that reduce lung function. Multifactorial Inspiratory Muscle Training (IMT) can act as a home‐based technique targeted to affect both these complications. This study aims to determine the effects of IMT on respiratory and functional parameters in diabetic polyneuropathy patients. Methods: This is a Pre‐Test Post‐Test Randomized Controlled Trial (NCT#04947163) with 62 diabetic polyneuropathy patients. Each was randomly assigned to the IMT or sham‐IMT group. Both the groups performed OTAGO exercises , with the sham‐IMT group performing IMT at 15% of baseline maximal inspiratory pressure (MIP), whereas IMT were trained at 50% of baseline MIP as an initial intensity, which was increased as per the tolerance of patients. Both groups performed training for 12 weeks. The study investigated diaphragmatic strength, pulmonary function, functional capacity through 6MWT, 30s sit to stand test and anterior trunk muscle endurance tested through sit up test as outcome variables. Data was analysed on SPSS v26 at the significance level of 0.0.5. Results: The IMT group significantly improved diaphragmatic strength, pulmonary function, 6MWT and anterior trunk muscle endurance when compared to the sham‐IMT group. Conclusion: The study concluded that home‐based IMT can improve pulmonary parameters including diaphragmatic strength and lung function as well as functional parameters including functional capacity in patients with diabetic polyneuropathy. The study was registered at ClinicalTrials.gov, NCT#04947163.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N