The effects of inspiratory muscle warm-up prior to inspiratory muscle training during pulmonary rehabilitation in subjects with chronic obstructive pulmonary disease: a randomized trial.
Background: While a whole-body warm-up may not adequately prepare the inspiratory muscles for exercise, inspiratory warm-up is an effective approach in preparing the inspiratory muscles for exertion. Objectives: To investigate the effects of inspiratory muscle warm-up performed prior to inspiratory...
| Publicado en: | Physiotherapy Theory & Practice Vol. 41; no. 1; pp. 1 - 12 |
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| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jan2025
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| 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=181862549&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181862549 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Jan2025 vid: 41 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 181862549 174729389 181862549 181862549 10.1080/09593985.2023.2301439 181862549 ppf: 1 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The effects of inspiratory muscle warm-up prior to inspiratory muscle training during pulmonary rehabilitation in subjects with chronic obstructive pulmonary disease: a randomized trial. aug: au: Aktan, Rıdvan Özalevli, Sevgi Yakut, Hazal Özgen Alpaydin, Aylin affil: Department of Physiotherapy, Izmir University of Economics, Balcova, Izmir, Turkey sug: subj: Pulmonary Disease, Chronic Obstructive Rehabilitation Pulmonary Disease, Chronic Obstructive Physiopathology Rehabilitation, Pulmonary Muscle Weakness Respiratory Muscles Physiopathology Warm-Up Exercise Muscle Strengthening Physiology Exercise Tolerance Breathing Exercises Methods Human Male Female Middle Age Aged Randomized Controlled Trials Random Assignment Comparative Studies Turkiye Respiratory Function Tests Scales Questionnaires Data Analysis Software Descriptive Statistics Unpaired T-Tests Mann-Whitney U Test Paired T-Tests Wilcoxon Rank Sum Test Chi Square Test Pilot Studies Quality of Life Evaluation Rehabilitation Patients Dyspnea Rehabilitation Short Form-36 Health Survey (SF-36) Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: While a whole-body warm-up may not adequately prepare the inspiratory muscles for exercise, inspiratory warm-up is an effective approach in preparing the inspiratory muscles for exertion. Objectives: To investigate the effects of inspiratory muscle warm-up performed prior to inspiratory muscle training (IMT) during pulmonary rehabilitation (PR) in patients with moderate-to-severe chronic obstructive pulmonary disease (COPD) and inspiratory muscle weakness. Methods: Pulmonary function tests, maximal inspiratory and expiratory pressures (MIP and MEP), 6-minute walk test distance (6MWD), modified Medical Research Council Dyspnea Scale(mMRC), St. George's respiratory questionnaire and the 36-item short-form health survey were evaluated. Both groups performed IMT during PR for 8 weeks. The warm-up group (n = 15), in addition to the standard IMT group (n = 15), performed an inspiratory muscle warm-up protocol before each IMT session. Results: At the end of the 8-week intervention, improvements in dyspnea (mMRC in score, p =0.033, effect size =0.76); exercise capacity (6MWD in meters, p =0.001, effect size =1.30); pulmonary function [forced expiratory volume in 1 second (FEV1) in %predicted, p =0.006, effect size =1.10]; and inspiratory muscle strength (MIP in cmH2O, p =0.001, effect siz e = 1.35) were significantly greater in the warm-up group. Moreover, there were significant improvements in health-related quality of life (HRQoL) sub-scores after the training in both groups (p <0.05). Conclusions: This study demonstrated improvements in both groups, surpassing or closely approaching the established minimal clinically important difference values for the respective outcomes. Performing a warm-up for inspiratory muscles before IMT boosts benefits for pulmonary function, inspiratory muscle strength, exercise capacity, dyspnea, and HRQoL in subjects with moderate-to-severe COPD and inspiratory muscle weakness. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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