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작성일 2015-05-20 조회수 1607
파일첨부 GosselinkERJ11 (SCI급).pdf
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(PB)Impact of inspiratory muscle training in

Impact of inspiratory muscle training in patients with COPD: what is the evidence?

 

ABSTRACT: A meta-analysis including 32 randomised controlled trials on the effects of inspiratory muscle training (IMT) in chronic obstructive pulmonary disease (COPD) patients was performed.  Overall and subgroup analyses with respect to training modality (strength or endurance training, added to general exercise training) and patient characteristics were performed. Significant improvements were found in maximal inspiratory muscle strength (PI,max; +13 cmH2O), endurance time (+261 s), 6- or 12-min walking distance (+32 and +85 m respectively) and quality of life (+3.8 units). Dyspnoea was significantly reduced (Borg score -0.9 point; Transitional Dyspnoea Index +2.8 units). Endurance exercise capacity tended to improve, while no effects on maximal exercise capacity were found. Respiratory muscle endurance training revealed no significant effect on PI,max, functional exercise capacity and dyspnoea. IMT added to a general exercise programme improved PI,max significantly, while functional exercise capacity tended to increase in patients with inspiratory muscle weakness (PI,max ,60 cmH2O). IMT improves inspiratory muscle strength and endurance, functional exercise capacity, dyspnoea and quality of life. Inspiratory muscle endurance training was shown to be less effective than respiratory muscle strength training. In patients with inspiratory muscle weakness, the addition of IMT to a general exercise training program improved PI,max and tended to improve exercise performance.

이전글 (PB)High-intensity inspiratory muscle training
다음글 (PB)Inspiratory muscle training in adults with chronic