EFFECT OF AN INSPIRATORY MUSCLE STRENGTH TRAINING ON DYSPNOEA ARISING FROM UNSUPPORTED ARM ELEVATION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Keywords:
Impiratoiy muscle strength training, dyspnoea, unsupported aim elevation, chronic obstructive puhuonaiy disease
Abstract
Aim. Present study aimed to identify the effect of an inspiratory muscle strength training program versus sham inspiratory muscle strength training program on the dyspnoea arising from unsupported arm elevation in COPD patients. Materials and Methods. Forty four COPD patients (U-40 to U-50) and with severe COPD (FEV1 = 50-70 % of predicted) were recruited and assigned to an experimental (EXP) or control group (CON). The training program consisted of 5 sessions/wk. (6 x 3 minute bouts of loaded breathing with 2 minutes rest periods between bouts) during 10 wk. Results. The outcome measured included airway obstruction (FEV1, FVC, FEV1/FVC, and PEFR). inspiratory muscle strength (maximal inspiratory pressure (PI. max)), and exercise capacity (six minute walk distance test (6MWDT)). Our inspiratory muscle strength training program improves of all parameters of the EXP. but no significant improve is at the level of FVC. FEV1, FEV1/FVC, PEFR. 6MWDT. Sp02 before and after 6MWDT, PL max. and dyspnoea (VAS) after sham inspiratory muscle strength training program for CON. FEV1 before training for EXP was (54.81 ± 3.53) and after training improved into (70.87 ± 1.54) while for CON was (77.81 ± 6.00) before training and (77.93 ± 5.8) after training. Conclusion. Our study found that SIMT by using threshold loading device resulted in improve pulmonary function indices and then alleviate symptoms and improve UAE performance, in addition to develop dyspnoea. Therefore. S-SIMT didn’t lead to develop breathing symptoms, pulmonary function, and accessoiy muscles strength then effected on arm elevation.References
1. ACCP/AACVPR Pulmonary Rehabilitation Guidelines Panel. Pulmonary Rehabilitation Joint ACCP/AACVPR Evidence-Based Guidelines. Chest, 1997, vol. 112, pp. 1363–1396.
2. American Thoracic Society. Standards for the Diagnosis and Care of Patients with Chronic Obstructive Pulmonary Disease (COPD) and Asthma. Am J RespirCrit Care Med, 1995, vol. 152, pp. 77–121.
3. American Thoracic Society. Screening for Adult Respiratory Disease. Am Rev Respir Dis, 1983, vol. 128, pp. 768–774.
4. Baarends E.M., Slebos D-J., Mostert R., Janssen P.P., Wouters E.F.M. Metabolic and Ventilatory Response Pattern to Arm Elevation in Patients with COPD and Healthy Age-Matched Subjects. Eur Respir J, 1995, vol. 8, pp. 1345–1351. DOI: 10.1183/09031936.95.08081345
5. Shahin B., Germain M., Kazem A., Annat G. Benefits of Short Inspiratory Muscle Trainingon Exercise Capacity, Dyspnea, and Inspiratory Fraction in COPD Patients. International Journal of COPD, 2008, vol. 3(3), pp. 423–427. DOI: 10.2147/COPD.S1822
6. Beckerman M., Magadle R., Weiner M., Weiner P. The Effects of 1 Year of Specific Inspiratory Muscle Training in Patients With COPD. Chest, 2005, vol. 128, pp. 3177–3182. DOI: 10.1378/chest.128.5.3177
7. Bellamy D., Bouchard J., Henrichsen S., Johansson G. International Primary Care Respiratory Group (IPCRG) Guidelines. Management of Chronic Obstructive Pulmonary Disease (COPD). Prim Care Res Jou, 2006, vol. 15, pp. 48–57. DOI: 10.1016/j.pcrj.2005.11.003
8. Black L.F., Hyatt R.E. Maximal Respiratory Pressures. Normalvalues and the Relationship to Age and Sex. Am Rev Respir Dis, 1969, vol. 99, pp. 696–702.
9. Boutellier U., Piwko P. The Respiratory System as an Exercise Limiting Factor in Normal Sedentary Subjects. Eur J Appl Physiol, 1992, vol. 64, pp. 145–152. DOI: 10.1007/BF00717952
10. Burt V.L., Whelton P., Roccella E.J. Prevalence of Hypertensionin the US Adult Population. Results from the Third National Healthand Nutrition Examination Survey, 1988–1991. Hypertension, 1995, vol. 25, pp. 305–313. DOI: 10.1161/01.HYP.25.3.305
11. Carrieri-Kohlman, Gormley M., Douglas K., Paul M., Stulbarg S. Exercise Training Decreases Dyspnoea and the Distress and Anxiety Associated With It Monitoring Alone May Be as Effective as Coaching. Chest, 1996, vol. 110, pp. 1526–1535. DOI: 10.1378/chest.110.6.1526
12. Carter R., Holiday D.B., Nwasuruba C., Stocks J., Grothucs C., Holiday B. Tiep. 6-Minute Walk Work for Assessment of Functional Capacity in Patients with COPD. Chest, 2003, vol. 123, pp. 1408–1415. DOI: 10.1378/chest.123.5.1408
13. Covey K., Larson L., Wirtz E. High Intensity Inspiratory Muscle Training in Patients With Chronic Obstructive Pulmonary Disease and Severely Reduced Function. J of Cardioy Reha, 2001, vol. 21, pp. 231–240. DOI: 10.1097/00008483-200107000-00008
14. Crapo R.O. Pulmonary-Function Testing. N Engl J Med, 1994, vol. 331, pp. 25–30. DOI: 10.1056/NEJM199407073310107
15. Decramer M. The Respiratory Muscles in Chronic Obstructive Pulmonary Disease Response of the Respiratory Muscles to Rehabilitation in COPD. J Appl Physiol, 2009, vol. 107, pp. 971–976. DOI: 10.1152/japplphysiol.91459.2008
16. Donner C.F., Muir J.F. Selection Criteria and Programmes for Pulmonaryrehabilitation in COPD Patients. Eur Respir J, 1997, vol. 10, pp. 744–757.
17. Dourado V.Z., Tanni S.E., Antunes L.C.O., Paiva S.A.R., Campana A.O., Renno A.C.M., Godoy I. Effect of Three Exercise Programs on Patients with Chronic Obstructive Pulmonary Disease. Braz J of Med and Bio Res, 2009, vol. 42, pp. 263–271. DOI: 10.1590/S0100-879X2009000300007
18. Dulciane N.P., Assmann L.B., Bordin D.F., Ricardo G., Jost R.T., B-Filho M., Franc R.A., Cardoso D.M. Inspiratory Muscle Training with Threshold or Incentive Spirometry. Which is the Most Effective? Rev Port Pneumol, 2015, vol. 21(2), pp. 76–81.
19. Engstrom C.P., Persson L.O., Larsson S., Sullivan M. Long-Term Effects of a Pulmonary Rehabilitation Programme in Outpatients with Chronic Obstructive Pulmonary Disease. A Randomized Controlled Study. Scand J Rehab Med, 1999, vol. 31, pp. 207–213. DOI: 10.1080/003655099444371
20. Enright L. The Six–Minute Walk Test. Respir Care, 2003, vol. 48(8), pp. 783–785.
21. Chun E.M., Han S.J., Modi H.N. Analysis of Diaphragmatic Movement before and after Pulmonary Rehabilitation Using Fluoroscopy Imaging in Patients with COPD. Int J Chron Obstruct Pulmon Dis, 2015, vol. 10, pp. 193–199. DOI: 10.2147/COPD.S74438
22. Gigliotti F., Coli C., Bianchi R. Exercise Training Improves Exertional Dyspnoea in Patients with COPD. Evidence of Role of Mechanical Factors. Chest, 2003, vol. 123, pp. 1794–1802. DOI: 10.1378/chest.123.6.1794
23. Global Initiative for Chronic Obstructive Lung Disease. Bucket Guide to COPD Diagnosis, Management, and Prevention. 2015.
24. Goldstein R., De R.J., Long S., Dolmage T., Avendano M.A. Applicability of a Threshold Loading Device for Inspiratory Muscle Testing and Training in Patients with COPD. Chest, 1989, vol. 96, pp. 564–571. DOI: 10.1378/chest.96.3.564
25. Gosselink R., Toosters T., Decramer M. Distribution of Muscle Weaknessin Patients with Stable Chronic Obstructive Pulmonary Disease.
J Cardiopulm Rehabil, 2000, vol. 20, pp. 353–360. DOI: 10.1097/00008483-200011000-00004
26. Guyatt G.H., Berman L.B., Townsend M. A Measure of Quality of Life for Clinical Trials in Chronic Lung Disease. Thorax, 1987, vol. 42, pp. 773–778. DOI: 10.1136/thx.42.10.773
27. Guyatt H., Sullivan J., Thompson J., Fallen J., Pugsley O., Taylor D., Berman B. The – 6 Minute Walk. A New Measure of Exercise Capacity in Patients with Chronic Heart Failure. CAN MED ASSOC J, 1985, vol. 132, pp. 919–923.
28. Hamnegard C.H., Wragg S., Kyroussis D., Aquilina R., Moxham J., Green M. Portable Measurementof Maximum Mouth Pressures. Eur Respir J, 1994, vol. 7, pp. 398–401. DOI: 10.1183/09031936.94.07020398
29. Hildegard M.D., Teodoro M.D. Inspiratory Muscle Training in Patients with COPD, Effect on Dyspnoea, Exercise Performance, and Quality of Life. Chest, 2001, vol. 120, pp. 748–756. DOI: 10.1378/chest.120.3.748
30. Hill K., Jenkins S.C., Philippe D.L., Cecins N., Shepherd K.L., Green D.J., Hillman D.R., Eastwood P.R. High-Intensity Inspiratory Muscle Training in COPD. Eur Respir J, 2006, vol. 27, pp. 1119–1128. DOI: 10.1183/09031936.06.00105205
31. Hill К., Eastwood R., Cecins M., Jenkins C. Inspiratory Muscle Training for Patients With Chronic Obstructive Pulmonary Disease. A Practical Guide for Clinicians. Archives of Physical Medicine and Rehabilitation, 2011, vol. 91(9), pp. 1466–1470.
32. [Inspiratory Muscle Training]. Available at: http://medical-dictionary.thefreedictionary.com/inspiratory+muscle+training.
33. Hul A., Gosselink R., Hollander P., Postmus P., Kwakkele G. Training with Inspiratory Pressure Support in Patients with Severe COPD. Eur Respir J, 2006, vol. 27, pp. 65–72. DOI: 10.1183/09031936.06.00036505
34. Jakeways N., McKeever T., Lewis S.A., Weiss S.T., Britton J. Relationship Between FEV1 Reduction and Respiratory Symptoms in the General Population. Eur Respir J, 2003, vol. 21, pp. 658–663. DOI: 10.1183/09031936.03.00069603
35. Lacasse Y., Wong E., Guyatt G.H., King D., Cook D.J., Goldstein R.S. Meta-Analysis of Respiratory Rehabilitation in Chronic Obstructive Pulmonary Disease. Lancet, 1996, vol. 348, pp. 1115–1119. DOI: 10.1016/S0140-6736(96)04201-8
36. Lacasse Y., Brosseau L., Milne S., Martin S., Wong E., Guyatt G.H., Goldstein R.S. Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease. Cochrane Database Syst Rev, 2002, vol. 3, CD003793. DOI: 10.1016/s0031-9406(05)60714-6
37. Lotters F., van Tol B., Kwakkel G., Gosselink R. Effects of Controlled Inspiratory Muscle Training in Patients with COPD. A Meta-Analysis. Eur Respir J, 2002, vol. 20, pp. 570–576. DOI: 10.1183/09031936.02.00237402
38. Mador M. Effect of Respiratory Muscle Endurance Training in Patients With COPD Undergoing Pulmonary Rehabilitation. Chest, 2005, vol. 128, pp. 1216–1224. DOI: 10.1378/chest.128.3.1216
39. Mador M.J., Bozkanat E., Aggarwal A., Shaffer M., Kufel T.J. Endurance and Strength Training in Patients With COPD. Chest, 2004, vol. 125, pp. 2036–2045. DOI: 10.1378/chest.125.6.2036
40. Mador M.J., Rodis A., Magalang U.J. Reproducibility of Borg Scale Measurements of Dyspnoea During Exercise in Patients with COPD. Chest, 1995, vol. 107, pp. 1590–1597. DOI: 10.1378/chest.107.6.1590
41. Mahler D.A. The Measurement of Dyspnoea During Exercise in Patients with Lung Disease. Chest, 1992, vol. 101, pp. 242–247. DOI: 10.1378/chest.101.5.242S
42. Marin J.M., Carrizo S.J., Gascon M. Inspiratory Capacity, Dynamic Hyperinflation, Breathlessness, and Exercise Performance Duringthe 6-Minute-Walk Test in Chronic Obstructive Pulmonary Disease. Am J RespirCrit Care Med, 2001, vol. 163, pp. 1395–1399. DOI: 10.1164/ajrccm.163.6.2003172
43. Karzan M.A., Ismael H.M., Shekha ny K.A., Al-Attraqhchi A.A.F., Abdullah S., Aldabbagh R., Denning D.W. Burden of Serious Fungal Infection in Iraq, 2011. Available at: www.ncbi.nlm.nih.gov/pubmed/.
44. Morgan M.D.L., Calverley P.M.A., Clark C.J. British Thoracic Society. Pulmonary Rehabilitation. Thorax, 2001, vol. 56, pp. 827–834. DOI: 10.1136/thorax.56.11.827
45. Noseda A., Carpiaux J.P., Markstein C., Meyvaert A., de Maertelaer V. Disabling Dyspnoea in Patients with Advanced Disease. Lack of Effect of Nebulized Morphine. Eur Respir J, 1997, vol. 10, pp. 1079–1083. DOI: 10.1183/09031936.97.10051079
46. Noseda A., Carpiaux J.P., Schmerber J., Valente F., Yernault J.C. Dyspnoea and Flow-Volume Curve During Exercise in COPD Patients. Eur Respir J, 1994, vol. 7, pp. 279–285. DOI: 10.1183/09031936.94.07020279
47. Ortega F., Toral J., Cejudo P. Comparison of Effects of Strength and Endurance Training in Patients with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med, 2002, vol. 166, pp. 669–674. DOI: 10.1164/rccm.2107081
48. Pardy R.L., Leith D.E. Ventilatory Muscle Training. Respir Care, 1984, vol. 29, pp. 278–284.
49. Pauwels R.A., Lofdahl C.G., Laitinen L.A. Long-Term Treatment with Inhaled Budesonide in Persons with Mild Chronic Obstructive Pulmonary Disease Who Continue Smoke. N Engl J Med, 1999, vol. 340, pp. 1948–1953. DOI: 10.1056/NEJM199906243402503
50. Puhan M.A., Schu?nemann H.J. How to Increase the Value of Randomized Trials in COPD Research. Eur Respir J, 2009, vol. 34, pp. 552–558. DOI: 10.1183/09031936.00095408
51. Ramirez-Sarmiento A., Orozco-Levi M., Guell R. Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease Structural Adaptation and Physiologic Outcomes. Am J RespirCrit Care Med, 2002, vol. 166, pp. 1491–1497. DOI: 10.1164/rccm.200202-075OC
52. Reid W. Respiratory Muscle Training for Patients with Chronic Obstructive Pulmonary Disease. Phys Ther, 1995, vol. 75, pp. 996–1005. DOI: 10.1093/ptj/75.11.996
53. Ries A.L., Kaplan R.M., Blumberg E. Use of Factor Analysis to Consolidate Multiple Outcome Measures in Chronic Obstructive Pulmonary Disease. J Clin Epidermiol, 1991, vol. 6, pp. 497–503. DOI: 10.1016/0895-4356(91)90212-R
54. Rutten-van Molken, Roos M.B., Van Noord J.A. An Empirical Comparison of the St George’s Respiratory Questionnaire (SGRQ) and the Chronic Respiratory Disease Questionnaire (CRQ) in a Clinical Trial Setting. Thorax, 1999, vol. 54, pp. 995–1003. DOI: 10.1136/thx.54.11.995
55. Sala, Roca, Marrades M., Suso J.M., Moreno, Barbera, Nadal, Jover, Rodriguez-Roisin. Effects of Endurance Training on Skeletal Muscle Bioenergetics in Chronic Obstructive Pulmonary Disease. AM J RespirCrit Care Med, 1999, vol. 159, pp. 1726–1734. DOI: 10.1164/ajrccm.159.6.9804136
56. Riera S.H., Rubio T.M., Ruiz F.O., Ramos P.C., Otero D.D.C., Hernandez T.E., Gomez J.C. Inspiratory Muscle Training in Patients With COPD* Effect on Dyspnoea, Exer cise Performance, and Quality of Life. Chest, 2001, vol. 120, pp. 748–756. DOI: 10.1378/chest.120.3.748
57. Scherer A., Spengler M. Respiratory Muscle Endurance Training in Chronic Obstructive Pulmonary Disease Impact on Exercise Capacity, Dyspnea, and Quality of Life. Am J Respir Crit Care Med, 2000, vol. 162, pp. 1709–1714. DOI: 10.1164/ajrccm.162.5.9912026
58. Sinderby Spahja. Diaphragm Activation using Exercise in Chronic Obstructive Pulmonary Disease. Am J RespirCrit Care Med, 2001, vol. 163, pp. 1637–1641. DOI: 10.1164/ajrccm.163.7.2007033
59. Smith K., Cook D., Guyatt G.H., Madhavan J., Oxman A.D. Respiratory Muscle Training in Chronic Airflow Limitation. A Meta-Analysis. Am Rev Respir Dis, 1992, vol. 145, pp. 533–539. DOI: 10.1164/ajrccm/145.3.533
60. Solway S., Brooks D., Lau L., Golds tein R.S. The Shorttermeffect of a Rollator on Functional Exercise Capacity Amongindividuals with Severe COPD. Chest, 2002, vol. 122, pp. 56–65. DOI: 10.1378/chest.122.1.56
61. Spruit M.A., Gosselink R., Troosters T., De Paepe K., Decramer M. Resistance Ver sus Endurance Training in Patients with COPD and Peripheral Muscle Weakness. Eur Respir J, 2002, vol. 19, pp. 1072–1078. DOI: 10.1183/09031936.02.00287102
62. The Chief Health Officer. The Health of the People of New South Wales – Data Book RESPIRATORY DISEASE. 2008, pp. 1–128.
63. Van Stel F., Bogaard M., Rijssenbeek-Nouwens H.M., Colland T. Multivariable Assessment of the 6-Min Walking Test in Patients with Chronic Obstructive Pulmonary Disease. Am J RespirCrit Care Med, 2001, vol. 163, pp. 1567– 1571. DOI: 10.1164/ajrccm.163.7.2001071
64. Weiner P., Weiner M. Inspiratory Muscle Training May Increase Peak Inspiratory Flow in Chronic Obstructive Pulmonary Disease. Respiration, 2006, vol. 73, pp. 151–156. DOI: 10.1159/000088095
65. Weiner P., Azgad Y., Ganam R. Inspiratory Muscle Training Combined with General Exercise Reconditioning in Patients with COPD. Chest, 1992, vol. 102, pp. 1351–1356. DOI: 10.1378/chest.102.5.1351
66. Weiner P., Magadle R., Beckerman M., Weiner M., Berar–Yanay N. Maintenance of Inspiratory Muscle Training in COPD Patients. One Year Follow-Up. Eur Respir J, 2004, vol. 23, pp. 61–65. DOI: 10.1183/09031936.03.00059503
67. Wijkstra P.J., Ten Vergert E.M., Altena R.V., Otten V., Postma D.S., Kraan J., Koeter G.H. Quality of Life in Patients with Chronic Obstructive Pulmonary Disease Improves after Rehabilitation at Home. Eur Respir J, 1994, vol. 7, pp. 269–273. DOI: 10.1183/09031936.94.07020269
68. Wilson R., Jones P.W. Differentiation Between the Intensityof Breathlessness and the Distress it Evokes in Normalsubjects During Exercise. Clin Sci, 1991, vol. 80, pp. 65–70. DOI: 10.1042/cs0800065
2. American Thoracic Society. Standards for the Diagnosis and Care of Patients with Chronic Obstructive Pulmonary Disease (COPD) and Asthma. Am J RespirCrit Care Med, 1995, vol. 152, pp. 77–121.
3. American Thoracic Society. Screening for Adult Respiratory Disease. Am Rev Respir Dis, 1983, vol. 128, pp. 768–774.
4. Baarends E.M., Slebos D-J., Mostert R., Janssen P.P., Wouters E.F.M. Metabolic and Ventilatory Response Pattern to Arm Elevation in Patients with COPD and Healthy Age-Matched Subjects. Eur Respir J, 1995, vol. 8, pp. 1345–1351. DOI: 10.1183/09031936.95.08081345
5. Shahin B., Germain M., Kazem A., Annat G. Benefits of Short Inspiratory Muscle Trainingon Exercise Capacity, Dyspnea, and Inspiratory Fraction in COPD Patients. International Journal of COPD, 2008, vol. 3(3), pp. 423–427. DOI: 10.2147/COPD.S1822
6. Beckerman M., Magadle R., Weiner M., Weiner P. The Effects of 1 Year of Specific Inspiratory Muscle Training in Patients With COPD. Chest, 2005, vol. 128, pp. 3177–3182. DOI: 10.1378/chest.128.5.3177
7. Bellamy D., Bouchard J., Henrichsen S., Johansson G. International Primary Care Respiratory Group (IPCRG) Guidelines. Management of Chronic Obstructive Pulmonary Disease (COPD). Prim Care Res Jou, 2006, vol. 15, pp. 48–57. DOI: 10.1016/j.pcrj.2005.11.003
8. Black L.F., Hyatt R.E. Maximal Respiratory Pressures. Normalvalues and the Relationship to Age and Sex. Am Rev Respir Dis, 1969, vol. 99, pp. 696–702.
9. Boutellier U., Piwko P. The Respiratory System as an Exercise Limiting Factor in Normal Sedentary Subjects. Eur J Appl Physiol, 1992, vol. 64, pp. 145–152. DOI: 10.1007/BF00717952
10. Burt V.L., Whelton P., Roccella E.J. Prevalence of Hypertensionin the US Adult Population. Results from the Third National Healthand Nutrition Examination Survey, 1988–1991. Hypertension, 1995, vol. 25, pp. 305–313. DOI: 10.1161/01.HYP.25.3.305
11. Carrieri-Kohlman, Gormley M., Douglas K., Paul M., Stulbarg S. Exercise Training Decreases Dyspnoea and the Distress and Anxiety Associated With It Monitoring Alone May Be as Effective as Coaching. Chest, 1996, vol. 110, pp. 1526–1535. DOI: 10.1378/chest.110.6.1526
12. Carter R., Holiday D.B., Nwasuruba C., Stocks J., Grothucs C., Holiday B. Tiep. 6-Minute Walk Work for Assessment of Functional Capacity in Patients with COPD. Chest, 2003, vol. 123, pp. 1408–1415. DOI: 10.1378/chest.123.5.1408
13. Covey K., Larson L., Wirtz E. High Intensity Inspiratory Muscle Training in Patients With Chronic Obstructive Pulmonary Disease and Severely Reduced Function. J of Cardioy Reha, 2001, vol. 21, pp. 231–240. DOI: 10.1097/00008483-200107000-00008
14. Crapo R.O. Pulmonary-Function Testing. N Engl J Med, 1994, vol. 331, pp. 25–30. DOI: 10.1056/NEJM199407073310107
15. Decramer M. The Respiratory Muscles in Chronic Obstructive Pulmonary Disease Response of the Respiratory Muscles to Rehabilitation in COPD. J Appl Physiol, 2009, vol. 107, pp. 971–976. DOI: 10.1152/japplphysiol.91459.2008
16. Donner C.F., Muir J.F. Selection Criteria and Programmes for Pulmonaryrehabilitation in COPD Patients. Eur Respir J, 1997, vol. 10, pp. 744–757.
17. Dourado V.Z., Tanni S.E., Antunes L.C.O., Paiva S.A.R., Campana A.O., Renno A.C.M., Godoy I. Effect of Three Exercise Programs on Patients with Chronic Obstructive Pulmonary Disease. Braz J of Med and Bio Res, 2009, vol. 42, pp. 263–271. DOI: 10.1590/S0100-879X2009000300007
18. Dulciane N.P., Assmann L.B., Bordin D.F., Ricardo G., Jost R.T., B-Filho M., Franc R.A., Cardoso D.M. Inspiratory Muscle Training with Threshold or Incentive Spirometry. Which is the Most Effective? Rev Port Pneumol, 2015, vol. 21(2), pp. 76–81.
19. Engstrom C.P., Persson L.O., Larsson S., Sullivan M. Long-Term Effects of a Pulmonary Rehabilitation Programme in Outpatients with Chronic Obstructive Pulmonary Disease. A Randomized Controlled Study. Scand J Rehab Med, 1999, vol. 31, pp. 207–213. DOI: 10.1080/003655099444371
20. Enright L. The Six–Minute Walk Test. Respir Care, 2003, vol. 48(8), pp. 783–785.
21. Chun E.M., Han S.J., Modi H.N. Analysis of Diaphragmatic Movement before and after Pulmonary Rehabilitation Using Fluoroscopy Imaging in Patients with COPD. Int J Chron Obstruct Pulmon Dis, 2015, vol. 10, pp. 193–199. DOI: 10.2147/COPD.S74438
22. Gigliotti F., Coli C., Bianchi R. Exercise Training Improves Exertional Dyspnoea in Patients with COPD. Evidence of Role of Mechanical Factors. Chest, 2003, vol. 123, pp. 1794–1802. DOI: 10.1378/chest.123.6.1794
23. Global Initiative for Chronic Obstructive Lung Disease. Bucket Guide to COPD Diagnosis, Management, and Prevention. 2015.
24. Goldstein R., De R.J., Long S., Dolmage T., Avendano M.A. Applicability of a Threshold Loading Device for Inspiratory Muscle Testing and Training in Patients with COPD. Chest, 1989, vol. 96, pp. 564–571. DOI: 10.1378/chest.96.3.564
25. Gosselink R., Toosters T., Decramer M. Distribution of Muscle Weaknessin Patients with Stable Chronic Obstructive Pulmonary Disease.
J Cardiopulm Rehabil, 2000, vol. 20, pp. 353–360. DOI: 10.1097/00008483-200011000-00004
26. Guyatt G.H., Berman L.B., Townsend M. A Measure of Quality of Life for Clinical Trials in Chronic Lung Disease. Thorax, 1987, vol. 42, pp. 773–778. DOI: 10.1136/thx.42.10.773
27. Guyatt H., Sullivan J., Thompson J., Fallen J., Pugsley O., Taylor D., Berman B. The – 6 Minute Walk. A New Measure of Exercise Capacity in Patients with Chronic Heart Failure. CAN MED ASSOC J, 1985, vol. 132, pp. 919–923.
28. Hamnegard C.H., Wragg S., Kyroussis D., Aquilina R., Moxham J., Green M. Portable Measurementof Maximum Mouth Pressures. Eur Respir J, 1994, vol. 7, pp. 398–401. DOI: 10.1183/09031936.94.07020398
29. Hildegard M.D., Teodoro M.D. Inspiratory Muscle Training in Patients with COPD, Effect on Dyspnoea, Exercise Performance, and Quality of Life. Chest, 2001, vol. 120, pp. 748–756. DOI: 10.1378/chest.120.3.748
30. Hill K., Jenkins S.C., Philippe D.L., Cecins N., Shepherd K.L., Green D.J., Hillman D.R., Eastwood P.R. High-Intensity Inspiratory Muscle Training in COPD. Eur Respir J, 2006, vol. 27, pp. 1119–1128. DOI: 10.1183/09031936.06.00105205
31. Hill К., Eastwood R., Cecins M., Jenkins C. Inspiratory Muscle Training for Patients With Chronic Obstructive Pulmonary Disease. A Practical Guide for Clinicians. Archives of Physical Medicine and Rehabilitation, 2011, vol. 91(9), pp. 1466–1470.
32. [Inspiratory Muscle Training]. Available at: http://medical-dictionary.thefreedictionary.com/inspiratory+muscle+training.
33. Hul A., Gosselink R., Hollander P., Postmus P., Kwakkele G. Training with Inspiratory Pressure Support in Patients with Severe COPD. Eur Respir J, 2006, vol. 27, pp. 65–72. DOI: 10.1183/09031936.06.00036505
34. Jakeways N., McKeever T., Lewis S.A., Weiss S.T., Britton J. Relationship Between FEV1 Reduction and Respiratory Symptoms in the General Population. Eur Respir J, 2003, vol. 21, pp. 658–663. DOI: 10.1183/09031936.03.00069603
35. Lacasse Y., Wong E., Guyatt G.H., King D., Cook D.J., Goldstein R.S. Meta-Analysis of Respiratory Rehabilitation in Chronic Obstructive Pulmonary Disease. Lancet, 1996, vol. 348, pp. 1115–1119. DOI: 10.1016/S0140-6736(96)04201-8
36. Lacasse Y., Brosseau L., Milne S., Martin S., Wong E., Guyatt G.H., Goldstein R.S. Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease. Cochrane Database Syst Rev, 2002, vol. 3, CD003793. DOI: 10.1016/s0031-9406(05)60714-6
37. Lotters F., van Tol B., Kwakkel G., Gosselink R. Effects of Controlled Inspiratory Muscle Training in Patients with COPD. A Meta-Analysis. Eur Respir J, 2002, vol. 20, pp. 570–576. DOI: 10.1183/09031936.02.00237402
38. Mador M. Effect of Respiratory Muscle Endurance Training in Patients With COPD Undergoing Pulmonary Rehabilitation. Chest, 2005, vol. 128, pp. 1216–1224. DOI: 10.1378/chest.128.3.1216
39. Mador M.J., Bozkanat E., Aggarwal A., Shaffer M., Kufel T.J. Endurance and Strength Training in Patients With COPD. Chest, 2004, vol. 125, pp. 2036–2045. DOI: 10.1378/chest.125.6.2036
40. Mador M.J., Rodis A., Magalang U.J. Reproducibility of Borg Scale Measurements of Dyspnoea During Exercise in Patients with COPD. Chest, 1995, vol. 107, pp. 1590–1597. DOI: 10.1378/chest.107.6.1590
41. Mahler D.A. The Measurement of Dyspnoea During Exercise in Patients with Lung Disease. Chest, 1992, vol. 101, pp. 242–247. DOI: 10.1378/chest.101.5.242S
42. Marin J.M., Carrizo S.J., Gascon M. Inspiratory Capacity, Dynamic Hyperinflation, Breathlessness, and Exercise Performance Duringthe 6-Minute-Walk Test in Chronic Obstructive Pulmonary Disease. Am J RespirCrit Care Med, 2001, vol. 163, pp. 1395–1399. DOI: 10.1164/ajrccm.163.6.2003172
43. Karzan M.A., Ismael H.M., Shekha ny K.A., Al-Attraqhchi A.A.F., Abdullah S., Aldabbagh R., Denning D.W. Burden of Serious Fungal Infection in Iraq, 2011. Available at: www.ncbi.nlm.nih.gov/pubmed/.
44. Morgan M.D.L., Calverley P.M.A., Clark C.J. British Thoracic Society. Pulmonary Rehabilitation. Thorax, 2001, vol. 56, pp. 827–834. DOI: 10.1136/thorax.56.11.827
45. Noseda A., Carpiaux J.P., Markstein C., Meyvaert A., de Maertelaer V. Disabling Dyspnoea in Patients with Advanced Disease. Lack of Effect of Nebulized Morphine. Eur Respir J, 1997, vol. 10, pp. 1079–1083. DOI: 10.1183/09031936.97.10051079
46. Noseda A., Carpiaux J.P., Schmerber J., Valente F., Yernault J.C. Dyspnoea and Flow-Volume Curve During Exercise in COPD Patients. Eur Respir J, 1994, vol. 7, pp. 279–285. DOI: 10.1183/09031936.94.07020279
47. Ortega F., Toral J., Cejudo P. Comparison of Effects of Strength and Endurance Training in Patients with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med, 2002, vol. 166, pp. 669–674. DOI: 10.1164/rccm.2107081
48. Pardy R.L., Leith D.E. Ventilatory Muscle Training. Respir Care, 1984, vol. 29, pp. 278–284.
49. Pauwels R.A., Lofdahl C.G., Laitinen L.A. Long-Term Treatment with Inhaled Budesonide in Persons with Mild Chronic Obstructive Pulmonary Disease Who Continue Smoke. N Engl J Med, 1999, vol. 340, pp. 1948–1953. DOI: 10.1056/NEJM199906243402503
50. Puhan M.A., Schu?nemann H.J. How to Increase the Value of Randomized Trials in COPD Research. Eur Respir J, 2009, vol. 34, pp. 552–558. DOI: 10.1183/09031936.00095408
51. Ramirez-Sarmiento A., Orozco-Levi M., Guell R. Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease Structural Adaptation and Physiologic Outcomes. Am J RespirCrit Care Med, 2002, vol. 166, pp. 1491–1497. DOI: 10.1164/rccm.200202-075OC
52. Reid W. Respiratory Muscle Training for Patients with Chronic Obstructive Pulmonary Disease. Phys Ther, 1995, vol. 75, pp. 996–1005. DOI: 10.1093/ptj/75.11.996
53. Ries A.L., Kaplan R.M., Blumberg E. Use of Factor Analysis to Consolidate Multiple Outcome Measures in Chronic Obstructive Pulmonary Disease. J Clin Epidermiol, 1991, vol. 6, pp. 497–503. DOI: 10.1016/0895-4356(91)90212-R
54. Rutten-van Molken, Roos M.B., Van Noord J.A. An Empirical Comparison of the St George’s Respiratory Questionnaire (SGRQ) and the Chronic Respiratory Disease Questionnaire (CRQ) in a Clinical Trial Setting. Thorax, 1999, vol. 54, pp. 995–1003. DOI: 10.1136/thx.54.11.995
55. Sala, Roca, Marrades M., Suso J.M., Moreno, Barbera, Nadal, Jover, Rodriguez-Roisin. Effects of Endurance Training on Skeletal Muscle Bioenergetics in Chronic Obstructive Pulmonary Disease. AM J RespirCrit Care Med, 1999, vol. 159, pp. 1726–1734. DOI: 10.1164/ajrccm.159.6.9804136
56. Riera S.H., Rubio T.M., Ruiz F.O., Ramos P.C., Otero D.D.C., Hernandez T.E., Gomez J.C. Inspiratory Muscle Training in Patients With COPD* Effect on Dyspnoea, Exer cise Performance, and Quality of Life. Chest, 2001, vol. 120, pp. 748–756. DOI: 10.1378/chest.120.3.748
57. Scherer A., Spengler M. Respiratory Muscle Endurance Training in Chronic Obstructive Pulmonary Disease Impact on Exercise Capacity, Dyspnea, and Quality of Life. Am J Respir Crit Care Med, 2000, vol. 162, pp. 1709–1714. DOI: 10.1164/ajrccm.162.5.9912026
58. Sinderby Spahja. Diaphragm Activation using Exercise in Chronic Obstructive Pulmonary Disease. Am J RespirCrit Care Med, 2001, vol. 163, pp. 1637–1641. DOI: 10.1164/ajrccm.163.7.2007033
59. Smith K., Cook D., Guyatt G.H., Madhavan J., Oxman A.D. Respiratory Muscle Training in Chronic Airflow Limitation. A Meta-Analysis. Am Rev Respir Dis, 1992, vol. 145, pp. 533–539. DOI: 10.1164/ajrccm/145.3.533
60. Solway S., Brooks D., Lau L., Golds tein R.S. The Shorttermeffect of a Rollator on Functional Exercise Capacity Amongindividuals with Severe COPD. Chest, 2002, vol. 122, pp. 56–65. DOI: 10.1378/chest.122.1.56
61. Spruit M.A., Gosselink R., Troosters T., De Paepe K., Decramer M. Resistance Ver sus Endurance Training in Patients with COPD and Peripheral Muscle Weakness. Eur Respir J, 2002, vol. 19, pp. 1072–1078. DOI: 10.1183/09031936.02.00287102
62. The Chief Health Officer. The Health of the People of New South Wales – Data Book RESPIRATORY DISEASE. 2008, pp. 1–128.
63. Van Stel F., Bogaard M., Rijssenbeek-Nouwens H.M., Colland T. Multivariable Assessment of the 6-Min Walking Test in Patients with Chronic Obstructive Pulmonary Disease. Am J RespirCrit Care Med, 2001, vol. 163, pp. 1567– 1571. DOI: 10.1164/ajrccm.163.7.2001071
64. Weiner P., Weiner M. Inspiratory Muscle Training May Increase Peak Inspiratory Flow in Chronic Obstructive Pulmonary Disease. Respiration, 2006, vol. 73, pp. 151–156. DOI: 10.1159/000088095
65. Weiner P., Azgad Y., Ganam R. Inspiratory Muscle Training Combined with General Exercise Reconditioning in Patients with COPD. Chest, 1992, vol. 102, pp. 1351–1356. DOI: 10.1378/chest.102.5.1351
66. Weiner P., Magadle R., Beckerman M., Weiner M., Berar–Yanay N. Maintenance of Inspiratory Muscle Training in COPD Patients. One Year Follow-Up. Eur Respir J, 2004, vol. 23, pp. 61–65. DOI: 10.1183/09031936.03.00059503
67. Wijkstra P.J., Ten Vergert E.M., Altena R.V., Otten V., Postma D.S., Kraan J., Koeter G.H. Quality of Life in Patients with Chronic Obstructive Pulmonary Disease Improves after Rehabilitation at Home. Eur Respir J, 1994, vol. 7, pp. 269–273. DOI: 10.1183/09031936.94.07020269
68. Wilson R., Jones P.W. Differentiation Between the Intensityof Breathlessness and the Distress it Evokes in Normalsubjects During Exercise. Clin Sci, 1991, vol. 80, pp. 65–70. DOI: 10.1042/cs0800065
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Published
2017-06-01
How to Cite
Mazin, H., & Ammar, H. (2017). EFFECT OF AN INSPIRATORY MUSCLE STRENGTH TRAINING ON DYSPNOEA ARISING FROM UNSUPPORTED ARM ELEVATION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Human. Sport. Medicine, 17(2), 70-80. https://doi.org/10.14529/hsm170207
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