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Mohammed Yusuf SF, Bhise A, Nuhmani S, Alghadir AH, Khan M. Effects of an incentive spirometer versus a threshold inspiratory muscle trainer on lung functions in Parkinson's disease patients: a randomized trial. Sci Rep 2023; 13:2516. [PMID: 36781936 PMCID: PMC9925741 DOI: 10.1038/s41598-023-29534-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 02/06/2023] [Indexed: 02/15/2023] Open
Abstract
Upper airway obstruction, reduced maximal expiratory and inspiratory flows, reduced lung volumes, abnormal ventilatory control, and diaphragmatic dyskinesias are reported in patients with Parkinson's disease (PD). Inspiratory muscle training (IMT) has been reported to be effective in improving respiratory functions; however, no studies have compared the effects of the incentive spirometer (IS) with the threshold inspiratory muscle trainer (TIMT) in patients with PD. The study aimed to compare the effects of IS and TIMT on maximum inspiratory pressure (MIP), 6-min walk distance (6-MWD), forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), and peak expiratory flow rate (PEFR) in patients with stage 1-3 according to the Hoehn and Yahr scale. 18 patients were randomly assigned to two groups, i.e., incentive spirometer (IS) and threshold inspiratory muscle trainer (TIMT) group. The IS group received IMT with volume-based IS, and the TIMT group received IMT with TIMT. MIP, 6-MWD, FVC, FEV1, and PEFR were measured before and after six weeks of training. In IS group: A significant increase (p < 0.05) was observed in MIP and 6-MWD by 18.13 and 5%, respectively. In the TIMT group: A significant increase (p < 0.05) was observed in MIP and 6-MWD by 30.15 and 8.94%, respectively. Both groups observed no significant difference (p > 0.05) in FVC, FEV1, and PEFR. When the two groups were compared, a greater increase (p < 0.05) was observed in the MIP and 6-MWD in the TIMT group compared to IS group. IMT with IS or TIMT for six weeks effectively increased MIP and 6-MWD in patients with stage 1-3 (Hoehn and Yahr scale) of PD. No improvement was observed in FVC, FEV1, or PEFR with any of the techniques. TIMT is more effective than IS in improving MIP and 6-MWD.
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Affiliation(s)
| | - Anjali Bhise
- Government Physiotherapy College, Government Spine Institute, Civil Hospital, Ahmedabad, Gujarat, India
| | - Shibili Nuhmani
- Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ahmad H Alghadir
- Rehabilitation Research Chair, Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Masood Khan
- Rehabilitation Research Chair, Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
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Frota AX, Mendes FDSNS, Vieira MC, Saraiva RM, Veloso HH, da Silva PS, Sperandio da Silva GM, de Sousa AS, Mazzoli-Rocha F, Costa HS, Rodrigues Junior LF, Mediano MFF. Acute and subacute hemodynamic responses and perception of effort in subjects with chronic Chagas cardiomyopathy submitted to different protocols of inspiratory muscle training: a cross-over trial. Disabil Rehabil 2020; 44:1305-1312. [PMID: 32779544 DOI: 10.1080/09638288.2020.1800837] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
PURPOSE This study aimed to evaluate acute and subacute hemodynamic responses and perception of effort in individuals with CCC submitted to different IMT protocols. MATERIALS AND METHODS This was a randomized cross-over trial conducted on CCC subjects with systolic left ventricular dysfunction (<45% left ventricular ejection fraction) without or with heart failure (stages B2 and C, respectively). Twenty-one participants performed two IMT protocols, one targeting 60% maximal inspiratory pressure with 3 × 10 repetitions (MIP60) and the other targeting 30% maximal inspiratory pressure (MIP30) with 3 × 20 repetitions with a 2 min recovery between sets for both. MIP60 and MIP30 were performed on the same day with a 2 h washout period. Measurements were taken at baseline, during and 60 min after IMT. RESULTS No differences in hemodynamic variables were observed across protocols. The perception of effort increased in both protocols, with higher scores for the MIP30 protocol (β = +1.6, p = 0.01; β = +1.1, p = 0.02; β = +0.9, p = 0.08 for the 1st, 2nd and 3rd sets, respectively). CONCLUSIONS There were no differences in hemodynamic responses comparing MIP60 and MIP30 protocols in subjects with CCC. Despite the higher perception of effort during endurance protocol, both protocols can be considered a safe therapeutic strategy.IMPLICATIONS FOR REHABILITATIONDespite inspiratory muscle training may result in functional capacity improvements, no previous study evaluated the hemodynamic acute and subacute responses to inspiratory muscle training in chronic Chagas cardiomyopathy.The two inspiratory muscle training protocols (30% and 60% of maximal inspiratory pressure) did not cause significant hemodynamic repercussions in subjects with chronic Chagas cardiomyopathy.Inspiratory muscle training seems to be an effective strategy to improve functional capacity and can be implemented in the rehabilitation programs for patients with Chagas cardiomyopathy.Since no significant adverse responses were observed in any of the hemodynamic parameters during the inspiratory muscle training sessions, these two protocols of inspiratory muscle training (30% and 60% of maximal inspiratory pressure) seems to be safe in subjects with Chagas cardiomyopathy.
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Affiliation(s)
- Aline Xavier Frota
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | | | - Marcelo Carvalho Vieira
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.,Center for Cardiology and Exercise, Aloysio de Castro State Institute of Cardiology, Rio de Janeiro, Brazil
| | - Roberto Magalhães Saraiva
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Henrique Horta Veloso
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Paula Simplício da Silva
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | | | - Andréa Silvestre de Sousa
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Flavia Mazzoli-Rocha
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Henrique Silveira Costa
- Physical Therapy Department, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Luiz Fernando Rodrigues Junior
- Department of Research and Education, National Institute of Cardiology, Rio de Janeiro, Brazil.,Physiological Sciences Department, Biomedical Institute, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Mauro Felippe Felix Mediano
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.,Department of Research and Education, National Institute of Cardiology, Rio de Janeiro, Brazil
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Lauria VT, Sperandio EF, de Sousa TLW, de Oliveira Vieira W, Romiti M, de Toledo Gagliardi AR, Arantes RL, Dourado VZ. Evaluation of dose-response relationship between smoking load and cardiopulmonary fitness in adult smokers: A cross-sectional study. REVISTA PORTUGUESA DE PNEUMOLOGIA 2017; 23:79-84. [PMID: 28153628 DOI: 10.1016/j.rppnen.2016.11.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2016] [Revised: 10/17/2016] [Accepted: 11/22/2016] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To evaluate the dose-response relationship between smoking load and cardiopulmonary fitness, as measured with cardiopulmonary exercise testing (CPET), in adult smokers free of respiratory diseases. METHODS After a complete clinical evaluation and spirometry, 95 adult smokers (35 men and 60 women) underwent CPET on a treadmill. RESULTS The physiological responses during CPET showed lower cardiorespiratory fitness levels, regardless of smoking load, with a peak [Formula: see text] lower than 100% of the expected value and a lower maximum heart rate. We observed a significant moderate negative correlation between smoking load and peak [Formula: see text] . The smoking load also presented a significant negative correlation with maximum heart rate(r=-0.36; p<0.05), lactate threshold(r=-0.45; p<0.05), and peak ventilation(r=-0.43; p<0.05). However, a dose-response relationship between smoking load quartiles and cardiopulmonary fitness was not found comparing quartiles of smoking loads after adjustment for age, sex and cardiovascular risk. CONCLUSION There appears to be no dose-response relationship between SL and cardiopulmonary fitness in adult smokers with preserved pulmonary function, after adjusting the analysis for age and cardiovascular risk. Our results suggest that smoking cessation might be useful as the primary strategy to prevent cardiopulmonary fitness decline in smokers, regardless of smoking load. Thus, even a very low dose of tobacco use must be avoided in preventive strategies focusing on becoming people more physically active and fit.
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Affiliation(s)
- V T Lauria
- Laboratory of Epidemiology and Human Movement (EPIMOV), Federal University of São Paulo, Santos, Brazil.
| | - E F Sperandio
- Laboratory of Epidemiology and Human Movement (EPIMOV), Federal University of São Paulo, Santos, Brazil
| | - T L W de Sousa
- Laboratory of Epidemiology and Human Movement (EPIMOV), Federal University of São Paulo, Santos, Brazil
| | - W de Oliveira Vieira
- Laboratory of Epidemiology and Human Movement (EPIMOV), Federal University of São Paulo, Santos, Brazil
| | - M Romiti
- Angiocorpore Institute of Cardiovascular Medicine, Santos, Brazil
| | | | - R L Arantes
- Angiocorpore Institute of Cardiovascular Medicine, Santos, Brazil
| | - V Z Dourado
- Laboratory of Epidemiology and Human Movement (EPIMOV), Federal University of São Paulo, Santos, Brazil
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Dos Santos Silva M, Ramos LR, Tufik S, Togeiro SM, Lopes GS. Influence of Inspiratory Muscle Training on Changes in Fasting Hyperglycemia in the Older Adult: The Epidoso Project. J Diabetes Sci Technol 2015; 9:1352-3. [PMID: 26251371 PMCID: PMC4667313 DOI: 10.1177/1932296815599006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Mayra Dos Santos Silva
- Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Luiz Roberto Ramos
- Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Sergio Tufik
- Disciplina de Medicina e Biologia do Sono, Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Sonia Maria Togeiro
- Disciplina de Medicina e Biologia do Sono, Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Guiomar Silva Lopes
- Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, Brazil Universidade Federal de São Paulo, Departamento de Farmacologia, São Paulo, Brazil
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Paiva DN, Assmann LB, Bordin DF, Gass R, Jost RT, Bernardo-Filho M, França RA, Cardoso DM. Inspiratory muscle training with threshold or incentive spirometry: Which is the most effective? REVISTA PORTUGUESA DE PNEUMOLOGIA 2015; 21:76-81. [PMID: 25926370 DOI: 10.1016/j.rppnen.2014.05.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2014] [Accepted: 05/24/2014] [Indexed: 10/24/2022] Open
Abstract
Inspiratory muscular training (IMT) increases the respiratory muscle strength, however, there is no data demonstrating its superiority over the incentive spirometry (IS) in doing so. Values of muscle strength after IMT (Threshold IMT(®)) and by the IS (Voldyne(®)) in healthy females was compared. Subjects (n=40) were randomly divided into control group (CG, n=14), IS group (ISG, n=13) and threshold group (TG, n=13). PImax was measured before (pre-IMT), at 15 and 30 days of IMT. There was an increase in PImax of the TG at 15 days (p<0.001) and 30 days of IMT (p<0.001). The same occurred with the ISG, which increased the PImax at 15 days (p<0.001) and 30 days of training (p<0.001). After 30 days of IMT, the TG presented a PImax which was significantly higher than ISG and the CG (p=0.045 and p<0.001, respectively). It can be concluded that IMT by threshold was more effective in increasing muscle strength than the Voldyne.
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Affiliation(s)
- Dulciane Nunes Paiva
- Pos Graduate Course in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil; Physical Therapy Course, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Laíse Bender Assmann
- Physical Therapy Course, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Diogo Fanfa Bordin
- Physical Therapy Course, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Ricardo Gass
- Physical Therapy Course, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Renan Trevisan Jost
- Faculty of Medicine, Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Mario Bernardo-Filho
- Department of Biophysics and Biometry, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | | | - Dannuey Machado Cardoso
- Physical Therapy Course, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
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Paiva DN, Assmann LB, Bordin DF, Gass R, Jost RT, Filho MB, França RA, Cardoso DM. WITHDRAWN: Inspiratory muscle training with threshold or incentive spirometry: Which is the most effective? REVISTA PORTUGUESA DE PNEUMOLOGIA 2014:S0873-2159(14)00096-8. [PMID: 25060332 DOI: 10.1016/j.rppneu.2014.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2014] [Revised: 05/04/2014] [Accepted: 05/24/2014] [Indexed: 11/28/2022] Open
Abstract
This article has been withdrawn for editorial reasons because the journal will be published only in English. In order to avoid duplicated records, this article can be found at http://dx.doi.org/10.1016/j.rppnen.2014.05.005. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.
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Affiliation(s)
| | - Laíse Bender Assmann
- Department of Physical Education and Health, University of Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil
| | - Diogo Fanfa Bordin
- Department of Physical Education and Health, University of Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil
| | - Ricardo Gass
- Department of Physical Education and Health, University of Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil
| | - Renan Trevisan Jost
- Department of Physical Education and Health, University of Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil
| | - Mario Bernardo Filho
- Department of Biophysics and Biometry, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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Freitas ERFSD, Araujo ECLDS, Alves KDS. Influência do tabagismo na força muscular respiratória em idosos. FISIOTERAPIA E PESQUISA 2012. [DOI: 10.1590/s1809-29502012000400006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Este estudo consistiu em avaliar a influência do tabagismo na força muscular respiratória (pressões inspiratória máxima e expiratória máxima) em idosos fisicamente independentes, comparando-os àqueles não fumantes. Foram selecionados 120 idosos com idades iguais ou acima de 60 anos de ambos os sexos e divididos em dois grupos de acordo com os critérios da Organização Mundial de Saúde: Grupo Tabagistas, com 14, e Grupo Não tabagistas, com 106 indivíduos. Foi aplicado um questionário estruturado para coleta de dados demográficos. Para avaliação da força muscular respiratória, utilizou-se o manovacuômetro analógico da marca Gerar®, com intervalo de -300 a +300 cmH2O. Foram utilizados o teste t de Student para avaliar a diferença entre as médias encontradas e o coeficiente de correlação de Pearson (r²) para analisar as associações. O Grupo Tabagistas apresentou menor pressão inspiratória máxima com diferença significante (p<0,0001). Não houve diferença significativa na pressão expiratória máxima. Observou-se que o índice de massa corpórea também foi significantemente inferior nos fumantes (p<0,0001), porém não foi identificada correlação positiva com força muscular inspiratória. Esses resultados sugerem que o tabagismo está relacionado com a redução da força da musculatura inspiratória e que, apesar de não apresentar correlação positiva com esta diminuição de força muscular, o índice de massa corpórea também foi menor em tais indivíduos.
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