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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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Manifield J, Winnard A, Hume E, Armstrong M, Baker K, Adams N, Vogiatzis I, Barry G. Inspiratory muscle training for improving inspiratory muscle strength and functional capacity in older adults: a systematic review and meta-analysis. Age Ageing 2021; 50:716-724. [PMID: 33951159 DOI: 10.1093/ageing/afaa221] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 08/15/2020] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND The ageing process can result in the decrease of respiratory muscle strength and consequently increased work of breathing and associated breathlessness during activities of daily living in older adults. OBJECTIVE This systematic review and meta-analysis aims to determine the effects of inspiratory muscle training (IMT) in healthy older adults. METHODS A systematic literature search was conducted across four databases (Medline/Pubmed, Web of Science, Cochrane Library CINAHL) using a search strategy consisting of both MeSH and text words including older adults, IMT and functional capacity. The eligibility criteria for selecting studies involved controlled trials investigating IMT via resistive or threshold loading in older adults (>60 years) without a long-term condition. RESULTS Seven studies provided mean change scores for inspiratory muscle pressure and three studies for functional capacity. A significant improvement was found for maximal inspiratory pressure (PImax) following training (n = 7, 3.03 [2.44, 3.61], P = <0.00001) but not for functional capacity (n = 3, 2.42 [-1.28, 6.12], P = 0.20). There was no significant correlation between baseline PImax and post-intervention change in PImax values (n = 7, r = 0.342, P = 0.453). CONCLUSIONS IMT can be beneficial in terms of improving inspiratory muscle strength in older adults regardless of their initial degree of inspiratory muscle weakness. Further research is required to investigate the effect of IMT on functional capacity and quality of life in older adults.
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Affiliation(s)
- James Manifield
- Department of Sport, Exercise and Rehabilitation, School Health & Life Sciences, Northumbria University, Newcastle, Upon Tyne, UK
| | - Andrew Winnard
- Department of Sport, Exercise and Rehabilitation, School Health & Life Sciences, Northumbria University, Newcastle, Upon Tyne, UK
| | - Emily Hume
- Department of Sport, Exercise and Rehabilitation, School Health & Life Sciences, Northumbria University, Newcastle, Upon Tyne, UK
| | - Matthew Armstrong
- Department of Sport, Exercise and Rehabilitation, School Health & Life Sciences, Northumbria University, Newcastle, Upon Tyne, UK
| | - Katherine Baker
- Department of Sport, Exercise and Rehabilitation, School Health & Life Sciences, Northumbria University, Newcastle, Upon Tyne, UK
| | - Nicola Adams
- Department of Sport, Exercise and Rehabilitation, School Health & Life Sciences, Northumbria University, Newcastle, Upon Tyne, UK
| | - Ioannis Vogiatzis
- Department of Sport, Exercise and Rehabilitation, School Health & Life Sciences, Northumbria University, Newcastle, Upon Tyne, UK
| | - Gill Barry
- Department of Sport, Exercise and Rehabilitation, School Health & Life Sciences, Northumbria University, Newcastle, Upon Tyne, UK
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Ozsoy I, Kahraman BO, Ozsoy G, Ilcin N, Tekin N, Savci S. Effects of an Integrated Exercise Program Including "Functional" Inspiratory Muscle Training in Geriatric Individuals with and without Chronic Obstructive Pulmonary Disease. Ann Geriatr Med Res 2021; 25:45-54. [PMID: 33794587 PMCID: PMC8024171 DOI: 10.4235/agmr.21.0014] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Accepted: 03/15/2021] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Inspiratory muscle training (IMT) is a commonly used exercise method for both patients with chronic obstructive pulmonary disease (COPD) and the older adult population. In addition to their primary function, respiratory muscles play an active role in core stabilization. However, no IMT program includes both of these functions (i.e., core stabilization and postural control functions as well as respiration). This study investigated the effects of a newly integrated exercise program, termed "functional IMT," in geriatric individuals with and without COPD. METHODS This prospective and experimental study included 45 geriatric individuals with COPD (n=22) and without COPD (n=23). The training program consisted of 4 weeks of conventional IMT followed by 4 weeks of functional IMT. Respiratory muscle strength, symptoms, exercise capacity, balance, postural control, physical activity, and quality of life were evaluated. RESULTS After training, respiratory muscle strength, symptoms, exercise capacity, balance, postural control, and quality of life improved in both groups (p<0.05). In addition, physical activity was increased in the COPD group (p<0.05). We observed no statistically significant difference in outcomes between the two groups before and after treatment (p>0.05). CONCLUSION The gains were similar in both groups. Functional IMT, which is an integrated approach that includes all respiratory muscle functions, is a safe, effective, and innovative method for use in geriatric individuals with and without COPD.
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Affiliation(s)
- Ismail Ozsoy
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Selcuk University, Konya, Turkey
| | - Buse Ozcan Kahraman
- School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey
| | - Gulsah Ozsoy
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Selcuk University, Konya, Turkey
| | - Nursen Ilcin
- School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey
| | - Nil Tekin
- Narlidere Nursing Home Elderly Care and Rehabilitation Center, Izmir, Turkey
| | - Sema Savci
- School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey
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Ghram A, Briki W, Mansoor H, Al-Mohannadi AS, Lavie CJ, Chamari K. Home-based exercise can be beneficial for counteracting sedentary behavior and physical inactivity during the COVID-19 pandemic in older adults. Postgrad Med 2020; 133:469-480. [PMID: 33275479 DOI: 10.1080/00325481.2020.1860394] [Citation(s) in RCA: 58] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The novel pandemic called coronavirus disease 2019 (COVID-19), as a global public health emergency, seems to be having a major impact on physical activity (PA) behaviors. Older adults are at high risk of death from the severe acute respiratory syndrome coronavirus 2 (SARS CoV-2). Health authorities around the world have been implementing preventive health measures, including quarantine and self-isolation, to mitigate the COVID-19 outbreak. This period is characterized by the cessation of outdoor exercising. During this period of lockdown, PA has been one of the rare reasons for going out in some countries. To avoid the harmful effects of periods of exercise cessation, PA could be prescribed to older adults, which is of great importance for breaking their sedentary lifestyle and improving their immunity. The present review discusses the potential impacts of the COVID-19 pandemic on sedentary behavior and physical inactivity in older adults. The importance of performing PA to reduce the harmful effects of the COVID-19 pandemic is discussed, and useful recommendations on home-based exercise for the older adults to maintain their level of independence, physical and mental health as well as their well-being are provided.
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Affiliation(s)
- Amine Ghram
- Department of Exercise Physiology, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran.,Department of Cardiac Rehabilitation, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Walid Briki
- Sport Science Program, College of Arts and Sciences, Qatar University, Doha, Qatar
| | - Hend Mansoor
- College of Health and Life Sciences,Hamad Bin Khalifa University, Doha, Qatar
| | - Abdulla Saeed Al-Mohannadi
- Research and Scientific Support Department, Aspetar Orthopaedic and Sports Medicine Hospital, Qatar.,World Innovation Summit for Health (WISH), Qatar Foundation, Doha, Qatar
| | - Carl J Lavie
- Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School the University of Queensland School of Medicine, New Orleans, Louisiana, USA
| | - Karim Chamari
- Aspetar, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
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de Alvarenga GM, Charkovski SA, dos Santos LK, da Silva MAB, Tomaz GO, Gamba HR. The influence of inspiratory muscle training combined with the Pilates method on lung function in elderly women: A randomized controlled trial. Clinics (Sao Paulo) 2018; 73:e356. [PMID: 29924184 PMCID: PMC5996441 DOI: 10.6061/clinics/2018/e356] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Accepted: 02/05/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Aging is progressive, and its effects on the respiratory system include changes in the composition of the connective tissues of the lung that influence thoracic and lung compliance. The Powerbreathe® K5 is a device used for inspiratory muscle training with resistance adapted to the level of the inspiratory muscles to be trained. The Pilates method promotes muscle rebalancing exercises that emphasize the powerhouse. The aim of this study was to evaluate the influence of inspiratory muscle training combined with the Pilates method on lung function in elderly women. METHODS The participants were aged sixty years or older, were active women with no recent fractures, and were not gait device users. They were randomly divided into a Pilates with inspiratory training group (n=11), a Pilates group (n=11) and a control group (n=9). Spirometry, manovacuometry, a six-minute walk test, an abdominal curl-up test, and pulmonary variables were assessed before and after twenty intervention sessions. RESULTS The intervention led to an increase in maximal inspiratory muscle strength and pressure and power pulmonary variables (p<0.0001), maximal expiratory muscle strength (p<0.0014), six-minute walk test performance (p<0.01), and abdominal curl-up test performance (p<0.00001). The control group showed no differences in the analyzed variables (p>0.05). CONCLUSION The results of this study suggest inspiratory muscle training associated with the Pilates method provides an improvement in the lung function and physical conditioning of elderly patients.
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Affiliation(s)
- Guilherme Medeiros de Alvarenga
- Programa de Pos-Graduacao em Engenharia Eletrica e Informatica Industrial, Universidade Tecnologica Federal do Parana, Curitiba, PR, BR
- Departamento de Fisioterapia, Universidade Positivo, Curitiba, PR, BR
- *Corresponding author. E-mail:
| | | | | | | | | | - Humberto Remigio Gamba
- Programa de Pos-Graduacao em Engenharia Eletrica e Informatica Industrial, Universidade Tecnologica Federal do Parana, Curitiba, PR, BR
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Reychler G, Delacroix S, Dresse D, Pieters T, Liistro G. Randomized Controlled Trial of the Effect of Inspiratory Muscle Training and Incentive Spirometry on Respiratory Muscle Strength, Chest Wall Expansion, and Lung Function in Elderly Adults. J Am Geriatr Soc 2016; 64:1128-30. [DOI: 10.1111/jgs.14097] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Gregory Reychler
- Institut de Recherche Expérimentale et Clinique; Pôle de Pneumologie; ORL & Dermatologie; Université Catholique de Louvain; Brussels Belgium
- Service de Pneumologie; Service de Médecine Physique et Réadaptation; Cliniques Universitaires Saint-Luc; Brussels Belgium
| | - Sophie Delacroix
- Institut de Recherche Expérimentale et Clinique; Pôle de Pneumologie; ORL & Dermatologie; Université Catholique de Louvain; Brussels Belgium
| | - Donatienne Dresse
- Institut de Recherche Expérimentale et Clinique; Pôle de Pneumologie; ORL & Dermatologie; Université Catholique de Louvain; Brussels Belgium
| | - Thierry Pieters
- Institut de Recherche Expérimentale et Clinique; Pôle de Pneumologie; ORL & Dermatologie; Université Catholique de Louvain; Brussels Belgium
- Service de Pneumologie; Cliniques Universitaires Saint-Luc; Brussels Belgium
| | - Giuseppe Liistro
- Institut de Recherche Expérimentale et Clinique; Pôle de Pneumologie; ORL & Dermatologie; Université Catholique de Louvain; Brussels Belgium
- Service de Pneumologie; Cliniques Universitaires Saint-Luc; Brussels Belgium
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