Pregledni rad
SPECIFIC INSPIRATORY MUSCLE TRAINING CAN IMPROVE THE OVERALL FUNCTIONALITY OF THE INSPIRATORY MUSCLES AND CONTIBUTES TO REDUCTION OF RESPIRATORY COMPLICATIONS
Monika Jeruc Tanšek
; Klinička bolnica za plućne i alergijske bolesti Golnik
Sažetak
Introduction: Specifi c inspiratory muscle training
(IMT) can improve the function of the inspiratory muscles.
POWERBreathe Kinect Series (POWERBreathe- Int. Ltd,
UK) is a recently developed IMT device that applies a
variable resistance provided by an electronically controlled
valve (variable fl ow resistive load). In contrast to the
traditionally applied threshold loading, this variable fl ow
resistive load is specifi cally challenging for the inspiratory
muscles at higher lung volumes, and may lead to larger
training eff ects. Discussion: Th e aim of this article was to
summarise the basic facts and evidence based knowledge
about IMT with variable resistance for the most relevant
indications and to discuss these results in the context of
current literature for the group of neuromuscular diseases
and the group of obstructive lung diseases as well as current
knowledge on „weaning“ from invasive mechanical ventilation
in the context of physical activity. Results of the meta
analysis done by Ferreira et al, showed that specifi c IMT
improved the strength of respiratory muscles and ventilatory
function, and should be an adjunct to rehabilitation of
patients with neurodegenerative diseases. A recent study
done by Gosselink et al reported that a group of subjects
who trained at 80% intensity of MIP experienced increased
vital capacity and total lung capacity but it has it has it’slimitations. Several studies also confi rmed that daily intermittent
inspiratory loading with six to eight contractions
repeated in three to four series at moderate to high intensity
was safe, it improved inspiratory muscle strength and
weaning success in patients with diffi cult weaning. Studies
have shown that threshold loading might be less optimal
compared with (electronic) tapered fl ow-resistive loading.
Conclusion: Specific IMT is safe and eff ective for inidividuals
with diff erent diseases. Th e studies and researches
indicated that some adjustment have to be taken into consideration
for each group of patients. In addition, inspiratory
muscle training is expected to reduce the risk of respiratory
complications. when training patients with IMT in
a clinical setting, therapists should be actively engaged to
emphasize the correct training pattern.
Ključne riječi
specific inspiratory muscle training; diaphragm weakness; neuromuscular diseases; obstructive lung diseases; „weaning“ from invasive mechanical ventilation
Hrčak ID:
174033
URI
Datum izdavanja:
19.10.2016.
Posjeta: 1.375 *