HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Permissions Request Permissions Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (20) Citing Articles via Google Scholar Google Scholar Articles by Weiner, P. Articles by Berar-Yanay, N. Search for Related Content PubMed PubMed Citation Articles by Weiner, P. Articles by Berar-Yanay, N.

Maintenance of inspiratory muscle training in COPD patients: one year follow-up

Dept of Medicine A, Hillel Yaffe Medical Center, Hadera, Israel

CORRESPONDENCE: P. Weiner, Dept of Medicine A, Hillel Yaffe Medical Center, Hadera, Israel 38100. Fax: 011 97246304522. E-mail: weiner@hillel-yaffe.health.gov.il

Keywords: inspiratory muscle training, sensation of dyspnoea, exercise performance

Received: May 29, 2003
Accepted September 1, 2003

In most chronic obstructive pulmonary disease (COPD) patients, dyspnoea and functional exercise capacity may improve as a result of inspiratory muscle training (IMT). However, the long-term benefits of IMT have been investigated to a much lesser extent.

The present study investigated the short-term and long-term benefits of IMT on inspiratory muscle performance (strength and endurance), exercise capacity and the perception of dyspnoea.

Thirty-eight patients with significant COPD had 3 months of basic IMT and were then randomised into a group that received maintenance IMT for the next year, and a group that got training with very low load. Following the basic training there was a statistically significant increase in inspiratory muscle performance, 6-min walk test (6MWT), and a decrease in the dyspnoea. During the second stage of the study, the training group continued to maintain the improvement in all parameters, while there was already deterioration in the inspiratory muscle performance, exercise capacity and dyspnoea in the low intensity group during the 6–12 month period.

The present study concludes that, in patients with significant chronic obstructive pulmonary disease, inspiratory muscle training results in improvement in performance, exercise capacity and in the sensation of dyspnoea. The benefits of 12-weeks of inspiratory muscle training decline gradually over 1 yr of follow-up if maintenance training is not performed.

This article has been cited by other articles:

				J Bott, S Blumenthal, M Buxton, S Ellum, C Falconer, R Garrod, A Harvey, T Hughes, M Lincoln, C Mikelsons, et al. Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient Thorax, May 1, 2009; 64(Suppl_1): i1 - i52. [Full Text] [PDF]

				E. Hillegass Breathing retraining for individuals with chronic obstructive pulmonary disease - a role for clinicians Chronic Respiratory Disease, February 1, 2009; 6(1): 43 - 44. [PDF]

				T Ringbaek, E Brondum, G Martinez, P Lange, and and Pulmonary Rehabilitation Research Group Rehabilitation in COPD: the long-term effect of a supervised 7-week program succeeded by a self-monitored walking program Chronic Respiratory Disease, May 1, 2008; 5(2): 75 - 80. [Abstract] [PDF]

				D. A. Mahler, L. A. Waterman, J. Ward, C. McCusker, R. ZuWallack, and J. C. Baird Validity and Responsiveness of the Self-Administered Computerized Versions of the Baseline and Transition Dyspnea Indexes Chest, October 1, 2007; 132(4): 1283 - 1290. [Abstract] [Full Text] [PDF]

				A. L. Ries, G. S. Bauldoff, B. W. Carlin, R. Casaburi, C. F. Emery, D. A. Mahler, B. Make, C. L. Rochester, R. ZuWallack, and C. Herrerias Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines Chest, May 1, 2007; 131(5_suppl): 4S - 42S. [Abstract] [Full Text] [PDF]

				K. Hill, S. C. Jenkins, D. L. Philippe, N. Cecins, K. L. Shepherd, D. J. Green, D. R. Hillman, and P. R. Eastwood High-intensity inspiratory muscle training in COPD. Eur. Respir. J., June 1, 2006; 27(6): 1119 - 1128. [Abstract] [Full Text] [PDF]

				M. Beckerman, R. Magadle, M. Weiner, and P. Weiner The Effects of 1 Year of Specific Inspiratory Muscle Training in Patients With COPD Chest, November 1, 2005; 128(5): 3177 - 3182. [Abstract] [Full Text] [PDF]

				R S Goldstein Exercise training and inspiratory muscle training in patients with bronchiectasis Thorax, November 1, 2005; 60(11): 889 - 890. [Full Text] [PDF]

				T. Troosters, R. Casaburi, R. Gosselink, and M. Decramer Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease Am. J. Respir. Crit. Care Med., July 1, 2005; 172(1): 19 - 38. [Full Text] [PDF]

				A.K. McConnell, P. Weiner, and L.M. Romer Inspiratory muscle training as a tool for the management of patients with COPD Eur. Respir. J., September 1, 2004; 24(3): 510 - 511. [Full Text] [PDF]