Inspiratory muscle dysfunction has been shown to be related to hypercapnia and hence, to ventilatory insufficiency in patients with chronic obstructive pulmonary disease (COPD) [1]. Accordingly, treatment of inspiratory muscle dysfunction has gained interest in the last decade. Among other treatment modalities, such as pharmacotherapy and respiratory muscle rest, training of the inspiratory mus...

BACKGROUND AND PURPOSE Inspiratory muscle weakness and fatigue has been documented following prolonged mechanical ventilation despite successful weaning from mechanical ventilation. This report describes the application of inspiratory muscle training in two patients following successful discharge from an intensive care unit (ICU) after prolonged mechanical ventilation. METHODS Both patients u...

QUESTION Does inspiratory muscle training improve inspiratory muscle strength and endurance, facilitate weaning, improve survival, and reduce the rate of reintubation and tracheostomy in adults receiving mechanical ventilation? DESIGN Systematic review of randomised or quasi-randomised controlled trials. PARTICIPANTS Adults over 16 years of age receiving mechanical ventilation. INTERVENTI...

PURPOSE Invasive mechanical ventilation is associated with complications, and its abbreviation is desirable. The imbalance between increased workload, decreased inspiratory muscle strength and endurance is an important determinant of ventilator dependence. Low endurance may be present due to respiratory muscle atrophy, critical illness, or steroid use. Specific inspiratory muscle training may i...

OBJECTIVE To evaluate if resistive inspiratory muscle training (RIMT) can improve lung function in patients with complete tetraplegia within half a year after trauma. DESIGN A prospective study. The experimental patients received training with a Diemolding Healthcare Division inspiratory muscle trainer for 15 to 20 minutes per session, twice per day, 7 days a week for 6 weeks. SETTING Hospi...

BACKGROUND Patients with COPD may experience respiratory muscle weakness. Two therapeutic approaches to the respiratory muscles are inspiratory muscle training and calisthenics-and-breathing exercises. The aims of the study are to compare the effects of inspiratory muscle training and calisthenics-and-breathing exercises associated with physical training in subjects with COPD as an additional b...

BACKGROUND Muscle weakness has been suggested to result from the deconditioning that accompanies decreased activity levels in chronic cardiopulmonary diseases. The benefits of standard exercise programmes on exercise capacity and muscular strength in disease and health are well documented and exercise capacity is a significant predictor of survival in patients with chronic heart failure (CHF). ...

Background: Stroke is the leading cause of death and disability worldwide. It a cerebrovascular disease, characterized by decreased blood supply to brain tissues. known that patients with stroke have respiratory muscle weakness. Aim: To evaluate effects Resistive Diaphragmatic Breathing Exercises on pulmonary functions in chronic stroke. Method: A randomized controlled trial was conducted. 20 s...

OBJECTIVE To determine whether preoperative inspiratory muscle training is able to attenuate the impact of surgical trauma on the respiratory muscle strength, in the lung volumes, and diaphragmatic excursion in obese women undergoing open bariatric surgery. DESIGN Randomized controlled trial. SETTING Meridional Hospital, Cariacica/ES, Brazil. SUBJECTS Thirty-two obese women undergoing ele...

Six patients with severe chronic obstructive pulmonary disease underwent a six-week outpatient program to train their respiratory muscles with an inspiratory resistive device. Exercise performance was measured using a cycle ergometer. Maximum exercise capacity, represented by VO2 max, increased 15 percent. The maximum work rate increased 37 percent, and the minute ventilation attained during ex...