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Research ArticleOriginal Research

Effects of Inspiratory Muscle Training and Calisthenics-and-Breathing Exercises in COPD With and Without Respiratory Muscle Weakness

Renata P Basso-Vanelli, Valéria A Pires Di Lorenzo, Ivana G Labadessa, Eloisa M G Regueiro, Mauricio Jamami, Evelim LFD Gomes and Dirceu Costa
Respiratory Care January 2016, 61 (1) 50-60; DOI: https://doi.org/10.4187/respcare.03947
Renata P Basso-Vanelli
Spirometry and Respiratory Physiotherapy Laboratory (LEFiR), Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brazil.
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  • For correspondence: [email protected]
Valéria A Pires Di Lorenzo
Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brazil.
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Ivana G Labadessa
Spirometry and Respiratory Physiotherapy Laboratory (LEFiR), Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brazil.
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Eloisa M G Regueiro
Centro Universitário UNIFAFIBE, Bebedouro, São Paulo and Centro Universitário Claretiano, Batatais, São Paulo, Brazil.
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Mauricio Jamami
Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brazil.
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Evelim LFD Gomes
Universidade Nove de Julho-UNINOVE, São Paulo, SP, Brazil.
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Dirceu Costa
Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo and Universidade Nove de Julho-UNINOVE, São Paulo, SP, Brazil.
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Abstract

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 benefit of strength and endurance of the inspiratory muscles, thoracoabdominal mobility, physical exercise capacity, and reduction in dyspnea on exertion. In addition, these gains were compared between subjects with and without respiratory muscle weakness.

METHODS: 25 subjects completed the study: 13 composed the inspiratory muscle training group, and 12 composed the calisthenics-and-breathing exercises group. Subjects were assessed before and after training by spirometry, measurements of respiratory muscle strength and test of inspiratory muscle endurance, thoracoabdominal excursion measurements, and the 6-min walk test. Moreover, scores for the Modified Medical Research Council dyspnea scale were reported.

RESULTS: After intervention, there was a significant improvement in both groups of respiratory muscle strength and endurance, thoracoabdominal mobility, and walking distance in the 6-min walk test. Additionally, there was a decrease of dyspnea in the 6-min walk test peak. A difference was found between groups, with higher values of respiratory muscle strength and thoracoabdominal mobility and lower values of dyspnea in the 6-min walk test peak and the Modified Medical Research Council dyspnea scale in the inspiratory muscle training group. In the inspiratory muscle training group, subjects with respiratory muscle weakness had greater gains in inspiratory muscle strength and endurance.

CONCLUSIONS: Both interventions increased exercise capacity and decreased dyspnea during physical effort. However, inspiratory muscle training was more effective in increasing inspiratory muscle strength and endurance, which could result in a decreased sensation of dyspnea. In addition, subjects with respiratory muscle weakness that performed inspiratory muscle training had higher gains in inspiratory muscle strength and endurance but not of dyspnea and submaximal exercise capacity. (ClinicalTrials.gov registration NCT01510041.)

  • COPD
  • respiratory muscles
  • breathing exercises
  • dyspnea
  • physical therapy

Footnotes

  • Correspondence: Renata P Basso-Vanelli PT PhD, Rodovia Washington Luiz, Km 235, Laboratório de Espirometria e Fisioterapia Respiratória (DFisio), CEP: 13565–905, São Carlos, SP, Brasil. E-mail: renata.fisio{at}gmail.com.
  • This work was supported by scholarships from the Coordenação de Aperfeiçoamento de Pessoal de nível Superior (CAPES). The authors have disclosed no conflicts of interest.

  • Dr Regueiro presented a version of this paper at the European Respiratory Society Annual Congress 2013, held September 7–13, 2013, in Barcelona, Spain.

  • Copyright © 2016 by Daedalus Enterprises
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Respiratory Care: 61 (1)
Respiratory Care
Vol. 61, Issue 1
1 Jan 2016
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Effects of Inspiratory Muscle Training and Calisthenics-and-Breathing Exercises in COPD With and Without Respiratory Muscle Weakness
Renata P Basso-Vanelli, Valéria A Pires Di Lorenzo, Ivana G Labadessa, Eloisa M G Regueiro, Mauricio Jamami, Evelim LFD Gomes, Dirceu Costa
Respiratory Care Jan 2016, 61 (1) 50-60; DOI: 10.4187/respcare.03947

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Effects of Inspiratory Muscle Training and Calisthenics-and-Breathing Exercises in COPD With and Without Respiratory Muscle Weakness
Renata P Basso-Vanelli, Valéria A Pires Di Lorenzo, Ivana G Labadessa, Eloisa M G Regueiro, Mauricio Jamami, Evelim LFD Gomes, Dirceu Costa
Respiratory Care Jan 2016, 61 (1) 50-60; DOI: 10.4187/respcare.03947
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Keywords

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