Effect of Artificial Respiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease

Authors

  • Decha PINKAEW Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200 http://orcid.org/0000-0002-7937-1693
  • Jirakrit LEELARUNGRAYUB Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200
  • Khanittha WONGLANGKA Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200
  • Jakkrit KLAPHAJONE Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200

DOI:

https://doi.org/10.48048/wjst.2018.4025

Keywords:

Chronic obstructive lung disease (COPD), inspiratory muscle training, exercise performance, lung function, six-minute walk test (SWT)

Abstract

Chronic obstructive lung disease (COPD) is a chronic lung pathology that leads to respiratory muscle weakness and decreased function capacity. Patients need to have pulmonary rehabilitation to increase respiratory muscle strength. The aim of the study was to assess the effect of artificial respiratory muscle training (ARMT) on respiratory muscle function and exercise performance in chronic obstructive pulmonary disease (COPD). Thirty patients in the mild to moderate COPD stage were randomly classified into an ARMT (n = 10), a control group (n = 10), and a standard respiratory muscle training group (SRMT; n = 10) by following the blind procedure. The control group received no training. The training groups, however, were trained at home for 30 min per day, every day, for 6 weeks. The measurement analyses included spirometry, an inspiratory muscle strength examination, and an exercise performance test. Exercise performance was evaluated by a 6 min walk test (SWT). The results showed that the maximal inspiratory pressure (PImax) and the maximal expiratory pressure (PEmax) were observed to have significantly increased in both the ARMT group and the SRMT group compared with the control group (p < 0.05). Moreover, the ARMT group was found to have significantly increased the 6 min walking distance in comparison with the control group. However, the ARMT group and the SRMT group did not differ significantly in those parameters. We conclude that it would be possible for the ARMT group among COPD patients to have improved respiratory muscle strength and increased capacity to walk.

 

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biography

Decha PINKAEW, Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200

Depament of physical therapy, Faculty of Associated Medical Sciences,Chiang Mai University.

References

DE O’Donnell, P Hernandez, A Kaplan, S Aaron, J Bourbeau, D Marciniuk, M Balter, G Ford, A Gervais, Y Lacasse, F Maltais, J Road, G Rocker, D Sin, T Sinuff and N Voduc. Canadian thoracic society recommendations for management of chronic obstructive pulmonary disease: 2008 update - highlights for primary care. Can. Respir. J. 2008; 15, 1A-8A.

H Sahin, Y Varol, I Naz, N Aksel, F Tuksavul and A Ozsoz. The effect of pulmonary rehabilitation on COPD exacerbation frequency per year. Clin. Respir. J. 2018; 12, 165-74.

R Rodriguez-Roisin and W MacNee. Pathophysiology of chronic obstructive pulmonary disease. Eur. Respir. Mono. 1998; 3, 107-26.

GOLD. From the Global Strategy for the Diagnosis, Management and Prevention of COPD. Global Initiative for Chronic Obstructive Lung Disease, Available at: http://www.goldcopd.org, accessed April 2017.

RM Tuder and I Petrache. Pathogenesis of chronic obstructive pulmonary disease. J. Clin. Invest. 2012; 122, 2749-55.

JE Repine, A Bast and I Lankhorst. Oxidative stress in chronic obstructive pulmonary disease. Oxidative stress study group. Am. J. Respir. Crit. Care Med. 1997; 156, 341-57.

HJ Kabitz, S Walterspacher, D Walker and W Windisch. Inspiratory muscle strength in chronic obstructive pulmonary disease depending on disease severity. Clin. Sci. 2007; 113, 243-9.

J Singer, EH Yelin, PP Katz, G Sanchez, C Iribarren, MD Eisner and PD Blanc. Respiratory and skeletal muscle strength in chronic obstructive pulmonary disease: Impact on exercise capacity and lower extremity function. J. Cardiopulm. Rehabil. Prev. 2011; 31, 111-9.

H Chen, R Dukes and BJ Martin. Inspiratory muscle training in patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 1985; 131, 251-5.

R Gosselink, J De Vos, SP van den Heuvel, J Segers, M Decramer and G Kwakkel. Impact of inspiratory muscle training in patients with COPD: What is the evidence? Eur. Respir. J. 2011; 37, 416-25.

A Marques, C Jácome, J Cruz, R Gabriel and D Figueiredo. Effects of a pulmonary rehabilitation program with balance training on patients with COPD. J. Cardiopulm. Rehabil. Prev. 2015; 35, 154-8.

G Sturdy, D Hillman, D Green, S Jenkins, N Cecins and P Eastwood. Feasibility of high-intensity, interval-based respiratory muscle training in COPD. Chest 2003; 123, 142-50.

JI Kang, DK Jeong and H Choi. The effects of breathing exercise types on respiratory muscle activity and body function in patients with mild chronic obstructive pulmonary disease. J. Phys. Ther. Sci. 2016; 28, 500-5.

D Nikoletou, WD Man, N Mustfa, J Moore, G Rafferty, RL Grant, L Johnson and J Moxham. Evaluation of the effectiveness of a home-based inspiratory muscle training programme in patients with chronic obstructive pulmonary disease using multiple inspiratory muscle tests. Disabil. Rehabi. 2016; 38, 250-9.

FD Dias, LM Sampaio, GA da Silva, ÉL Gomes, ES do Nascimento, VL Alves, R Stirbulov and D Costa. Home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: A randomized clinical trial. Int. J. Chron. Obstruct. Pulmon. Dis. 2013; 8, 537-44.

L Nici and R ZuWallack. Chronic obstructive pulmonary disease-evolving concepts in treatment: Advances in pulmonary rehabilitation. Semin. Respir. Crit. Care Med. 2015; 36, 567-74.

American Thoracic Society. Standard for the diagnosis and care of patients with COPD. Am. J. Respir. Crit. Care Med. 1995; 152, 78-121.

Global Initiative for Chronic Obstructive Lung Disease, Inc. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease, Available at: http://www.goldcopd.org/uploads/users/files/GOLD_Report_2013_Feb20.pdf, accessed May 2013.

HS Riera, TM Rubio, FO Ruiz, PC Ramos, DDC Otero, TE Hernandez and JC Gomez. Inspiratory muscle training in patients with COPD: Effect on dyspnea, exercise performance, and quality of life. Chest 2001; 120, 748-56.

A Ramirez-Sarmiento, M Orozco-Levi, R Guell, E Barreiro, N Hernandez, S Mota, M Sangenis, JM Broquetas, P Casan and J Gea. Inspiratory muscle training in patients with chronic obstructive pulmonary disease: Structural adaptation and physiologic outcomes. Am. J. Respir. Crit. Care Med. 2002; 166, 1491-7.

R Magadle, AK McConnell, M Beckerman and P Weiner. Inspiratory muscle training in pulmonary rehabilitation program in COPD patients. Respir. Med. 2007; 101, 1500-5.

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: Guidelines for the six-minute walk test. Am. J. Respir. Crit. Care Med. 2002; 166, 111-7.

LF Black and RE Hyatt. Maximal respiratory pressures: Normal values and relationship to age and sex. Am. Rev. Respir. Dis. 1969; 99, 696-702.

F Lötters, B van Tol, G Kwakkel and R Gosselink. Effects of controlled inspiratory muscle training in patients with COPD: A meta-analysis. Eur. Respir. J. 2002; 20, 570-6.

AV Ovechkin, DG Sayenko, EN Ovechkina, SC Aslan, T Pitts and RJ Folz. Respiratory motor training and neuromuscular plasticity in patients with chronic obstructive pulmonary disease: A pilot study. Respir. Physiol. Neurobiol. 2016; 229, 59-64.

C Lisboa, V Munoz, T Beroiza, A Leiva and E Cruz. Inspiratory muscle training in chronic airflow limitation: Comparison of two different training loads with a threshold device. Eur. Respir. J. 1994; 7, 1266-74.

TA Scherer, CM Spengler, D Owassapian, E Imhof and U Boutellier. Respiratory muscle endurance training in chronic obstructive pulmonary disease: Impact on exercise capacity, dyspnea, and quality of life. Am. J. Respir. Crit. Care Med. 2000; 162, 1709-14.

P Weiner, R Magadle, M Beckerman, M Weiner and N Berar-Yanay. Comparison of specific expiratory, inspiratory, and combined muscle training programs in COPD. Chest 2003; 124, 1357-64.

RL Pardy and DE Leith. Ventilatory muscle training. RespirCare 1984; 29, 278-84.

P Weiner and A McConnell. Respiratory muscle training in chronic obstructive pulmonary disease: Inspiratory, expiratory, or both? Curr. Opin. Pulm. Med. 2005; 11, 140-4.

RW Bohannon and R Crouch. Minimal clinically important difference for change in 6-minute walk test distance of adults with pathology: A systematic review. J. Eval. Clin. Pract. 2017; 23, 377-81.

ES do Nascimento, LM Sampaio, FS Peixoto-Souza, FD Dias, EL Gomes, FR Greiffo, AP Ligeiro de Oliveira, R Stirbulov, RP Vieira and D Costa. Home-based pulmonary rehabilitation improves clinical features and systemic inflammation in chronic obstructive pulmonary disease patients. Int. J. Chron. Obstruct. Pulmon. Dis. 2015; 10, 645-53.

LM Romer and AK McConnell. Specificity and reversibility of inspiratory muscle training. Med. Sci. Sports Exerc. 2003; 35, 237-44.

M Beaumont, P Mialon, C Le Ber-Moy, C Lochon, L Péran, R Pichon, C Gut-Gobert, C Leroyer, C Morelot-Panzini and F Couturaud. Inspiratory muscle training during pulmonary rehabilitation in chronic obstructive pulmonary disease: A randomized trial. Chron. Respir. Dis. 2015; 12, 305-12.

DF Rochester and NT Braun. Determinants of maximal inspiratory pressure in chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 1985; 132, 42-7.

Downloads

Published

2017-11-29

How to Cite

PINKAEW, D., LEELARUNGRAYUB, J., WONGLANGKA, K., & KLAPHAJONE, J. (2017). Effect of Artificial Respiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease. Walailak Journal of Science and Technology (WJST), 15(9), 669–678. https://doi.org/10.48048/wjst.2018.4025

Issue

Section

Research Article