Abstract:
:Ankylosing Spondylitis (AS) presents with both musculoskeletal and cardiorespiratory pathophysiological manifestations. Inspiratory muscle training (IMT) may be a useful intervention to address deficits in respiratory and functional status. CASE DESCRIPTION:A 25-year-old male with AS initially sought treatment for low back and right hip pain, but 7 weeks of IMT was also provided due to abnormal respiratory performance. OUTCOMES:At baseline, the patient presented with a resting respiratory rate (RR) of 14.5 breaths/minute, tidal volume (TV) of 0.76 L, minute ventilation (VE) of 10.87 L/min, and end tidal CO2 (PetCO2) of 30.56 mmHg. Baseline exercise test results revealed a VO2max of 44 ml/kg/min and VE to CO2 output (VE/VCO2) slope of 30. Baseline MIP, SMIP, and MEP were 54 cm H2O, 507 PTU, and 87 cm H2O, respectively, and increased to 176 cm H2O, 807 PTU, and 151 cm H2O, respectively, after IMT. The VO2max increased to 51 ml/kg/min with decreases in the VE/VCO2 slope (29), resting RR (12 breaths/minute), resting TV (0.52 L), and resting VE (6.83 L/min) after IMT. Improvements during postural challenges were also observed. DISCUSSION:This case demonstrates the clinical utility of respiratory gas analysis and respiratory performance measures to identify functional deficits and manage a patient with AS. The improvements in respiratory performance at rest, during postural challenges, and during maximal exercise after a relatively short period of IMT highlights the role IMT may have to improve functional status in patients with AS. Further investigation of IMT in patients with AS is warranted.
journal_name
Physiother Theory Practjournal_title
Physiotherapy theory and practiceauthors
Wong ML,Anderson RG,Garcia K,Housmann EM,McHale E,Goldberger GS,Cahalin LPdoi
10.1080/09593985.2017.1346023subject
Has Abstractpub_date
2017-10-01 00:00:00pages
805-814issue
10eissn
0959-3985issn
1532-5040journal_volume
33pub_type
杂志文章abstract::Provision of out of regular business hours (OBH) physiotherapy to hospital inpatients is widespread in the hospital setting. This systematic review evaluated the effect of additional OBH physiotherapy services on patient length of stay (LOS), pulmonary complications, discharge destination, discharge mobility status, q...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,评审
doi:10.1080/09593980601023754
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journal_title:Physiotherapy theory and practice
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2021.1872125
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abstract:BACKGROUND:Sensitization mechanisms are thought to play a role in the perception of pain in people with cluster headache. No study has investigated the relation between the spatial extent of pain in cluster headache and measures of sensitization or other clinical features. Objective: Our aim was to investigate if the s...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1827468
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2015.1038375
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journal_title:Physiotherapy theory and practice
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1692394
更新日期:2019-12-01 00:00:00
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journal_title:Physiotherapy theory and practice
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
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journal_title:Physiotherapy theory and practice
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1359866
更新日期:2017-12-01 00:00:00
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journal_title:Physiotherapy theory and practice
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journal_title:Physiotherapy theory and practice
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journal_title:Physiotherapy theory and practice
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,meta分析,评审
doi:10.1080/09593985.2018.1423656
更新日期:2018-09-01 00:00:00
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1488190
更新日期:2020-03-01 00:00:00
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1370752
更新日期:2018-01-01 00:00:00
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journal_title:Physiotherapy theory and practice
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journal_title:Physiotherapy theory and practice
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593980802640059
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
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journal_title:Physiotherapy theory and practice
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journal_title:Physiotherapy theory and practice
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