The effect of inspiratory muscle training on respiratory variables in a patient with ankylosing spondylitis: A case report.

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.

authors

Wong ML,Anderson RG,Garcia K,Housmann EM,McHale E,Goldberger GS,Cahalin LP

doi

10.1080/09593985.2017.1346023

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

805-814

issue

10

eissn

0959-3985

issn

1532-5040

journal_volume

33

pub_type

杂志文章
  • The effect of additional physiotherapy to hospital inpatients outside of regular business hours: a systematic review.

    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

    authors: Brusco NK,Paratz J

    更新日期:2006-12-01 00:00:00

  • Independent community walking after a short protocol of repetitive transcranial magnetic stimulation associated with body weight-support treadmill training in a patient with chronic spinal cord injury: a case report.

    abstract:PURPOSE:Our report describes the effect of repetitive transcranial magnetic stimulation (rTMS) combined with body weight-supported treadmill training (BWSTT) on independent gait recovery in a patient with incomplete spinal cord injury (iSCI). CASE DESCRIPTION:The patient was a 31-year-old male, household ambulator (ai...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2020.1802797

    authors: Nogueira F,Shirahige L,Brito R,Monte-Silva K

    更新日期:2020-08-12 00:00:00

  • Basic Body Awareness Therapy in patients suffering from fibromyalgia: A randomized clinical trial.

    abstract::Introduction: The aim of this study is to assess whether Basic Body Awareness Therapy (BBAT) improves musculoskeletal pain, movement quality, psychological function, and quality of life. Methods: The effects of BBAT in addition to treatment as usual (TAU) were studied in a randomized controlled trial. Forty-one patien...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/09593985.2018.1467520

    authors: Bravo C,Skjaerven LH,Espart A,Guitard Sein-Echaluce L,Catalan-Matamoros D

    更新日期:2019-10-01 00:00:00

  • Treating gynecological pain: key factors in promoting body awareness and movement in somatocognitive therapy (SCT). A case study of a physiotherapy student´s treatment approaches.

    abstract::Background: Longstanding gynecological pain affects large numbers of women in the Western world. Somatocognitive therapy (SCT), a hybrid of cognitive psychotherapy and physiotherapy, is an evidence-based approach that has been successfully applied in the treatment of women suffering from such disorders, for example ch...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2021.1872125

    authors: Danielsen KG,Fougner M,Haugstad GK

    更新日期:2021-01-11 00:00:00

  • In episodic cluster headache, pain extent is not related to widespread pressure pain sensitivity, psychological outcomes, or clinical outcomes.

    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

    authors: Fuensalida-Novo S,Palacios-Ceña M,Falla D,Cuadrado ML,Guerrero ÁL,Cescon C,Fernández-de-Las-Peñas C,Barbero M

    更新日期:2020-10-05 00:00:00

  • Manual lymphatic drainage and multilayer compression therapy for vulvar edema: a case series.

    abstract:BACKGROUND AND OBJECTIVE:Vulvar edema is a condition rarely reported and without defined treatment that may result in functional limitation. The aim of the report is to describe a case series of patients with disabling vulvar edema of different etiologies that were treated with manual lymphatic drainage (MLD) and multi...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.3109/09593985.2015.1038375

    authors: Pinto e Silva MP,Bassani MA,Miquelutti MA,Marques Ade A,do Amaral MT,de Oliveira MM,Ferreira Nde O

    更新日期:2015-01-01 00:00:00

  • Reliability of arthrometric measurement of shoulder lateral rotation movement in healthy subjects.

    abstract::Numerous pathologic conditions of the shoulder result in loss of range of motion with lateral rotation being one of the most affected movements. Therefore, it is essential to know the reliability of the methods to measure this motion from a treatment evaluation perspective. The purpose of this study was to examine the...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593980701209121

    authors: Piotte F,Gravel D,Nadeau S,Moffet H,Bédard C

    更新日期:2007-05-01 00:00:00

  • New-graduate physiotherapists' readiness for practice and experiences of managing chronic pain; a qualitative study.

    abstract::Background: Chronic pain management is a challenging area of practice for new graduate physiotherapists entering the workforce. Understanding the readiness and experience of new graduates entering this area of practice is important for informing requirements for preparation for practice.Objective: The aim of this stud...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2019.1692394

    authors: Forbes R,Ingram M

    更新日期:2019-12-01 00:00:00

  • Effect of applying consistent pressure to the stationary and the moving arm on measurement reliability of glenohumeral internal rotation range of motion.

    abstract:OBJECTIVES:The aim of this study was to determine the inter-rater reliability of glenohumeral internal rotation (GIR) range of motion (ROM) and pressure measurements among four measurement methods: (1) Manual stabilization of the humeral head and coracoid process (MSHC) without applying consistent pressure (ACP) to bot...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/09593985.2018.1455121

    authors: Hwang UJ,Kwon OY,Jeon IC,Jung SH,Kim MH

    更新日期:2019-06-01 00:00:00

  • Whole body vibration on people with sequelae of polio.

    abstract:PURPOSE:The purpose was to explore the feasibility of whole body vibration (WBV) on polio survivors with/without post-polio syndrome (PPS) by studying its effects on walking speed (10-m walk test), endurance (2-min walk test), pain severity/interference (Brief Pain Inventory [BPI]), sleep quality (Pittsburg Sleep Quali...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/09593985.2018.1454559

    authors: Da Silva CP,Szot CL,deSa N

    更新日期:2019-06-01 00:00:00

  • Work-related musculoskeletal disorders in female Swedish physical therapists with more than 15 years of job experience: prevalence and associations with work exposures.

    abstract::The objective of this study was to determine the prevalence of and risk factors for work-related musculoskeletal disorders (WRMDs) in female physiotherapists with more than 15 years of job experience. A self-administered postal questionnaire was sent to 203 female physiotherapists with more than 15 years of job experi...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.3109/09593985.2010.481323

    authors: Grooten WJ,Wernstedt P,Campo M

    更新日期:2011-04-01 00:00:00

  • Abdominal draw-in maneuver combined with simulated weight bearing increases transversus abdominis and internal oblique thickness.

    abstract::The abdominal draw-in maneuver (ADIM) is a method commonly used to reestablish neuromuscular control of the deep spine muscles among individuals with musculoskeletal problems. The purpose of this study was to evaluate the effect of ADIM combined with simulated weight-bearing (SWB) activities in the facilitation of the...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2017.1359866

    authors: Kim JS,Seok CH,Jeon HS

    更新日期:2017-12-01 00:00:00

  • Milwaukee brace.

    abstract::The Milwaukee brace had been a standard of nonsurgical treatment for scoliosis since 1954. Milwaukee brace 23-hours wearing protocol was most effective for the treatment of adolescent idiopathic scoliosis. However, Milwaukee brace 23-hours wearing showed an impact on psychosocial functioning of the patients. Moreover,...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.3109/09593985.2010.503992

    authors: Maruyama T,Takesita K,Kitagawa T,Nakao Y

    更新日期:2011-01-01 00:00:00

  • Vestibular rehabilitation following surgical repair for Superior Canal Dehiscence Syndrome: A complicated case report.

    abstract::Superior Canal Dehiscence Syndrome (SCDS) causes auditory and vestibular symptoms. Following surgical repair of the dehiscence, patients often experience dizziness and imbalance. This case report describes a postoperative vestibular exercise program, focusing on the principles of central compensation and habituation, ...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2017.1374491

    authors: Carender WJ,Grzesiak M

    更新日期:2018-02-01 00:00:00

  • Exercise adherence: beliefs of adults with knee osteoarthritis over 2 years.

    abstract::Exercise is an established treatment to alleviate pain and improve function among adults with knee osteoarthritis (KOA). However, long-term adherence to exercise is poor and effective approaches to support adherence are limited. Here, we report on an ancillary study to a randomized controlled trial (RCT) where the pri...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2019.1566943

    authors: Ledingham A,Cohn ES,Baker KR,Keysor JJ

    更新日期:2020-12-01 00:00:00

  • Scapular focused interventions to improve shoulder pain and function in adults with subacromial pain: A systematic review and meta-analysis.

    abstract::The relationship between subacromial pain syndrome (SAPS) and altered scapular movement has been previously reported. The purpose of this review was to determine the effect of interventions that focus on addressing scapular components to improve shoulder pain, function, shoulder range of motion (ROM), and muscle stren...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章,meta分析,评审

    doi:10.1080/09593985.2018.1423656

    authors: Saito H,Harrold ME,Cavalheri V,McKenna L

    更新日期:2018-09-01 00:00:00

  • Implementation of the comprehensive care for joint replacement model: A post-acute physical therapy case report.

    abstract::Background: The Centers for Medicare and Medicaid services has specifically targeted total joint replacements with a retrospective bundled payment program called the Comprehensive Care for Joint Replacement (CJR) model to improve collaboration between providers and decrease costs associated with the surgery and subseq...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2018.1488190

    authors: Bolt W PT, DPT,Wendland DM PT, DPT, PhD, CPed

    更新日期:2020-03-01 00:00:00

  • Physiotherapy clinical educators' perspectives on a fitness to practice initiative.

    abstract:CONTEXT:Health practitioner registration boards require health professionals to evaluate and maintain "fitness to practice" (FTP). This encompasses the professional behavior, clinical competence, and freedom from impairment required for safe and effective service provision. We developed and implemented policies to prom...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2017.1370752

    authors: Lo K,Curtis H,Francis-Cracknell A,Maloney S,Nickson W,Bearman M,Keating JL

    更新日期:2018-01-01 00:00:00

  • Is self-efficacy and catastrophizing in pain-related disability mediated by control over pain and ability to decrease pain in whiplash-associated disorders?

    abstract::Pain perception is influenced by several cognitive and behavioral factors of which some identified as mediators are important in pain management. We studied the mediating role of control over pain and ability to decrease pain in relation to functional self-efficacy, catastrophizing, and pain-related disability in pati...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2017.1307890

    authors: Söderlund A PhD,Sandborgh M PhD,Johansson AC PhD

    更新日期:2017-05-01 00:00:00

  • The relationship between knowledge of pain neurophysiology and fear avoidance in people with chronic pain: A point in time, observational study.

    abstract::Chronic pain is prevalent in the western world; however fear of pain often has a greater impact than the degree of initial injury. The aim of this study was to explore the relationship between knowledge of the neurophysiology of pain and fear avoidance in individuals diagnosed with chronic pain. Twenty-nine people wit...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.3109/09593985.2015.1138010

    authors: Fletcher C,Bradnam L,Barr C

    更新日期:2016-05-01 00:00:00

  • Rebuilding a tolerable life: narratives of women recovered from fibromyalgia.

    abstract::Introduction: Fibromyalgia syndrome (FMS) is a chronic musculoskeletal pain and fatigue condition. Despite extensive research, there is currently no known therapy leading to a cure for FMS. Although studies have reported that some patients can regain their health, little is known about their personal process of becomi...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2020.1830454

    authors: Eik H,Kirkevold M,Solbrække KN,Mengshoel AM

    更新日期:2020-10-07 00:00:00

  • Effects of backward walking on knee proprioception after ACL reconstruction.

    abstract::Objective: The present study aimed to assess proprioception of the knee to evaluate the effectiveness of backward walking for rehabilitation after anterior cruciate ligament (ACL) reconstruction. Methods: Patients (n = 52) who underwent ACL reconstruction in a single knee divided randomly into four experimental groups...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2019.1681040

    authors: Shen M,Che S,Ye D,Li Y,Lin F,Zhang Y

    更新日期:2019-10-21 00:00:00

  • Beliefs toward mental illness in Turkish physiotherapists.

    abstract:: Background: Physiotherapists (PTs) are responsible for the prevention and promotion of physical and mental health. Their beliefs toward mental illness (MI) are important to disclose stigmatization. Purpose: To investigate the b...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2020.1870251

    authors: Yildirim M,Balci B

    更新日期:2021-01-21 00:00:00

  • Lower limb joint moments on the fast belt contribute to a reduction of step length asymmetry over ground after split-belt treadmill training in stroke: A pilot study.

    abstract::The main goal was to investigate changes in muscle activity and joint moments related to step length (SL) symmetry improvements in individuals poststroke following repeated split-belt treadmill (SBT) walking. Twelve individuals with a first unilateral cerebral stroke presenting initial SL asymmetry (ratio = 1.10-2.05)...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2018.1530708

    authors: Betschart M,McFayden BJ,Nadeau S

    更新日期:2020-09-01 00:00:00

  • Impact of hydrotherapy on skin blood flow: How much is due to moisture and how much is due to heat?

    abstract::Hydrotherapy and whirlpool are used to increase skin blood flow and warm tissue. However, recent evidence seems to show that part of the increase in skin blood flow is not due to the warmth itself but due to the moisture content of the heat. Therefore, two series of experiments were accomplished on 10 subjects with an...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.3109/09593980802640059

    authors: Petrofsky J,Gunda S,Raju C,Bains GS,Bogseth MC,Focil N,Sirichotiratana M,Hashemi V,Vallabhaneni P,Kim Y,Madani P,Coords H,McClurg M,Lohman E

    更新日期:2010-02-01 00:00:00

  • Reliability and minimal detectable change of the mini-BESTest in adults with spinal cord injury in a rehabilitation setting.

    abstract::Background: The mini-Balance Evaluation Systems Test (mini-BESTest) is a valid tool for assessing standing balance in people with spinal cord injury (SCI). Its reliability has not yet been investigated with this population. Objective: To assess the test-retest and inter-rater reliability of the mini-BESTest in adults ...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2019.1622161

    authors: Roy A,Higgins J,Nadeau S

    更新日期:2021-01-01 00:00:00

  • Integration of behavioral medicine competencies into physiotherapy curriculum in an exemplary Swedish program: rationale, process, and review.

    abstract::In 2004, Mälardalen University, Sweden, introduced a new undergraduate entry-level physiotherapy program. Program developers constructed the curriculum with behavioral medicine content that reflected the contemporary definition and values of the physiotherapy profession aligning it with current best practices, evidenc...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2018.1488192

    authors: Sandborgh M,Dean E,Denison E,Elvén M,Fritz J,Wågert PVH,Moberg J,Overmeer T,Snöljung Å,Johansson AC,Söderlund A

    更新日期:2020-03-01 00:00:00

  • Is perceived force an accurate method of regulating exercise load for the neck?

    abstract:OBJECTIVE:Patient perceived level of force is commonly used to regulate exercise load. This study determined the accuracy of perceived force as a method of regulating exercise load for the cervical flexors and extensors. METHODS:Thirty healthy individuals performed submaximal isometric cervical flexion and extension e...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/09593985.2018.1455250

    authors: O'Leary S PT, PhD,Cush AM PT,Ng WYW PT,Taanevig C PT,Tan JE PT,McPhail SM PT, PhD

    更新日期:2019-06-01 00:00:00

  • Inter-observer reliability of trained physiotherapists on the Functional Status Score for the Intensive Care Unit Chilean-Spanish version.

    abstract::Purpose: Evaluate inter-observer reliability of trained physiotherapists administering the Chilean-Spanish version of the Functional Status Score for the Intensive Care Unit (FSS-ICU).Methods: Six adult patients in a medical-surgical ICU were assessed and video-recorded by 1 of 2 expert physiotherapists. Twelve physio...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.1080/09593985.2020.1753272

    authors: González-Seguel F,Camus-Molina A,Cárcamo M,Hiser S,Needham DM,Leppe J

    更新日期:2020-04-22 00:00:00

  • Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis--a prospective case series.

    abstract::Manual therapy has proven to be a benefit in the management of knee osteoarthritis (OA), but the effects of the method of Mulligan's mobilization with movement (MWM) have yet to be explored in knee OA. As a first step, this case series investigated MWM's immediate and short-term benefits over three occasions of treatm...

    journal_title:Physiotherapy theory and practice

    pub_type: 杂志文章

    doi:10.3109/09593985.2012.702854

    authors: Takasaki H,Hall T,Jull G

    更新日期:2013-02-01 00:00:00