Inspiratory muscle training protocol using a pressure threshold device: effect on dyspnea in chronic obstructive pulmonary disease.

Abstract:

OBJECTIVE:To evaluate the ability of patients with chronic obstructive pulmonary disease (COPD) to accomplish 6 weeks of inspiratory muscle training (IMT) using a pressure threshold device, and to observe how the training affected inspiratory muscle strength and dyspnea. DESIGN:Pilot study comparing baseline values with posttest values. SUBJECTS:Four adults with severe COPD (the mean of the forced expiratory volume in 1 second [FEV1] was 28% of predicted value). METHODS:Daily IMT sessions of 5 to 30 minutes' duration and weekly training load increments of -2 to -4cmH2O over a 6-week period with the training device at loads of >30% of baseline maximal inspiratory pressure (PImax). OUTCOME MEASURES:Dyspnea measures were Mahler's Baseline and Transition Dyspnea Index and the Borg category-ratio scale administered during a submaximal exercise protocol. RESULTS:All subjects tolerated the training load, improved their inspiratory muscle strength, and reported reduced dyspnea. CONCLUSION:Using a constant-load pressure threshold device to attain loads of >30% of the patient's baseline PImax is a feasible way to accomplish inspiratory muscle training in adults with severe COPD.

journal_name

Arch Phys Med Rehabil

authors

Nield MA

doi

10.1016/s0003-9993(99)90315-5

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

100-2

issue

1

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(99)90315-5

journal_volume

80

pub_type

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