Effects of inspiratory muscle training and yoga breathing exercises on respiratory muscle function in institutionalized frail older adults: A randomized controlled trial

Journal of Geriatric Physical Therapy

Volumn 37, Issue 2, 2014, Pages 65-75

  Cebrià I Iranzo, Maria Dels Àngels ^a,b   Arnall, David Alan ^c   Camacho, Celedonia Igual ^a,d   Tomás, José Manuel ^a  

^a UNIVERSITY OF VALENCIA   (Spain)

^b HOSPITAL UNIVERSITARIO LA FE   (Spain)

^c EAST TENNESSEE STATE UNIVERSITY   (United States)

^d Clinical University Hospital of Valencia   (Spain)

Author keywords

Frail older adult; IMT; Respiratory muscle function; Yoga

Indexed keywords

AGED; BREATHING EXERCISE; BREATHING MUSCLE; CONTROLLED STUDY; GERIATRIC ASSESSMENT; HOME FOR THE AGED; HUMAN; LUNG FUNCTION TEST; MUSCLE STRENGTH; NURSING HOME; PHYSIOLOGY; PROCEDURES; RANDOMIZED CONTROLLED TRIAL; VERY ELDERLY; YOGA;

AGED; AGED, 80 AND OVER; BREATHING EXERCISES; GERIATRIC ASSESSMENT; HOMES FOR THE AGED; HUMANS; MUSCLE STRENGTH; NURSING HOMES; RESPIRATORY FUNCTION TESTS; RESPIRATORY MUSCLES; YOGA;

EID: 84904211335     PISSN: 15398412     EISSN: 21520895     Source Type: Journal    
DOI: 10.1519/JPT.0b013e31829938bb     Document Type: Article

References (44)

1. Tolep K, Kelsen SG. Effect of aging on respiratory skeletal muscles. Clin Chest Med. 1993; 14 (3): 363-378.
2. Janssens JP, Pache JC, Nicod LP. Physiological changes in respiratory function associated with ageing. Eur Respir J. 1999; 13 (1): 197-205.
3. Watsford ML, Murphy AJ, Pine MJ. The effects of ageing on respiratory muscle function and performance in older adults. J Sci Med Sport. 2007; 10 (1): 36-44.
4. Simões RP, Castello V, Auad MA, Dionísio J, Mazzonetto M. Prevalence of reduced respiratory muscle strength in institutionalized elderly people. Sao Paulo Med J. 2009; 127 (2): 78-83.
5. Summerhill EM, Angov N, Garber C, McCool FD. Respiratory muscle strength in the physically active elderly. Lung. 2007; 185 (6): 315-320.
6. Janssen I, Heymsfield SB, Ross R. Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc. 2002; 50 (5): 889-896.
7. Lötters F, van Tol B, Kwakkel G, Gosselink R. Effects of controlled inspiratory muscle training in patients with COPD: a meta-analysis. Eur Respir J. 2002; 20 (3): 570-576.
8. Geddes EL, O'Brien K, Reid WD, Brooks D, Crowe J. Inspiratory muscle training in adults with chronic obstructive pulmonary disease: an update of a systematic review. Respir Med. 2008; 102 (12): 1715-1729.
9. Watsford ML, Murphy AJ. The effects of respiratory-muscle training on exercise in older women. J Aging Phys Activ. 2008; 16 (3): 245-260.
10. Hill K, Cecins NM, Eastwood PR, Jenkins SC. Inspiratory muscle training for patients with chronic obstructive pulmonary disease: a practical guide for clinicians. Arch Phys Med Rehabil. 2010; 91 (9): 1466-1470.
11. Clanton TL, Dixon G, Drake J, Gadek JE. Inspiratory muscle conditioning using a threshold-loading device. Chest. 1985; 87 (1): 62-66.
12. Martyn JB, Moreno RH, Paré PD, Pardy RL. Measurement of inspiratory muscle performance with incremental threshold loading. Am Rev Respir Dis. 1987; 135 (4): 919-923.
13. Gosselink R. Breathing techniques in patients with chronic obstructive pulmonary disease (COPD). Chron Respir Dis. 2004; 1 (3): 163-172.
14. O'Kroy JA, Coast JR. Effects of flow and resistive training on respiratory muscle endurance and strength. Respiration. 1993; 60 (5): 279-283.
15. Enright SJ, Unnithan VB, Heward C, Withnall L, Davies DH. Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in participants who are healthy. Phys Ther. 2006; 86 (3): 345-354.
16. Larson JL, Kim MJ, Sharp JT, Larson DA. Inspiratory muscle training with a pressure threshold breathing device in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis. 1988; 138 (3): 689-696.
17. Larson JL, Covey MK, Corbridge S. Inspiratory muscle strength in chronic obstructive pulmonary disease. AACN Clin Issues. 2002; 13 (2): 320-332.
18. Gross D, Ladd HW, Riley EJ, Macklem PT, Grassino A. The effect of training on strength and endurance of the diaphragm in quadriplegia. Am J Med. 1980; 68 (1): 27-35.
19. Evans S, Watson L, Hawkins M, Cowley AJ, Johnston ID, Kinnear WJ. Respiratory muscle strength in chronic heart failure. Thorax. 1995; 50 (6): 625-628.
20. Gosselink R, De Vos J, van den Heuvel SP, Segers J, Decramer M, Kwakkel G. Impact of inspiratory muscle training in patients with COPD: what is the evidence? Eur Respir J. 2011; 37 (2): 416-425.
21. rd ed. Barcelona, Spain : Editorial Kairós; 2005.
22. Donesky-Cuenco D, Nguyen HQ, Paul S, Carrieri-Kohlman V. Yoga therapy decreases dyspnea related distress and improves functional performance in people with chronic obstructive pulmonary disease: a pilot study. J Altern Complement Med. 2009; 15 (3): 225-234.
23. Jain SC, Rai L, Valecha A, Jha UK, Bhatnagar SO, Ram K. Effect of yoga training on exercise tolerance in adolescents with childhood asthma. J Asthma. 1991; 28 (6): 437-442.
24. Danucalov MA, Simões RS, Kozasa EH, Leite JR. Cardiorespiratory and metabolic changes during yoga sessions: the effects of respiratory exercises and meditation practices. Appl Psychophysiol Biofeedback. 2008; 33 (2): 77-81.
25. Madanmohan SK, Mahadevan SB, Balakrishnan S, Gopalakrishnan M, Prakash ES. Effect of six weeks yoga training on weight loss following step test, respiratory pressures, handgrip strength and handgrip endurance in young health subjects. Indian J Physiol Pharmacol. 2008; 52 (2): 164-170.
26. Madanmohan, Udupa K, Bhavanani AB, Vijayalakshmi P, Surendiran A. Effect of slow and fast pranayams on reaction time and cardiorespiratory variables. Indian J Physiol Pharmacol. 2005;49: 313-318.
27. Santaella DF, Devesa CR, Rojo MR, et al. Yoga respiratory training improves respiratory function and cardiac sympathovagal balance in elderly subjects: a randomised controlled trial. BMJ Open. 2011; 24 (1): e000085.
28. Folstein MF, Folstein SE, McHungh PR, Fanjiang G. MMSE. Mini-mental State Examination. User's guide. Lutz, FL: PAR Phycological Assessment Resources, Inc; 2001.
29. Lobo A, Saz P, Marcos G. Adaptación del Examen Cognoscitivo Mini-Mental. Madrid, Spain : Tea Ediciones; 2002.
30. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J. 2005;26, 319-38.
31. American Thoracic Society/European Respiratory Society. ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002;166:518-624.
32. Enright PL, Kronmal RA, Manolio TA, Schenker MB, Hyatt RE. Respiratory muscle strength in the elderly: correlates and reference values. Am J Respir Crit Care Med. 1994; 149 (2 Pt 1): 430-438.
33. Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. 2. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res. 1999; 32 (6): 719-727.
34. Borg G. The Borg CR-10 Scale Folder. A Method for Measuring Intensity of Experience Hasselby, Sweden : Borg Perception; 2004
35. th ed. Boston, MA : Pearson International Edition; 2007.
36. Belman MJ, Gaesser GA. Ventilatory muscle training in the elderly. J Appl Physiol. 1988; 64 (3): 899-905.
37. Fonseca MA, Cader SA, Dantas EH, Bacelar SC, Silva EB, Leal SM. Respiratory muscle training programs: impact on the functional autonomy of the elderly. Rev Assoc Med Bras. 2010; 56 (6): 642-648.
38. rd ed. Madrid, Spain : Médica Panamericana; 2006.
39. Barros GF, Santos Cda S, Granado FB, Costa PT, Límaco RP, Gardenghi G. Respiratory muscle training in patients submitted to coronary arterial bypass graft. Rev Bras Cir Cardiovasc. 2010; 25 (4): 483-490.
40. Liaw MY, Wang YH, Tsai YC, et al. Inspiratory muscle training in bronchiectasis patients: a prospective randomized controlled study. Clin Rehabil. 2011; 25 (6): 524-536.
41. Eastwood PR, Hillman DR, Morton AR, Finucane KE. The effects of learning on ventilatory responses to inspiratory threshold loading. Am J Respir Crit Care Med. 1998; 158 (4): 1190-1196.
42. Enrigth SJ, Unnithan VB. Effect of inspiratory muscle training intensities on pulmonary function and work capacity in people who are healthy: a randomized controlled trial. Phys Ther. 2011; 91 (6): 894-905.
43. Stone SP, Ali B, Auberleek I, Thompsell A, Young A. The Barthel index in clinical practice: use on a rehabilitation ward for elderly people. J R Coll Physicians Lond. 1994; 28 (5): 419-423.
44. Zijp EM, van den Bosch JS, van Hezik S. Geriatric rehabilitation in a nursing home and the Barthel Index as a parameter. Ned Tijdschr Geneeskd. 1995; 139 (20): 1037-1041.