Inspiratory muscle training does not improve clinical outcomes in 3-week COPD rehabilitation: Results from a randomised controlled trial

European Respiratory Journal

Volumn 51, Issue 1, 2018, Pages

  Schultz, Konrad ^a   Jelusic, Danijel ^a   Wittmann, Michael ^a   Krämer, Benjamin ^a   Huber, Veronika ^a   Fuchs, Sebastian ^a   Lehbert, Nicola ^a   Wingart, Silke ^a   Stojanovic, Dragan ^a   Göhl, Oliver ^a   Alma, Harma J ^b   de Jong, Corina ^b   van der Molen, Thys ^b   Faller, Hermann ^c   Schuler, Michael ^c  

^a Klinik Bad Reichenhall   (Germany)

^b UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

^c UNIVERSITY OF WÜRZBURG   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL EFFECTIVENESS; COMORBIDITY; CONTROLLED STUDY; DISEASE SEVERITY; DYSPNEA; EXERCISE; FEMALE; FORCED INSPIRATORY VOLUME; HOSPITALIZATION; HUMAN; INSPIRATORY MUSCLE TRAINING; INTENTION TO TREAT ANALYSIS; LUNG FUNCTION; LUNG VOLUME; MAJOR CLINICAL STUDY; MALE; MAXIMAL INSPIRATORY PRESSURE; MUSCLE STRENGTH; MUSCLE TRAINING; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PULMONARY REHABILITATION; QUALITY OF LIFE; SIX MINUTE WALK TEST; TREATMENT DURATION; AGED; BREATHING EXERCISE; BREATHING MUSCLE; EXERCISE TOLERANCE; GERMANY; KINESIOTHERAPY; MIDDLE AGED; PATHOPHYSIOLOGY; PROCEDURES; RANDOMIZED CONTROLLED TRIAL; REGRESSION ANALYSIS; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME; WALK TEST;

AGED; BREATHING EXERCISES; DYSPNEA; EXERCISE THERAPY; EXERCISE TOLERANCE; FEMALE; GERMANY; HUMANS; MALE; MIDDLE AGED; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; QUALITY OF LIFE; REGRESSION ANALYSIS; RESPIRATORY MUSCLES; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME; WALK TEST;

EID: 85057307710     PISSN: 09031936     EISSN: 13993003     Source Type: Journal    
DOI: 10.1183/13993003.02000-2017     Document Type: Article

References (33)

1. Geddes EL, O’Brien K, Reid WD, et al. Inspiratory muscle training in adults with chronic obstructive pulmonary disease: an update of a systematic review. Respir Med 2008; 102: 1715–1729.
2. Shoemaker MJ, Donker S, Lapoe A. Inspiratory muscle training in patients with chronic obstructive pulmonary disease: the state of the evidence. Cardiopulm Phys Ther J 2009; 20: 5–15.
3. Gosselink R, De Vos J, van den Heuvel SP, et al. Impact of inspiratory muscle training in patients with COPD: what is the evidence? Eur Respir J 2011; 37: 416–425.
4. Geddes EL, Reid WD, Crowe J, et al. Inspiratory muscle training in adults with chronic obstructive pulmonary disease: a systematic review. Respir Med 2005; 99: 1440–1458.
5. O’Brien K, Geddes EL, Reid WD, et al. Inspiratory muscle training compared with other rehabilitation interventions in chronic obstructive pulmonary disease: a systematic review update. J Cardiopulm Rehabil Prev 2008; 28: 128–141.
6. Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. 2016. http://goldcopd.org/global-strategy-diagnosis-management-prevention-copd-2016 Date last accessed: April 16, 2016.
7. Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 2013; 188: e13–e64.
8. Ries AL, Bauldoff GS, Carlin BW, et al. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest 2007; 131: 5 Suppl., 4S–42S.
9. Maltais F, Decramer M, Casaburi R, et al. An official American Thoracic Society/European Respiratory Society statement: update on limb muscle dysfunction in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2014; 189: e15–e62.
10. Wanke T, Formanek D, Lahrmann H, et al. Effects of combined inspiratory muscle and cycle ergometer training on exercise performance in patients with COPD. Eur Respir J 1994; 7: 2205–2211.
11. Dekhuijzen PN, Folgering HT, van Herwaarden CL. Target-flow inspiratory muscle training during pulmonary rehabilitation in patients with COPD. Chest 1991; 99: 128–133.
12. Magadle R, McConnell AK, Beckerman M, et al. Inspiratory muscle training in pulmonary rehabilitation program in COPD patients. Respir Med 2007; 101: 1500–1505.
13. Weiner P, Azgad Y, Ganam R. Inspiratory muscle training combined with general exercise reconditioning in patients with COPD. Chest 1992; 102: 1351–1356.
14. Hill K, Jenkins SC, Philippe DL, et al. High-intensity inspiratory muscle training in COPD. Eur Respir J 2006; 27: 1119–1128.
15. Decramer M. Response of the respiratory muscles to rehabilitation in COPD. J Appl Physiol 2009; 107: 971–976.
16. Criee CP. Empfehlungen der Deutschen Atemwegsliga zur Messung der inspiratorischen Muskelfunktion. [Recommendations of the German Airway League for the determination of inspiratory muscle function.] Pneumologie 2003; 57: 98–100.
17. Criee CP, Berdel D, Heise D, et al. Empfehlungen der Deutschen Atemwegsliga zur Spirometrie. [Recommendations on spirometry by the German Airway League.] Pneumologie 2006; 60: 576–584.
18. Criee CP, Sorichter S, Smith HJ, et al. Body plethysmography – its principles and clinical use. Respir Med 2011; 105: 959–971.
19. 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: 111–117.
20. Jones PW, Quirk FH, Baveystock CM, et al. A self-complete measure of health status for chronic airflow limitation. The St. George’s Respiratory Questionnaire. Am Rev Respir Dis 1992; 145: 1321–1327.
21. Jones PW, Harding G, Berry P, et al. Development and first validation of the COPD Assessment Test. Eur Respir J 2009; 34: 648–654.
22. van der Molen T, Willemse BW, Schokker S, et al. Development, validity and responsiveness of the Clinical COPD Questionnaire. Health Qual Life Outcomes 2003; 1: 13.
23. Mahler DA, Weinberg DH, Wells CK, et al. The measurement of dyspnea. Contents, interobserver agreement, and physiologic correlates of two new clinical indexes. Chest 1984; 85: 751–758.
24. Witek TJ Jr, Mahler DA. Minimal important difference of the transition dyspnoea index in a multinational clinical trial. Eur Respir J 2003; 21: 267–272.
25. Polkey MI, Moxham J, Green M. The case against inspiratory muscle training in COPD. Against. Eur Respir J 2011; 37: 236–237.
26. Cooper H, Patall EA. The relative benefits of meta-analysis conducted with individual participant data versus aggregated data. Psychol Methods 2009; 14: 165–176.
27. Gonzales JU, Scheuermann BW. Gender differences in the fatigability of the inspiratory muscles. Med Sci Sports Exerc 2006; 38: 472–479.
28. Guenette JA, Romer LM, Querido JS, et al. Sex differences in exercise-induced diaphragmatic fatigue in endurance-trained athletes. J Appl Physiol 2010; 109: 35–46.
29. Gift AG, Moore T, Soeken K. Relaxation to reduce dyspnea and anxiety in COPD patients. Nurs Res 1992; 41: 242–246.
30. Chiang LC, Ma WF, Huang JL, et al. Effect of relaxation-breathing training on anxiety and asthma signs/ symptoms of children with moderate-to-severe asthma: a randomized controlled trial. Int J Nurs Stud 2009; 46: 1061–1070.
31. Taube C, Kanniess F, Gronke L, et al. Reproducibility of forced inspiratory and expiratory volumes after bronchodilation in patients with COPD or asthma. Respir Med 2003; 97: 568–577.
32. Deutsche Rentenversicherung. Strukturqualität von Reha-Einrichtungen – Anforderungen der Deutschen Rentenversicherung. [Quality of structure of rehabilitation centers – requirements of the German statutory pension insurance scheme.] Revised and expanded edition. 2014. www.deutsche-rentenversicherung.de/Allgemein/de/Inhalt/3_Infos_fuer_Experten/01_sozialmedizin_forschung/downloads/quali_strukturqualitaet/Broschuere_ Strukturanforderungen.pdf?__blob=publicationFile&v=9 Date last accessed: April 2, 2015.
33. Copay AG, Subach BR, Glassman SD, et al. Understanding the minimum clinically important difference: a review of concepts and methods. Spine J 2007; 7: 541–546.