Cargando…
Effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study
The benefits of inspiratory muscle training (IMT) in patients with COPD were reported. However, its effects are limited in severe COPD patients. Further researches are required in new and complementary modalities demonstrating IMT efficacy in severe COPD patients. This study aims to investigate effe...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9060133/ https://www.ncbi.nlm.nih.gov/pubmed/35332685 http://dx.doi.org/10.1111/crj.13486 |
_version_ | 1784698454827597824 |
---|---|
author | Buran Cirak, Yasemin Yilmaz Yelvar, Gul Deniz Durustkan Elbasi, Nurgül |
author_facet | Buran Cirak, Yasemin Yilmaz Yelvar, Gul Deniz Durustkan Elbasi, Nurgül |
author_sort | Buran Cirak, Yasemin |
collection | PubMed |
description | The benefits of inspiratory muscle training (IMT) in patients with COPD were reported. However, its effects are limited in severe COPD patients. Further researches are required in new and complementary modalities demonstrating IMT efficacy in severe COPD patients. This study aims to investigate effects of manual therapy (MT) additional over IMT on functional capacity, respiratory muscle strength, pulmonary function, dyspnea, fatigue, and quality of life in severe COPD patients. Sixty patients with COPD in GOLD stage III–IV were included in this prospective single‐blind randomized trial. Patients were randomly assigned to receive either MT additional over IMT at 40% of maximal inspiratory pressure (MIP) (n = 30) or only IMT (n = 30) for 12 weeks. MT group received MT during 12 weeks for 30 min additional to IMT. Pulmonary function, respiratory muscle strength, functional capacity, dyspnea, fatigue, and quality of life were evaluated by spirometry, mouth pressure device, six‐minute walk test, Modified Medical Research Council (mMRC) dyspnea scale, fatigue severity scale, and St. George's Respiratory Questionnaire (SGRQ), respectively. MT group had significantly greater improvement in FEV1%, FVC%, PEF%, respiratory muscle strength, function, dyspnea, fatigue, and quality of life compared with IMT group (p < 0.05). 6MWT (p < 0.001, effect size Cohen's d: 0.915), MIP (p < 0.001, effect size Cohen's d: 1.235), and mMRC score (p < 0.001, effect size Cohen's d: 0.982) were significantly improved in IMT with MT group. This study demonstrated that subjects in IMT with MT group had improved outcomes in functional capacity, respiratory muscle strength, pulmonary function, dyspnea, fatigue perception, and quality of life compared with alone IMT group. |
format | Online Article Text |
id | pubmed-9060133 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-90601332022-07-12 Effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study Buran Cirak, Yasemin Yilmaz Yelvar, Gul Deniz Durustkan Elbasi, Nurgül Clin Respir J Original Articles The benefits of inspiratory muscle training (IMT) in patients with COPD were reported. However, its effects are limited in severe COPD patients. Further researches are required in new and complementary modalities demonstrating IMT efficacy in severe COPD patients. This study aims to investigate effects of manual therapy (MT) additional over IMT on functional capacity, respiratory muscle strength, pulmonary function, dyspnea, fatigue, and quality of life in severe COPD patients. Sixty patients with COPD in GOLD stage III–IV were included in this prospective single‐blind randomized trial. Patients were randomly assigned to receive either MT additional over IMT at 40% of maximal inspiratory pressure (MIP) (n = 30) or only IMT (n = 30) for 12 weeks. MT group received MT during 12 weeks for 30 min additional to IMT. Pulmonary function, respiratory muscle strength, functional capacity, dyspnea, fatigue, and quality of life were evaluated by spirometry, mouth pressure device, six‐minute walk test, Modified Medical Research Council (mMRC) dyspnea scale, fatigue severity scale, and St. George's Respiratory Questionnaire (SGRQ), respectively. MT group had significantly greater improvement in FEV1%, FVC%, PEF%, respiratory muscle strength, function, dyspnea, fatigue, and quality of life compared with IMT group (p < 0.05). 6MWT (p < 0.001, effect size Cohen's d: 0.915), MIP (p < 0.001, effect size Cohen's d: 1.235), and mMRC score (p < 0.001, effect size Cohen's d: 0.982) were significantly improved in IMT with MT group. This study demonstrated that subjects in IMT with MT group had improved outcomes in functional capacity, respiratory muscle strength, pulmonary function, dyspnea, fatigue perception, and quality of life compared with alone IMT group. John Wiley and Sons Inc. 2022-03-24 /pmc/articles/PMC9060133/ /pubmed/35332685 http://dx.doi.org/10.1111/crj.13486 Text en © 2022 The Authors. The Clinical Respiratory Journal published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Buran Cirak, Yasemin Yilmaz Yelvar, Gul Deniz Durustkan Elbasi, Nurgül Effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study |
title | Effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study |
title_full | Effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study |
title_fullStr | Effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study |
title_full_unstemmed | Effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study |
title_short | Effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study |
title_sort | effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with copd: a randomized controlled study |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9060133/ https://www.ncbi.nlm.nih.gov/pubmed/35332685 http://dx.doi.org/10.1111/crj.13486 |
work_keys_str_mv | AT burancirakyasemin effectivenessof12weekinspiratorymuscletrainingwithmanualtherapyinpatientswithcopdarandomizedcontrolledstudy AT yilmazyelvarguldeniz effectivenessof12weekinspiratorymuscletrainingwithmanualtherapyinpatientswithcopdarandomizedcontrolledstudy AT durustkanelbasinurgul effectivenessof12weekinspiratorymuscletrainingwithmanualtherapyinpatientswithcopdarandomizedcontrolledstudy |