The impact of resistance respiratory muscle training with a SpiroTiger® device on lung function, exercise performance, and health-related quality of life in respiratory diseases

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Abstract

Introduction

There are studies demonstrating that respiratory muscles can be trained using proper stimulation. Positive effects have been achieved in patients with pulmonary diseases and in patients after thoracic surgery procedures using isocapnic hyperpnoea training with a SpiroTiger ^® device. The aim of this study was to investigate whether SpiroTiger ^® training has an impact on forced expiratory volume in one second (FEV ₁), exercise performance, respiratory muscle fitness, and health-related quality of life.

Material and methods

Search phrases “spirotiger” and “spiro tiger” were entered into the search engines of the following databases: Academic Search Complete, Medline, Ebscohost, and PubMed.

Results

One article about chronic obstructive pulmonary disease (COPD) and 4 articles about cystic fibrosis were found.

Conclusions

The positive effect of SpiroTiger ^® training on FEV ₁ cannot be unequivocally confirmed as it was found only in two of the five analysed studies. SpiroTiger ^® training has a positive impact on exercise performance measured with the six-minute walk test; it increases breathing muscle fitness in patients with COPD and in patients after thoracic surgery procedures, and it improves health-related quality of life.

Translated abstract

Wstęp

Niektóre badania pokazują, że mięśnie oddechowe mogą być trenowane dzięki odpowiedniej stymulacji. Dającą pozytywne efekty metodą fizjoterapii w chorobach układu oddechowego oraz po zabiegach torakochirurgicznych jest trening isocapnic hyperpnea przeprowadzany z użyciem urządzenia SpiroTiger ^®. Celem pracy było sprawdzenie, czy trening SpiroTiger ^® ma wpływ na: natężoną objętość wydechową pierwszosekundową ( forced expiratory volume in one second – FEV ₁), wydolność, wydolność mięśni oddechowych, jakość życia pacjentów.

Materiał i metody

Do baz danych Academic Search Complite, Medline, Ebscohost i PubMed zostały wpisane hasła: spirotiger oraz spiro tiger.

Wyniki

Znaleziono jeden artykuł na temat przewlekłej obturacyjnej choroby płuc (POChP) oraz 4 artykuły na temat mukowiscydozy.

Wnioski

Nie można stwierdzić, czy trening SpiroTiger ^® poprawia FEV ₁, ponieważ taką zależność wykazano jedynie w 2 z 5 artykułów. Trening SpiroTiger ^® wpływa korzystnie na poprawę wydolności ogólnej organizmu mierzonej za pomocą 6-minutowej próby marszowej. Poprawia też wydolność mięśni oddechowych osób cierpiących na POChP oraz po zabiegach torakochirurgicznych, wpływa pozytywnie na jakość życia pacjentów.

Related collections

Most cited references 17

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Respiratory muscle endurance training in chronic obstructive pulmonary disease: impact on exercise capacity, dyspnea, and quality of life.

Katrin Scherer, D Owassapian, J E Imhof … (2000)

Inspiratory muscle training may have beneficial effects in certain patients with chronic obstructive pulmonary disease (COPD). Because of the lack of a home training device, normocapnic hyperpnea has rarely been used as a training mode for patients with COPD, and is generally considered unsuitable to large-scale application. To study the effects of hyperpnea training, we randomized 30 patients with COPD and ventilatory limitation to respiratory muscle training (RMT; n = 15) with a new portable device or to breathing exercises with an incentive spirometer (controls; n = 15). Both groups trained twice daily for 15 min for 5 d per week for 8 wk. Training-induced changes were significantly greater in the RMT than in the control group for the following variables: respiratory muscle endurance measured through sustained ventilation (+825 +/- 170 s [mean +/- SEM] versus -27 +/- 61 s, p < 0.001), inspiratory muscle endurance measured through incremental inspiratory threshold loading (+58 +/- 10 g versus +21.7 +/- 9.5 g, p = 0.016), maximal expiratory pressure (+20 +/- 7 cm H(2)O versus -6 +/- 6 cm H(2)O, p = 0.009), 6-min walking distance (+58 +/- 11 m versus +11 +/- 11 m, p = 0.002), V O(2peak) (+2.5 +/- 0.6 ml/kg/min versus -0.3 +/- 0.9 ml/kg/min, p = 0.015), and the SF-12 physical component score (+9.9 +/- 2.7 versus +1.8 +/- 2.4, p = 0.03). Changes in dyspnea, maximal inspiratory pressure, treadmill endurance, and the SF-12 mental component score did not differ significantly between the RMT and control groups. In conclusion, home-based respiratory muscle endurance training with the new device used in this study is feasible and has beneficial effects in subjects with COPD and ventilatory limitation.

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Article: not found

Inspiratory muscle training improves lung function and exercise capacity in adults with cystic fibrosis.

Veena Unnithan, Dennis Shale, Ken Chatham … (2004)

To investigate the effects of high-intensity inspiratory muscle training (IMT) on inspiratory muscle function (IMF), diaphragm thickness, lung function, physical work capacity (PWC), and psychosocial status in patients with cystic fibrosis (CF). Twenty-nine adult patients with CF were randomly assigned to three groups. Two groups were required to complete an 8-week program of IMT in which the training intensity was set at either 80% of maximal effort (group 1; 9 patients) or 20% of maximal effort (group 2; 10 patients). A third group of patients did not participate in any form of training and acted as a control group (group 3; 10 patients). In all patients, baseline and postintervention measures of IMF were determined by maximal inspiratory pressure (Pimax), and sustained Pimax (SPimax); pulmonary function, body composition, and physical activity status were also determined. In addition, diaphragm thickness was measured at functional residual capacity (FRC) and total lung capacity (TLC) [TDIcont], and the diaphragm thickening ratio (TR) was calculated (TR = thickness during Pimax at FRC/mean thickness at FRC). Subjects also completed an incremental cycle ergometer test to exhaustion and two symptom-related questionnaires, prior to and following training. Following training, significant increases in Pimax and SPimax (p < 0.05), TDIcont (p < 0.05), TR (p < 0.05), vital capacity (p < 0.05), TLC (p < 0.05), and PWC (p < 0.05) were identified, and decreases in anxiety scores (p < 0.05) and depression scores (p < 0.01) were noted in group 1 patients compared to group 3 patients. Group 2 patients significantly improved Pimax and SPimax (both p < 0.05) only with respect to group 3 patients. No significant differences were observed in group 3 patients. An 8-week program of high-intensity IMT resulted in significant benefits for CF patients, which included increased IMF and thickness of the diaphragm (during contraction), improved lung volumes, increased PWC, and improved psychosocial status.

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Respiratory muscle strength and maximal voluntary ventilation in undernourished patients.

N Arora, Charmaine D Rochester (1982)

To assess the effect of chronic debilitation on respiratory muscle function, we studied 16 poorly nourished (PN) patients without pulmonary disease, and 16 well-nourished (WN) subjects matched for age and sex. Body weight, vital capacity (VC), maximal voluntary ventilation (MVV), and maximal static inspiratory and expiratory pressures (PImax and PEmax) were measured and expressed as percent predicted. Respiratory muscle strength (RMS) was calculated as (% PImax + % PEmax)2. Body weight was 71% predicted in the PN group and 104% in the WN group. The RMS, MVV, and VC were 37%, 41%, and 63%, respectively, of the values in the WN group (p less than 0.001). The 60% reduction in RMS was shared almost equally among inspiratory and expiratory muscles, and PEmax was linearly related to body weight. Because malnutrition reduces both respiratory muscle strength and MVV, it may well impair respiratory muscle capacity to handle increased ventilatory loads in thoracopulmonary disease.

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Author and article information

Journal

Journal ID (nlm-ta): Kardiochir Torakochirurgia Pol

Journal ID (iso-abbrev): Kardiochir Torakochirurgia Pol

Journal ID (publisher-id): KITP

Title: Kardiochirurgia i Torakochirurgia Polska = Polish Journal of Cardio-Thoracic Surgery

Publisher: Termedia Publishing House

ISSN (Print): 1731-5530

ISSN (Electronic): 1897-4252

Publication date (Electronic): 30 December 2015

Publication date (Print): December 2015

Volume: 12

Issue: 4

Pages: 386-390

Affiliations

Department of Rehabilitation in Respiratory Diseases, Department of Rehabilitation in Internal Diseases, E. Piasecki University School of Physical Education in Poznan, Poznan, Poland

Author notes

Address for correspondence: Olga Maria Włodarczyk, MSc, E. Piasecki University School of Physical Education in Poznan, 51/11 Międzyborska St., 60-162 Poznan, Poland. phone: +48 606 591 762. e-mail: wlodarczyk.olga@ 123456gmail.com

Article

Publisher ID: 26553

DOI: 10.5114/kitp.2015.56796

PMC ID: 4735547

PubMed ID: 26855662

SO-VID: f7fe9650-aeaf-4068-85da-fe58d5d88b8f

Copyright © Copyright © 2015 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska)

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.