Effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial.

<h4>Purpose</h4>This study aims to assess the effect of inspiratory muscle training (IMT) combined with endurance training (ET) on balance in patients with chronic obstructive pulmonary disease (COPD).<h4>Methods</h4>We studied 32 male patients (62 ± 6 years) with moderate to...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Bilel Tounsi, Amal Acheche, Thierry Lelard, Zouhair Tabka, Yassine Trabelsi, Said Ahmaidi
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/65ad6de44c304dfbb90f79cae99f3486
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:65ad6de44c304dfbb90f79cae99f3486
record_format	dspace
spelling	oai:doaj.org-article:65ad6de44c304dfbb90f79cae99f34862021-12-02T20:08:03ZEffects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial.1932-620310.1371/journal.pone.0257595https://doaj.org/article/65ad6de44c304dfbb90f79cae99f34862021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257595https://doaj.org/toc/1932-6203<h4>Purpose</h4>This study aims to assess the effect of inspiratory muscle training (IMT) combined with endurance training (ET) on balance in patients with chronic obstructive pulmonary disease (COPD).<h4>Methods</h4>We studied 32 male patients (62 ± 6 years) with moderate to very severe COPD. They were randomly assigned to an experimental group (IMT+ET) n = 16 or a control group (ET) n = 16 with similar characteristics. The evaluations were carried out at inclusion and after eight weeks of the training period. Functional balance was assessed by the Berg Balance Scale (BBS), the Timed-up and Go (TUG), the Single Leg Stance test (SLS), and the Activities-specific Balance Confidence (ABC) scale. The strength of the inspiratory muscles (PImax) was assessed by maximal inspiratory mouth pressure. Functional exercise performance was assessed by the 6 minutes walking test (6MWT). IMT program consists in performing two daily sets of 30 inspirations with 50% of PImax increased by 10% every two weeks. ET program consists in performing 30 min treadmill exercise at 60% to 80% of the average speed achieved during the 6MWT three days per week.<h4>Results</h4>After the training period, the experimental group demonstrated greater improvements in BBS (IMT+ET vs. ET; p = 0.019), and in ABC (IMT+ET vs. ET; p = 0.014). However, no significant differences between groups were observed for TUG, SLS, and 6MWT. There was a significant difference between groups in PImax (IMT+ET vs. ET; p = 0.030). Significant moderate correlations were obtained between ΔPImax and ΔBBS for both groups (IMT+ET: r = 0.624, p = 0.010; ET r = 0.550, p = 0.027) as well as for ΔABC but only in the experimental group (IMT+ET: r = 0.550, p = 0.027).<h4>Conclusion</h4>Compared to ET alone, the results suggest that IMT combined with ET enhances inspiratory muscle function and functional balance according to BBS and ABC in patients with COPD. We suggest that inspiratory muscle training might be introduced as additional training to pulmonary rehabilitation programs aimed at improving balance in COPD patients.<h4>Trial registration</h4>The trial registry name: Clinical Trials; Registration number: NCT04084405; URL: https://clinicaltrials.gov/ct2/show/NCT04084405.Bilel TounsiAmal AchecheThierry LelardZouhair TabkaYassine TrabelsiSaid AhmaidiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257595 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Bilel Tounsi Amal Acheche Thierry Lelard Zouhair Tabka Yassine Trabelsi Said Ahmaidi Effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial.
description	<h4>Purpose</h4>This study aims to assess the effect of inspiratory muscle training (IMT) combined with endurance training (ET) on balance in patients with chronic obstructive pulmonary disease (COPD).<h4>Methods</h4>We studied 32 male patients (62 ± 6 years) with moderate to very severe COPD. They were randomly assigned to an experimental group (IMT+ET) n = 16 or a control group (ET) n = 16 with similar characteristics. The evaluations were carried out at inclusion and after eight weeks of the training period. Functional balance was assessed by the Berg Balance Scale (BBS), the Timed-up and Go (TUG), the Single Leg Stance test (SLS), and the Activities-specific Balance Confidence (ABC) scale. The strength of the inspiratory muscles (PImax) was assessed by maximal inspiratory mouth pressure. Functional exercise performance was assessed by the 6 minutes walking test (6MWT). IMT program consists in performing two daily sets of 30 inspirations with 50% of PImax increased by 10% every two weeks. ET program consists in performing 30 min treadmill exercise at 60% to 80% of the average speed achieved during the 6MWT three days per week.<h4>Results</h4>After the training period, the experimental group demonstrated greater improvements in BBS (IMT+ET vs. ET; p = 0.019), and in ABC (IMT+ET vs. ET; p = 0.014). However, no significant differences between groups were observed for TUG, SLS, and 6MWT. There was a significant difference between groups in PImax (IMT+ET vs. ET; p = 0.030). Significant moderate correlations were obtained between ΔPImax and ΔBBS for both groups (IMT+ET: r = 0.624, p = 0.010; ET r = 0.550, p = 0.027) as well as for ΔABC but only in the experimental group (IMT+ET: r = 0.550, p = 0.027).<h4>Conclusion</h4>Compared to ET alone, the results suggest that IMT combined with ET enhances inspiratory muscle function and functional balance according to BBS and ABC in patients with COPD. We suggest that inspiratory muscle training might be introduced as additional training to pulmonary rehabilitation programs aimed at improving balance in COPD patients.<h4>Trial registration</h4>The trial registry name: Clinical Trials; Registration number: NCT04084405; URL: https://clinicaltrials.gov/ct2/show/NCT04084405.
format	article
author	Bilel Tounsi Amal Acheche Thierry Lelard Zouhair Tabka Yassine Trabelsi Said Ahmaidi
author_facet	Bilel Tounsi Amal Acheche Thierry Lelard Zouhair Tabka Yassine Trabelsi Said Ahmaidi
author_sort	Bilel Tounsi
title	Effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial.
title_short	Effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial.
title_full	Effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial.
title_fullStr	Effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial.
title_full_unstemmed	Effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial.
title_sort	effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in copd patients: randomized controlled trial.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/65ad6de44c304dfbb90f79cae99f3486
work_keys_str_mv	AT bileltounsi effectsofspecificinspiratorymuscletrainingcombinedwithwholebodyendurancetrainingprogramonbalanceincopdpatientsrandomizedcontrolledtrial AT amalacheche effectsofspecificinspiratorymuscletrainingcombinedwithwholebodyendurancetrainingprogramonbalanceincopdpatientsrandomizedcontrolledtrial AT thierrylelard effectsofspecificinspiratorymuscletrainingcombinedwithwholebodyendurancetrainingprogramonbalanceincopdpatientsrandomizedcontrolledtrial AT zouhairtabka effectsofspecificinspiratorymuscletrainingcombinedwithwholebodyendurancetrainingprogramonbalanceincopdpatientsrandomizedcontrolledtrial AT yassinetrabelsi effectsofspecificinspiratorymuscletrainingcombinedwithwholebodyendurancetrainingprogramonbalanceincopdpatientsrandomizedcontrolledtrial AT saidahmaidi effectsofspecificinspiratorymuscletrainingcombinedwithwholebodyendurancetrainingprogramonbalanceincopdpatientsrandomizedcontrolledtrial
_version_	1718375244343803904

Effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial.

Ejemplares similares