Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease

Sherin Hassan Mohammed Mehani1,2 1Physical Therapy Department for Internal Medicine, 2Education and Student Affairs, Faculty of Physical Therapy, Beni-Suef University, Beni Suef, Egypt Aim: The aim of the present study was to compare threshold inspiratory muscle training (IMT) and expiratory muscl...

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Autor principal:	Mehani SHM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	respiratory muscle training respiratory muscle strength arterial blood gases walking chronic obstructive pulmonary disease. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/deb64095f7e643399a4298d0bb5e7968
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spelling	oai:doaj.org-article:deb64095f7e643399a4298d0bb5e79682021-12-02T05:25:22ZComparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease1178-1998https://doaj.org/article/deb64095f7e643399a4298d0bb5e79682017-10-01T00:00:00Zhttps://www.dovepress.com/comparative-study-of-two-different-respiratory-training-protocols-in-e-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Sherin Hassan Mohammed Mehani1,2 1Physical Therapy Department for Internal Medicine, 2Education and Student Affairs, Faculty of Physical Therapy, Beni-Suef University, Beni Suef, Egypt Aim: The aim of the present study was to compare threshold inspiratory muscle training (IMT) and expiratory muscle training (EMT) in elderly male patients with moderate degree of COPD.Materials and methods: Forty male patients with moderate degree of COPD were recruited for this study. They were randomly divided into two groups: the IMT group who received inspiratory training with an intensity ranging from 15% to 60% of their maximal inspiratory pressure, and the EMT group who received expiratory training with an equal intensity which was adjusted according to the maximal expiratory pressure. Both groups received training three times per week for 2 months, in addition to their prescribed medications.Results: Both IMT and EMT groups showed a significant improvement in forced vital capacity, forced expiratory volume in the first second, forced expiratory volume in the first second% from the predicted values, and forced vital capacity% from the predicted value, with no difference between the groups. Both types of training resulted in a significant improvement in blood gases (SaO2%, PaO2, PaCO2, and HCO3), with the inspiratory muscle group showing the best results. Both groups showed a significant improvement in the 6-min walking distance: an increase of about 25% in the inspiratory muscle group and about 2.5% in the expiratory muscle group.Conclusion: Both IMT and EMT must be implemented in pulmonary rehabilitation programs in order to achieve improvements in pulmonary function test, respiratory muscle strength, blood oxygenation, and 6-min walking distance. Keywords: respiratory muscle training, respiratory muscle strength, arterial blood gases, walking, chronic obstructive pulmonary diseaseMehani SHMDove Medical Pressarticlerespiratory muscle trainingrespiratory muscle strengtharterial blood gaseswalkingchronic obstructive pulmonary disease.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1705-1715 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	respiratory muscle training respiratory muscle strength arterial blood gases walking chronic obstructive pulmonary disease. Geriatrics RC952-954.6
spellingShingle	respiratory muscle training respiratory muscle strength arterial blood gases walking chronic obstructive pulmonary disease. Geriatrics RC952-954.6 Mehani SHM Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease
description	Sherin Hassan Mohammed Mehani1,2 1Physical Therapy Department for Internal Medicine, 2Education and Student Affairs, Faculty of Physical Therapy, Beni-Suef University, Beni Suef, Egypt Aim: The aim of the present study was to compare threshold inspiratory muscle training (IMT) and expiratory muscle training (EMT) in elderly male patients with moderate degree of COPD.Materials and methods: Forty male patients with moderate degree of COPD were recruited for this study. They were randomly divided into two groups: the IMT group who received inspiratory training with an intensity ranging from 15% to 60% of their maximal inspiratory pressure, and the EMT group who received expiratory training with an equal intensity which was adjusted according to the maximal expiratory pressure. Both groups received training three times per week for 2 months, in addition to their prescribed medications.Results: Both IMT and EMT groups showed a significant improvement in forced vital capacity, forced expiratory volume in the first second, forced expiratory volume in the first second% from the predicted values, and forced vital capacity% from the predicted value, with no difference between the groups. Both types of training resulted in a significant improvement in blood gases (SaO2%, PaO2, PaCO2, and HCO3), with the inspiratory muscle group showing the best results. Both groups showed a significant improvement in the 6-min walking distance: an increase of about 25% in the inspiratory muscle group and about 2.5% in the expiratory muscle group.Conclusion: Both IMT and EMT must be implemented in pulmonary rehabilitation programs in order to achieve improvements in pulmonary function test, respiratory muscle strength, blood oxygenation, and 6-min walking distance. Keywords: respiratory muscle training, respiratory muscle strength, arterial blood gases, walking, chronic obstructive pulmonary disease
format	article
author	Mehani SHM
author_facet	Mehani SHM
author_sort	Mehani SHM
title	Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease
title_short	Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease
title_full	Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease
title_fullStr	Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease
title_full_unstemmed	Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease
title_sort	comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/deb64095f7e643399a4298d0bb5e7968
work_keys_str_mv	AT mehanishm comparativestudyoftwodifferentrespiratorytrainingprotocolsinelderlypatientswithchronicobstructivepulmonarydisease
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Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease

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