A man who sustained a gunshot wound (via the left axilla which exited from the right side of the abdomen) during armed combat left him with severe thoracic and abdominal injuries. After five months he still reported severe dyspnoea on exertion and so a program of high-intensity, interval-based threshold inspiratory muscle training (IMT) was undertaken.
Discussion points and observations:
The subject tolerated well the high-intensity IMT. “It was associated with improvements in maximum forced inspiratory flow and changed the locus of symptom limitation during high-intensity exercise from dyspnea to leg fatigue.”
The purpose of this case study was to ensure every effort is made to optimise physical function following such injuries, so that individuals may continue in active service.