Effectiveness Of RMT Along With Aerobic Training In Community Dwelling Elderly Individuals

“Ageing is associated with decline in performance of various systems resulting in reduced exercise capacity, fatigue and reduced respiratory muscle functioning. Studies reported that respiratory muscle training is effective to increase respiratory muscle functioning in various populations but the reports are limited in community dwelling elderly population.” Intervention: POWERbreathe Conclusion “Respiratory muscle training along with aerobic training was more effective than aerobic training alone in improving respiratory muscle function, fatigue and exercise capacity in community dwelling elderly individuals after four weeks of intervention.” Effectiveness of respiratory muscle training along with aerobic training in community dwelling elderly individuals >

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Effect Of High-Intensity IMT On Lung Volumes, Diaphragm Thickness, And Exercise Capacity In Subjects Who Are Healthy

“Previous investigations have demonstrated that a regimen of high-intensity inspiratory muscle training (IMT) resulted in changes in ventilatory function and exercise capacity in patients with chronic lung disease, although the effect of high-intensity IMT in subjects who are healthy is yet to be determined. The purpose of this study, therefore, was to examine whether high-intensity IMT resulted in changes in ventilatory function and exercise capacity in subjects who were healthy.”

Conclusion:

“The findings of this study suggest that high-intensity IMT results in increased contracted diaphragm thickness and increased lung volumes and exercise capacity in people who are healthy.”

Read Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy >

Oxygen Uptake Kinetics And Maximal Aerobic Power Are Unaffected By IMT In Healthy Subjects Where Time To Exhaustion Is Extended

“The aim of this study was to determine whether 4 weeks of inspiratory muscle training (IMT) would be accompanied by alteration in cardiopulmonary fitness as assessed through moderate intensity oxygen uptake (V(.)O(2)) kinetics and maximal aerobic power (V(.)O(2max)).”

Conclusion:

“The most plausible explanation for the stability in V(.)O(2) kinetics and V(.)O(2max) following IMT is that it is due to insufficient whole-body stress to elicit either central or peripheral cardiopulmonary adaptation. The extension of post-training T(lim) suggests that IMT might be useful as a stratagem for producing greater volumes of endurance work at high ventilatory loads, which in turn could improve cardiopulmonary fitness.”

Read Oxygen uptake kinetics and maximal aerobic power are unaffected by inspiratory muscle training in healthy subjects where time to exhaustion is extended >

Four Weeks of Inspiratory Muscle Training Improves Self-Paced Walking Performance in Overweight and Obese Adults

“The objective of this study was to examine whether a programme of inspiratory muscle training (IMT) improves accumulative distance of self-paced walking in overweight and obese adults.”

Conclusion:

“This study indicates that IMT may provide a practical, inexpensive, and minimally intrusive intervention to augment both inspiratory muscle strength and walking distance among overweight and obese adults. The beneficial effects of this treatment were similar to those previously reported from vigorous, supervised training among hospitalised obese patients. Our findings indicate similar effects could be expected without the need for hospitalisation and indicate that IMT via an inspiratory resistance device can easily be performed in the home environment. IMT therefore appears a useful strategy to enhance walking performance in overweight and obese individuals which may prove a meaningful priming intervention with which to stimulate performance adaptations and future engagement with physical activity.”

Read Four Weeks of Inspiratory Muscle Training Improves Self-Paced Walking Performance in Overweight and Obese Adults: A Randomised Controlled Trial >

Effects of High-Intensity Inspiratory Muscle Training Following a Near-Fatal Gunshot Wound

“Severe injuries sustained during combat may classify individuals as undeployable for active service. It is imperative that every effort is made to optimize physical function following such injuries.”

“In this case, a 38-year-old man sustained a gunshot wound during armed combat. The bullet entered via the left axilla and exited from the right side of the abdomen, resulting in severe thoracic and abdominal injuries. The main goals of therapy were to reduce dyspnea on exertion and to enable return to full work duties. A program of high-intensity, interval-based threshold inspiratory muscle training (IMT) was undertaken.”

Conclusion:

“Given that IMT was introduced 12 months following the injury, at which point progress had reached a plateau with other rehabilitation strategies, it seems reasonable to attribute the increased maximum forced inspiratory flow recorded at rest and change in the locus of symptom limitation during exercise from the dyspnea to leg fatigue to the introduction of IMT. These data should be seen as hypothesis-generating.”

Clinical Implications and Future Research:

“The flow-volume loops recorded during the CPET allowed us to identify inefficiencies in breathing strategy and respiratory mechanics that were responsible for this patient’s intolerable dyspnea during exercise. Notably, the measurement of Pimax was of no diagnostic value and was used only to prescribe the initial load for IMT. These findings suggest that static measures of the pressure-generating capacity of the inspiratory pump muscles convey little information about how they operate under dynamic conditions such as exercise. In this patient, chest fluoroscopy and the CPET with flow-volume loops provided the most useful diagnostic information. A program of high-intensity IMT should be considered for individuals who demonstrate inspiratory flows during exercise that approximate the maximum inspiratory flow recorded at rest. Further study is needed to confirm the role of IMT in people with diaphragm injury.”

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Respiratory Muscle Training in Healthy Humans: Resolving the Controversy

“An overview of the literature that rationalizes contradictory findings about respiratory muscle training in healthy people.”

Conclusion:

“It is likely that the ergogenic effect of respiratory muscle training (RMT) has a multifactorial etiology that may include:

  1. The direct effect of RMT upon respiratory muscle fatigue
  2. RMT’s indirect effects upon improving blood flow distribution to limb locomotor muscles in heavy exercise
  3. RMT’s direct and indirect effect upon the intensity with which both respiratory and peripheral efforts are perceived.”

Read Respiratory Muscle Training in Healthy Humans: Resolving the Controversy >