A Combined IMT & EMT Program Improves Respiratory Muscle Strength & Fatigue in MS

The Archives of Physical Medicine and Rehabilitation published an ‘Article in Press’ that looked at determining the effects of a short duration of combined inspiratory and expiratory progressive respiratory muscle training (RMT) on respiratory muscle strength, fatigue, health-related quality of life and functional performance in individuals with mild-to-moderate MS (Multiple Sclerosis).

Results showed an increase in maximal inspiratory pressure and expiratory pressure and that RMT improved fatigue.

The study concluded that a short duration of combined RMT improved inspiratory and expiratory muscle strength and reduced fatigue in patients with mild-to-moderate MS.

A Combined Inspiratory and Expiratory Muscle Training Program Improves Respiratory Muscle Strength and Fatigue in Multiple Sclerosis

Andrew D. Ray, P.T., Ph.D. , Supriya Udhoji, OTR/L, M.S., Terry Mashtare, Ph.D., Nadine M. Fisher, Ed.D.

Abstract

Objective
To determine the effects of short duration, combined (inspiratory and expiratory), progressive resistance respiratory muscle training (RMT) on respiratory muscle strength, fatigue, health-related quality of life (HRQoL), and functional performance in individuals with mild-to-moderate Multiple Sclerosis (MS).

Interventions
Training was a 5-week combined progressive resistance RMT program, 3 days/week, 30 min/session.

Conclusions
A short duration combined RMT program improved inspiratory and expiratory muscle strength and reduced fatigue in patients with mild-to-moderate MS.

Read the full Abstract.

In another study it concluded that “Inspiratory Muscle Training (IMT) significantly increased inspiratory muscle strength and resulted in generalized improvements in expiratory pulmonary function in persons with Multiple Sclerosis who have minimal to moderate disability. Future studies are needed that focus on the long-term effects of IMT with increased resistance and the impact it has on increasing pulmonary function and functional performance.”

Read about how POWERbreathe Inspiratory Muscle Training is being used for people with Medical Conditions where inspiratory muscle weakness and fatigue are symptoms.

If you’re already using POWERbreathe to help with respiratory weakness and fatigue because of MS, then please leave a comment here or on the POWERbreathe Forum as we’d really like to hear from you. You can also read more on our blog from Madeline Simon, a Multiple Sclerosis patient who’s been using POWERbreathe to help strengthen her breathing muscles.

RMT for respiratory deficits in neurodegenerative disorders

On November 15th 2012 Chest Journal (Official Publication of the American College of Chest Physicians) published the Abstract of Original Research on:

“Respiratory muscle training for respiratory deficits in neurodegenerative disorders: A systematic review”

Authors: Alvaro Reyes, PhD; Mel Ziman, PhD; Ken Nosaka, PhD

Background: Studies of respiratory muscle training on central neurodegenerative pathologies have been aimed at improving pulmonary function. However, there is no certainty about the effectiveness of respiratory muscle training in patients affected by these groups of disorders. The purpose of this review was to assess the evidence regarding the efficacy of inspiratory and expiratory muscle training on respiratory function in patients with neurodegenerative disorders of the central nervous system.

Methods: Studies reporting on inspiratory and expiratory muscle training in patients with neurodegenerative diseases were included.

Conclusions: There is some evidence that respiratory muscle training improves a number of respiratory function parameters in patients with Parkinson’s disease and multiple sclerosis; however, the number of studies and their quality are not sufficient to conclude whether inspiratory or expiratory muscle training is effective for improved respiratory function in patients with neurodegenerative disorders of the central nervous system.

The above is a short excerpt from the Abstract published online, so please visit Chest Journal online to read more.

Madeline Simon (MS ) – My latest K3 stats show an improvement in my lung condition

Madeline SimonIsn’t this sun and warmth a lovely welcome, it definitely gives you a boost in energy, makes you more motivated and wanting to achieve more. I have to confess that when it was cold and wet I did let my POWERbreathe routine slip a bit but am pleased to report in that things are back…plus a bit more; a few press ups in the morning and have started going on the exercise bike – only 10 mins today but aim to build it to 20mins a day.

My summer plans are going well and I didn’t overdo things when I had a few days away to see some friends and ex-colleagues. My school friend reunion has been put back to Sept/Oct, the date is yet to be confirmed.

Here are my latest stats on my POWERbreathe K3, I was pleased to see that my lungs hadn’t lost condition with the brief lapse I had at the beginning of the month. For June I am aiming for an improvement again and getting back on track for a steady improvement each week.

 

TRAIN

 

TEST

Date Level Load cmH2O PowerWatts VolumeLitres T-index%   S-IndexcmH2O FlowL/s Volume Litres
26th May 2012 Hard 54 4.7 1.7 98 High   84 Average 4.9 1.9
21st April 2012 Hard 54 4.9 1.7 98 High   82 Average 4.7 1.8

Madeline

If you would like to leave a message for Madeline, then please leave a comment here.

If you have a health condition that leaves you with inspiratory muscle weakness then please get in touch. We’d also really like to hear from you if you are using POWERbreathe breathing exercises for asthma or to complement your COPD treatment.

Madeline Simon (MS) – I’m quite impressed with my POWERbreathe results

Madeline SimonI’m in my 2nd week of rebuilding and things are looking up. It’s always good to know what your own body needs, so you don’t get despondent. I have even started making plans for May, one of them being a luncheon with some of my ex-colleagues and friends which I had to miss out on last year as I had over done things.

Like I said last week, I am quite impressed with my POWERbreathe results. I am making steady progress every week and feel better and stronger for it. I don’t do excessive training but what I do is working for me. Long may the progress continue.

As of this week I am reducing my journals to once a month, reporting in on my breathing training results from my K3, as well as a general check-in.

TRAIN

TEST

Date Level Load cmH2O PowerWatts VolumeLitres T-index% S-IndexcmH2O FlowL/s Volume Litres
21st Apr 2012 Hard 54 4.9 1.7 98 High 82Average 4.7 1.8
25th Mar 2012 Hard 50 4.4 1.6 100 High 75Average 4.3 1.7

Madeline

If you would like to leave a message for Madeline, then please leave a comment here.

If you have a health condition that leaves you with inspiratory muscle weakness then please get in touch. We’d also really like to hear from you if you are using POWERbreathe breathing exercises for asthma or to complement your COPD treatment.

Madeline Simon (MS) – Me and my faithful POWERbreathe

Madeline SimonHaving built myself up for Easter and our family guest over for the weekend, I do feel a bit drained now and have given myself 3 weeks rest before any more exertions.

I know it sounds a bit pathetic but it is what my body needs. At least my faithful POWERbreathe doesn’t take too much effort. I will share with you my results next week; I think you will be impressed, I am!

My MS (Multiple Sclerosis) symptoms seem to be declining too. A change in my eating habits and general routine is paying off but more needs to be done. I must learn not to overdo things. Like I said I am slowly learning.

Madeline

If you would like to leave a message for Madeline, then please leave a comment here.

If you have a health condition that leaves you with inspiratory muscle weakness then please get in touch. We’d also really like to hear from you if you are using POWERbreathe breathing exercises for asthma or to complement your COPD treatment.

 

Madeline Simon (MS) – I like the POWERbreathe K3 because you can constantly measure yourself & set your targets accordingly

Madeline SimonI have to correct my mile estimation from last week, it was actually more like ½ mile but still very impressive for me.

My overall POWERbreathe breathing results dipped slightly this month, the reason being I developed a real stinker of a head cold, which has set me back a bit. But, the beauty of the POWERbreathe is I know that I can get back on stream again fairly quickly and without absolutely exhausting myself. So onwards and upwards and I look forward to next month’s results showing me back on track. That’s why I like the POWERbreathe K3 – you can constantly measure yourself and set your targets accordingly.

 

TRAIN

TEST

Date Level Load cmH2O PowerWatts VolumeLitres T-index% S-IndexcmH2O FlowL/s Volume Litres
25th Mar 2012 Hard 50 4.4 1.6 100 High 75Average 4.3 1.7
02th Mar 2012 Hard 47 4.6 1.8 100 High 78Average 4.5 1.9

Madeline

If you would like to leave a message for Madeline, then please leave a comment here.

If you have a health condition that leaves you with inspiratory muscle weakness then please get in touch. We’d also really like to hear from you if you are using POWERbreathe breathing exercises for asthma or to complement your COPD treatment.

Madeline Simon (MS) – You would be so impressed with what POWERbreathe has done for me…

Madeline SimonYou would be so impressed with what POWERbreathe has done for me… A friend came round on Friday and we decided to go for a walk – and it wasn’t short: just under a mile with much chatting as we went. The good news is I wasn’t out of breath at all! Having started using my POWERbreathe in August 2010, I really haven’t looked back.

I do suffer from poor balance, tremors and fatigue with my MS (multiple sclerosis), but the POWERbreathe has helped eliminate another potential symptom i.e. being out of breath all the time.

Thank you POWERbreathe!

Madeline

If you would like to leave a message for Madeline, then please leave a comment here.

If you have a health condition that leaves you with inspiratory muscle weakness then please get in touch. We’d also really like to hear from you if you are using POWERbreathe breathing exercises for asthma or to complement your COPD treatment.

Madeline Simon (MS) – 19 years of living with Multiple Sclerosis

Madeline SimonIt’s been a quiet week on the exercise front this week, but that’s mainly because I had guests for two days and some paperwork that needed to be done.  It’s funny how a change of routine just throws everything up in the air. I need to get back on stream again PDQ with my Pilates and POWERbreathe.

However, it has done me a favour in a way, as I have decided not to see my friend in Italy until September/October, and that’s if I am feeling fit.  As you can tell from my previous blog posts,  because of Multiple Sclerosis I’m not good with stress or changes to my routine, but I  am slowly learning and recognising when I need to take things easier, after 19-yrs of living with MS.

Now I’m off to do my POWERbreathe training! Speak to you again next week.

Madeline

If you would like to leave a message for Madeline, then please leave a comment here.

If you have a health condition that leaves you with inspiratory muscle weakness then please get in touch. We’d also really like to hear from you if you are using POWERbreathe breathing exercises for asthma or to complement your COPD treatment.

Madeline Simon (MS) – it’s been a better week this week

Madeline SimonIt’s been a better week this week, with no dull pins and needles progressing above my ankles. So I’m going to continue on with my strategy.

When you go through times of fatigue and lack of energy, you appreciate even more what the POWERbreathe is giving you. Yes, I do my Pilates and core stability exercises but these are not really giving my lungs a workout.  I can’t really run because of the lack of balance I have as a result of Multiple Sclerosis, and I can only walk short distances, hence the importance of the POWERbreathe, and why I will never give it up. I remember very well those days before POWERbreathe, when I felt severely unfit and had no strength, but as I say that was before I was introduced to the POWERbreathe breathing exercises, and I never want to go back to that state again.

It is also good for your own morale to have a measurement of how you are doing, and my POWERbreathe K3 does just that, and each month I am making slight improvements – long may it continue!

 

If you have a message for Madeline, she’d be delighted to hear from you, so please feel free to leave a comment here.

If you have a health condition that prevents you from doing any physical activity, then it’s likely that you too are experiencing inspiratory muscle weakness, and POWERbreathe could be beneficial. We’d love to hear from you if you are using POWERbreathe breathing exercises for asthma or to complement your COPD treatment.

Madeline Simon (MS) – I’ve had some familiar warning signs of my Multiple Sclerosis

Madeline SimonThis week I got some firm and familiar warning signs of my Multiple Sclerosis (MS): I’ve had dull pins and needles in my big toes and they feel heavy. This sensation moved up my legs to just below my knees at the beginning of the week.

I’m in my 5th year without a relapse and DO NOT want to spoil this record so I had a mental review of my habits and I talked to my physio about it. Bottom-line, I am not having a good night’s sleep, so feel fatigued with low energy levels. So, until I have broken this habit I am talking herbal sleeping tablets for five nights and prescription ones for two. I am also increasing the amount of carbohydrates in my diet, which were probably too low, and finally, actually increasing my exercise routine, a bit of reverse psychology. So I need to gradually work at getting back into my Pilates and POWERbreathe training again.

So far the dull pins and needles just go up to my ankles, and as they haven’t progressed any further than that, the changes I’ve made must be working.

I’ve also just got back from an excellent session of Pilates, which has made me feel more upbeat.