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JR 3 Aulia-High-intensity Inspiratory Muscle Training in Bronchiectasis Edit
JR 3 Aulia-High-intensity Inspiratory Muscle Training in Bronchiectasis Edit
JR 3 Aulia-High-intensity Inspiratory Muscle Training in Bronchiectasis Edit
Excessive
Excessive
Effectiveness of coughing ↓
Fatigue
Fatigue secretions
secretions Dyspnoea
Bronchiectasis
Hypoventilation
Exercise
intolerance Dyspnoea
Infection
Respiratory failure
Introduction
Enhance velocity of
Decreased inspiratory Increase exhalation Allow more time for
inspiratory muscle
time time lung emptying
contraction
Introduction
In Bronchiectasis
Purpose
Hypothesis
Time
Bronchiectasis
• Confirmed by clinical history, including coughing, shortness of breath, exertional dyspnoea,
pulmonary function tests (PFT) and high-resolution computed tomography (HRCT).
Subjects
• were randomly divided into two groups: H-IMT and low-intensity IMT (control).
Assessors
Inclusion criteria
• No significant coexisting disease affecting ability to undertake exercise, ability to walk and
willingness to cooperate in the study.
Exclusion criteria
Approval
• Hacettepe University Ethics Committee
All measurements were performed at the beginning and end of the 8-week programmes
• Standard • Modified Medical • Electronic mouth • Threshold loading • ISWT • Leicester Cough
spirometer Research Council pressure device device, using the Questionnaire
(Spirodoc; MIR, (MMRC) dyspnoea sustainable (LCQ).
Rome, Italy) scale and Fatigue inspiratory
Severity Scale pressure (SIP) test
(FSS)
Methods
Inspiratory muscle training
The
The Expectation
Expectation Maximization
Maximization (EM)
(EM)
• to overcome missing cases (two from H-IMT and one from control)
Normality
Normality of
of the
the data
data
• Kolmogorov–Smirnov test
Two
Two independent
independent groups
groups of
of numerical
numerical variables
variables
• Student’s t- test or the Mann–Whitney U-test
Categorical
Categorical comparisons
comparisons
• Chi-square test
Baseline
Baseline values
values
• Student's t-test
Level
Level of
of significance
significance
• p < 0.05.
Results
Results
Results
Results
Discussion
An 8-week H-IMT increased
The H-IMT has improved
exercise capacity in non-CF
respiratory muscle strength and
patients with bronchiectasis
endurance, and social aspects
with low to intermediate
of the QOL.
severity
We evaluated exercise capacity using the ISWT. At baseline, 69.57% of patients from
the H-IMT Exercise
group and
capacity 63.64%
diminishes of patients from the control group were at lower than
in bronchiectasis
• In the first study, an 8-week moderate-intensity (MIP 30–60%, 15 min) IMT added to
ExT did not show an increase in MIP.
In our study, H-IMT increased MIP and MEP by significant increase in MEP
43.53% and 11.67%, respectively.
Discussion
to
to increase
increase exercise
exercise capacity,
capacity, respiratory
respiratory muscle
muscle endurance
endurance and
and inspiratory
inspiratory muscle
muscle strength
strength as
as well
well as
as dyspnea
dyspnea in
in patients
patients with
with
bronchiectasis.
Both
Both the
the data
data in
in literature
literature and
and those
those in
in our
our study suggest that
study suggest that H-IMT
H-IMT may
may bebe used
used in
in bronchiectasis
bronchiectasis patients
patients as
as efficient
efficient to
to increase
increase
exercise
exercise capacity
capacity
The findings of our study respiratory muscles are capable of H-IMT, and it could be used as home-based.
Thus,
Thus, it
it may
may increase
increase the
the patient’s
patient’s compliance
compliance and
and facilitate
facilitate implementation
implementation for
for healthcare
healthcare professionals
professionals
Discussion
Limitations