Source: Annual Congress 2006 - Training strategies and education in rehabilitation
Disease area: Airway diseases

Abstract

Background: System influence of COPD includes respiratory muscles weakness. Respiratory training with PID directed to respiratory muscle training via expiratory and inspiratory resistance.
Aim: To evaluate the effectiveness of PID in COPD patients.
Methods: 30 COPD patients, stage III and IY were randomized in 2 groups. Group 1 (64,7+7,0yrs) received ICS, LABA and tiotropium bromide. Group2 (64,0+11,0yrs) - the same therapy+ PID. 6MWT, respiratory muscles force and endurance, MOS SF-36 and lung function were evaluated at baseline, after 2 weeks and 3 months.
Results: In group 2 there was the significant improvement in lung function (ΔFEV1-11+6,0% (p<0,01), ΔPEF-10+4,3% (p<0,001)), physical tolerance (Δ6MWT)-62+13,4 m (p<0,01)), QoL parameters (ΔPF-12,7+6,7% (p<0,05), ΔRP-17,5+5,5% (p<0,05), ΔCH-27,5+12,4%(p<0,01)). In group 1 results were lower: ΔFEV1-3,1+0,4% (p<0,05), Δ6MWT-29,8+9,6m (p<0,01), ΔPF-6,5+1,8% (p<0,05), ΔCH-20+8,7% (p<0,001).
Conclusion: Breath muscle training using expiratory and inspiratory resistance significantly improved lung function, physical tolerance and QoL parameters in comparison with the medication therapy only.

Rating:

Share or cite this content

Citations should be made in the following way:
N. N. Meshcheriakova, A. S. Belevskiy, A. V. Cherniak, G. V. Nekludova, A. A. Appaeva (Moscow, Russian Federation). Threshold PEP and IMT devices (PID) for COPD patient respiratory training. Eur Respir J 2006; 28: Suppl. 50, 3187

Member's Comments

No comment yet.

Related content which might interest you: Inspiratory muscle training (IMT) as an adjunct to pulmonary rehabilitation (PR) in patients with severe COPD Source: Annual Congress 2012 - New adjuncts and modalities in pulmonary rehabilitation Year: 2012 Does inspiratory muscle training (IMT) reduce depression in patients with COPD? Source: International Congress 2019 – Assessment and training of respiratory muscles Year: 2019 Effects of routine inspiratory muscle training (IMT) as add-on to pulmonary rehabilitation (PR) in COPD Source: International Congress 2015 – Latest insights into pulmonary rehabilitation Year: 2015 Salmeterol/fluticasone propionate (SFC) improves the inspiratory to total lung capacity ratio (IC/TLC) and exercise endurance time in patients with COPD Source: Annual Congress 2006 - COPD therapy Year: 2006 Change in 6 minute walk distance (6MWD) following a familiarisation test and exercise training in patients with chronic obstructive pulmonary disease (COPD): influence of disability Source: Annual Congress 2008 - Rehabilitation and influencing factors Year: 2008 The effect of non-invasive ventilation (NIV) during exercise on inspiratory capacity (IC) and endurance time (Tlim) in patients with severe COPD Source: International Congress 2019 – Oxygen supplementation, noninvasive ventilation and mobility aspects of patients with impaired respiration Year: 2019 An automated algorithm to calculate neural respiratory drive (NRD) from the parasternal electromyogram (EMG) in patients with an acute exacerbation of COPD (AECOPD) Source: International Congress 2014 – Pathophysiological mechanisms at different scales Year: 2014 Neural respiratory drive (NRD) measured by parasternal electromyography predicts clinical deterioration and early readmission in patients with acute exacerbation of COPD (AECOPD) Source: International Congress 2014 – Respiratory pathophysiology: mechanisms of alteration of lung, respiratory and peripheral muscle function Year: 2014 Reproducibility and reliability of parasternal electromyography in patients with COPD and obesity related respiratory failure (ORRF) Source: Annual Congress 2013 –Respiratory muscles at rest and during exercise: from physiology to clinical context Year: 2013 The combined effects of manual chest squeezing coordinated expiration during exercise in patients with chronic obstructive pulmonary disease (COPD) Source: International Congress 2015 – Best abstracts in COPD management Year: 2015 Non-contact assessment of acute bronchodilator’ response during tidal breathing in COPD patients using structured light plethysmography (SLP) Source: International Congress 2015 – Lung function: new findings and approaches Year: 2015 Energy economy of walking with a wheeled ambulatory aid (rollator) in patients with chronic obstructive pulmonary disease (COPD) Source: Annual Congress 2011 - Exercise tests and emerging outcomes: defining the impact of pulmonary rehabilitation Year: 2011 Changes of respiratory mechanics (RM) during exacerbations of chronic obstructive pulmonary disease (COPD) requiring noninvasive ventilation (NIV) Source: Annual Congress 2010 - News from noninvasive ventilation Year: 2010 Changes of active expiration respiratory muscle (RM) in men with chronic obstructive pulmonary disease (COPD) Source: Annual Congress 2011 - Respiratory and skeletal muscle assessment in health and disease Year: 2011 Can body mass index (BMI) predict the likelihood of nocturnal non-invasive home mechanical ventilation (HMV) re-admission rate in chronic hypercapnic chronic obstructive pulmonary disease (CHCOPD)? Source: Annual Congress 2013 –NIV in the acute setting: growing experience and novel applications Year: 2013 Inspiratory muscle effort (IME): a useful parameter to set pressure support ventilation (PSV) in ventilator-dependent COPD patients? Source: Eur Respir J 2002; 20: Suppl. 38, 627s Year: 2002 Exercise capacity and dyspnea challenge of adult chronic obstructive lung disease (COPD) patients when using a novel mesh nebulizer compared to traditional jet nebulizer (TJN) Source: Virtual Congress 2020 – Inhaler devices in COPD: technical advances, adherence studies and more Year: 2020 Interval training as an alternative modality to continuous exercise in patients with COPD Source: Eur Respir J 2002; 20: 12-19 Year: 2002 CAT (COPD assessment test) as outcome parameter of pulmonary rehabilitation (PR) in COPD Source: Annual Congress 2011 - What do individuals know about their disease? Educational needs, the psychological impact of chronic respiratory disease and health-related quality of life Year: 2011 The estimation of respiratory muscles (RM) status by echodensitometry in men with chronic obstructive pulmonary disease (COPD) Source: Annual Congress 2012 - Various issues in clinical physiology Year: 2012