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

Abstract

Background-Pulmonary rehabilitation (PR) is effective in reducing dyspnea and fatigue, and improving COPD patient‘s exercise tolerance. Most PR programs do not currently incorporate IMT in their PR programs for COPD patients.
Aim- To assess the influence of adding IMT to the training of patients already involved in a long-term rehabilitation program.
Patients and methods-Thirty-four patients with significant chronic air-flow limitation were recruited from an outpatient clinic for the study. After a four-week run-in period, all patients participated in a general exercise reconditioning (GER) program for 12 weeks. The patients were then randomized to a group assigned to receive IMT in addition to GER for the next 6 months, and a group assigned as a control group, who undertook IMT with very low load.
Results- Following the three months of GER training there was no statistically significant change in the FEV₁ or in the PImax. However, there was a significant increase in the 6-minutes walk test (6MWT) (from Mean±SEM 254±38 m to 322±42 m, p<0.01), and small but non-significant decreases in the perception of dyspnea (POD), and in the St George Respiratory Questionnaire score (SGRQ).
Following the addition of IMT to the GER program there was a significant increase in the PImax in the GER+IMT group (from 66±4.7 to 78±4.5 cm H₂O, p<0.01). This was accompanied by a significant improvement in the perception of dyspnea (POD) and a further significant improvement in the SGRQ score.
Conclusions-IMT provides additional benefits to patients undergoing PR program and is worthwhile even in patients who have already undergone a GER program.

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Citations should be made in the following way:
P. Weiner, A. K. McConnell, R. Magadle, M. Beckerman (Hadera, Israel; Uxbridge, Middlesex, United Kingdom). The addition of inspiratory muscle training to pulmonary rehabilitation program in patients with significant COPD. Eur Respir J 2006; 28: Suppl. 50, 3194

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