מתוך medicontext.co.il
WESTPORT, CT (Reuters Health) – A program of target-flow inspiratory muscle training appears to relieve dyspnea, increase walking capacity and improve health-related quality of life among patients with chronic obstructive pulmonary disease (COPD), Spanish researchers report.
Dr. Hildegard Sבnchez Riera and colleagues from the Virgen Del Rocio University Hospital in Sevilla randomly assigned 20 COPD patients to 6 months of inspiratory muscle training or to no training, according to their report in the September issue of Chest.
Training was done at home for 30 minutes, 6 days a week. Patients were instructed to produce an inspiratory flow rate that would cause a ball in the flow meter to go to the top of the device.
After 6 months of training, maximal sustained inspiratory pressure significantly improved compared with patients who did not train (p < 0.003). Maximal static inspiratory pressure improved from an average of 44.5 cm H2O to 66.1 cm H2O (p < 0.003), the researchers report.
Among patients who trained there was significant improvement on the shuttle walking test compared with baseline values (p < 0.001) and in comparison with patients who did not train (p < 0.05). The transitional dyspnea index also significantly improved in patients who trained compared with those in the control group (p < 0.003).
Values for health-related quality of life were also significantly improved for those who trained compared with those who did not, (p < 0.003), the investigators note.
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