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Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease (COPD) as Part of a Respiratory Rehabilitation Program Implementation of Mechanical Devices: A Systematic Review

Author

Listed:
  • Eva Vázquez-Gandullo

    (Pneumology, Allergology and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain)

  • Antonio Hidalgo-Molina

    (Pneumology, Allergology and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain)

  • Francisca Montoro-Ballesteros

    (Pneumology, Allergology and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain)

  • María Morales-González

    (Pneumology Department, Hospital Punta Europa, 11207 Algeciras, Cádiz, Spain)

  • Isabel Muñoz-Ramírez

    (Pneumology, Allergology and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain)

  • Aurelio Arnedillo-Muñoz

    (Pneumology, Allergology and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain)

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a complex and heterogeneous disease, with pulmonary and extrapulmonary manifestations, which leads to the need to personalize the assessment and treatment of these patients. The latest updates of national and international guidelines for the management of COPD reveal the importance of respiratory rehabilitation (RR) and its role in improving symptoms, quality of life, and psychosocial sphere of patients. Within RR, the inspiratory muscle training (IMT) has received special interest, showing benefits in maximum inspiratory pressure, perception of well-being, and health status in patients with chronic heart disease, respiratory diseases, and dyspnea during exercise. The aim of this review is to assess the efficacy of IMT in COPD patients through the use of inspiratory muscle training devices, compared with respiratory rehabilitation programs without inspiratory muscle training. In the last years, many mechanical devices focused on inspiratory muscle training have been developed, some of them, such as the AirOFit PRO™, PowerBreath ® , or FeelBreathe ® , have shown clear benefits. The active search for candidate patients to undergo the RR program with inspiratory muscle training using this type of device in COPD patients represents an advance in the treatment of this disease, with direct benefits on the quality of life of the patients. In this article, we review the available evidence on IMT in these patients and describe the different devices used for it.

Suggested Citation

  • Eva Vázquez-Gandullo & Antonio Hidalgo-Molina & Francisca Montoro-Ballesteros & María Morales-González & Isabel Muñoz-Ramírez & Aurelio Arnedillo-Muñoz, 2022. "Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease (COPD) as Part of a Respiratory Rehabilitation Program Implementation of Mechanical Devices: A Systematic Review," IJERPH, MDPI, vol. 19(9), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5564-:d:808079
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    References listed on IDEAS

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    1. Aurelio Arnedillo & Jose L. Gonzalez-Montesinos & Jorge R. Fernandez-Santos & Carmen Vaz-Pardal & Carolina España-Domínguez & Jesús G. Ponce-González & Magdalena Cuenca-García, 2020. "Effects of a Rehabilitation Programme with a Nasal Inspiratory Restriction Device on Exercise Capacity and Quality of Life in COPD," IJERPH, MDPI, vol. 17(10), pages 1-13, May.
    2. Jose L. Gonzalez-Montesinos & Jorge R. Fernandez-Santos & Carmen Vaz-Pardal & Ruben Aragon-Martin & Aurelio Arnedillo-Muñoz & Jose Reina-Novo & Eva Orantes-Gonzalez & Jose Heredia-Jimenez & Jesus G. P, 2021. "Chronic Effects of a Training Program Using a Nasal Inspiratory Restriction Device on Elite Cyclists," IJERPH, MDPI, vol. 18(2), pages 1-13, January.
    3. José L. Gonzalez-Montesinos & Aurelio Arnedillo & Jorge R. Fernandez-Santos & Carmen Vaz-Pardal & Pelayo A. García & José Castro-Piñero & Jesús G. Ponce-González, 2020. "A New Nasal Restriction Device Called FeelBreathe ® Improves Breathing Patterns in Chronic Obstructive Pulmonary Disease Patients during Exercise," IJERPH, MDPI, vol. 17(13), pages 1-15, July.
    4. Jessica L. McCreery & Kelly A. Mackintosh & Rebekah Mills-Bennett & Melitta A. McNarry, 2021. "The Effect of a High-Intensity PrO2Fit Inspiratory Muscle Training Intervention on Physiological and Psychological Health in Adults with Bronchiectasis: A Mixed-Methods Study," IJERPH, MDPI, vol. 18(6), pages 1-17, March.
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    Cited by:

    1. Eva Vázquez-Gandullo & Antonio Hidalgo-Molina & Francisca Montoro-Ballesteros & María Morales-González & Isabel Muñoz-Ramírez & Aurelio Arnedillo-Muñoz, 2023. "Reply to Yigit, S.; Akinci, B. Comment on “Vázquez-Gandullo et al. Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease (COPD) as Part of a Respiratory Rehabilitation Pro," IJERPH, MDPI, vol. 20(6), pages 1-3, March.
    2. Lorenzo Lippi & Francesco D’Abrosca & Arianna Folli & Alberto Dal Molin & Stefano Moalli & Antonio Maconi & Antonio Ammendolia & Alessandro de Sire & Marco Invernizzi, 2022. "Closing the Gap between Inpatient and Outpatient Settings: Integrating Pulmonary Rehabilitation and Technological Advances in the Comprehensive Management of Frail Patients," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    3. Francisco José Tarazona-Santabalbina & Elsa Naval & Juan María De la Cámara-de las Heras & Cristina Cunha-Pérez & José Viña, 2023. "Is Frailty Diagnosis Important in Patients with COPD? A Narrative Review of the Literature," IJERPH, MDPI, vol. 20(3), pages 1-18, January.
    4. Safak Yigit & Buket Akinci, 2023. "Comment on Vázquez-Gandullo et al. Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease (COPD) as Part of a Respiratory Rehabilitation Program Implementation of Mechanica," IJERPH, MDPI, vol. 20(5), pages 1-2, March.

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