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Impact of inspiratory muscle training in patients with COPD: what is the evidence?

R. Gosselink, J. De Vos, S.P. van den Heuvel, J. Segers, M. Decramer, G. Kwakkel
European Respiratory Journal 2011 37: 416-425; DOI: 10.1183/09031936.00031810
R. Gosselink
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  • For correspondence: Rik.Gosselink@faber.kuleuven.be
J. De Vos
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S.P. van den Heuvel
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J. Segers
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M. Decramer
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G. Kwakkel
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  • Figure 1–
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    Figure 1–

    Effect of inspiratory muscle strength and endurance training on maximal inspiratory strength (PI,max). #: excluded from the analyses.

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    Figure 2–

    Effect of general exercise reconditioning (GER) plus inspiratory muscle training versus GER alone on inspiratory muscle strength. PI,max: maximal inspiratory pressure.

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    Figure 3–

    Effect of inspiratory strength and endurance training on functional exercise capacity (6-min walk distance).

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    Figure 4–

    Effect of general exercise reconditioning (GER) plus inspiratory muscle training versus GER alone on functional exercise performance. PI,max: maximal inspiratory pressure. #: result from random effects model.

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  • Table 1– Overall results of the meta-analysis
    Outcome measuresSubjects nQ-statisticI2SES95% CIp-value (z-statistic)Natural units
    PI,max3257.8460.730.53–0.930.001+13 cmH2O
    RMET1447.3731.050.62–1.490.001+261 s
    ITL1116.830.980.72–1.250.001+13 cmH2O
    MVV41.200.23-0.27–0.720.373+3 L·min−1
    Functional exercise capacity2214.300.280.12–0.440.0016MWD: +32 m 12MWD: +85 m
    Endurance exercise capacity34.6570.72-0.12–1.550.087+198 s
    V′O2,max L·min−196.00-0.13-0.38–0.110.293-0.04 L·min−1
    V′O2,max mL·min−1·kg−155.0200.3-0.02–0.630.067+1.3 mL·min−1·kg−1
    V′E,max95.50-0.04-0.3–0.20.696-0.7 L·min−1
    Wmax105.100.07-0.16–0.30.562+1.7 W
    Dyspnoea Borg score1415.617-0.45-0.66– -0.240.001-0.9
    Dyspnoea TDI46.3521.580.86–2.30.001+2.8
    Dyspnoea CRQ-Dyspnoea916.6520.34-0.03–0.710.068+1.1
    Quality of life CRQ910.4200.340.09–0.600.007+3.8
     CRQ fatigue108.200.270.03–0.500.024+0.9
     CRQ emotion107.600.19-0.04–0.420.107+0.5
     CRQ mastery108.500.09-0.14–0.330.432-0.005
    • n = 32. SES: summary effect size; PI,max: maximal inspiratory pressure; RMET: respiratory muscle endurance test: ITL: incremental threshold loading; MVV: maximal voluntary ventilation; V′O2,max: maximal oxygen uptake; V′E,max: maximal minute ventilation; Wmax: maximal power output; TDI: transition dyspnoea index; CRQ: chronic respiratory questionnaire.

Additional Files

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    • Supplementary material -
      Methods
      Quality of life
      Table S1
      Figure S1
      Figure S2
      Figure S3
      Table S2
      Table S3
      Table S4
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Impact of inspiratory muscle training in patients with COPD: what is the evidence?
R. Gosselink, J. De Vos, S.P. van den Heuvel, J. Segers, M. Decramer, G. Kwakkel
European Respiratory Journal Feb 2011, 37 (2) 416-425; DOI: 10.1183/09031936.00031810

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Impact of inspiratory muscle training in patients with COPD: what is the evidence?
R. Gosselink, J. De Vos, S.P. van den Heuvel, J. Segers, M. Decramer, G. Kwakkel
European Respiratory Journal Feb 2011, 37 (2) 416-425; DOI: 10.1183/09031936.00031810
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