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Inspiratory muscle training in pulmonary hypertension

Melda Saglam, Hulya Arikan, Naciye Vardar-Yagli, Ebru Calik, Deniz Inal-Ince, Sema Savci, Ali Akdogan, Mehmet Yokusoglu, Lale Tokgozoglu
European Respiratory Journal 2013 42: 3336; DOI:
Melda Saglam
1Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey
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Hulya Arikan
1Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey
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Naciye Vardar-Yagli
1Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey
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Ebru Calik
1Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey
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Deniz Inal-Ince
1Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey
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Sema Savci
2School of Physiotherapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey
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Ali Akdogan
3Faculty of Medicine, Department of Internal Medicine, Unit of Rheumatology, Hacettepe University, Ankara, Turkey
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Mehmet Yokusoglu
4Department of Cardiology, Gülhane Military Medicine Academy, Ankara, Turkey
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Lale Tokgozoglu
5Faculty of Medicine, Department of Cardiology, Hacettepe University, Ankara, Turkey
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Abstract

Aim and Background: Pulmonary hypertension (PHT) is a syndrome, associated with hemodynamic alteration of a number of diseases and processes. It has been demonstrated that patients with PHT have inspiratory muscle weakness, possibly further increase fatigue and dyspnea during exercise. Therefore, the purpose of this study was to investigate the effects of inspiratory muscle training (IMT) on functional exercise capacity, respiratory muscle strength, activities of daily living (ADL), and fatigue perception in patients with PHT.

Methods: Twenty-nine clinically stable PHT patients were included. These patients were randomly assigned to a six-week IMT program (14 patients) or to a sham IMT (15 patients) protocol. Before and after the treatment, respiratory muscle strength using mouth pressure device, functional capacity using 6-minute walking test (6MWT), ADL using Health Assessment Questionnaire (HAQ), and fatigue perception using Fatigue Severity Scale (FSS) were evaluated.

Results: There were significant increases in maximal inspiratory pressure (99.9±21.5 vs. 73.0±29.6 cmH2O), maximal expiratory pressure (114.6±29.1 vs. 93.5±27.7 cmH2O), and 6MWT distance (476.4±90.1 vs. 334.0±121.6 m) in the IMT group as compared with sham therapy group (p<0.05). There were significant decreases in FSS score (9.9±3.7 vs. 13.5±3.9) and HAQ scores (4.9 ±5.0 vs. 14.5 ±11.6), in IMT group as compared with the control group (p<0.05).

Conclusion: The IMT ensures significant improvements in respiratory muscle strength and functional capacity, thus resulting in reduction of discomfort during ADL, increase in exercise capacity and decrease fatigue perception in patients with PHT. IMT is a practical and safe treatment without any complications in PHT.

  • Pulmonary hypertension
  • Respiratory muscle
  • Rehabilitation
  • © 2013 ERS
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Inspiratory muscle training in pulmonary hypertension
Melda Saglam, Hulya Arikan, Naciye Vardar-Yagli, Ebru Calik, Deniz Inal-Ince, Sema Savci, Ali Akdogan, Mehmet Yokusoglu, Lale Tokgozoglu
European Respiratory Journal Sep 2013, 42 (Suppl 57) 3336;

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Inspiratory muscle training in pulmonary hypertension
Melda Saglam, Hulya Arikan, Naciye Vardar-Yagli, Ebru Calik, Deniz Inal-Ince, Sema Savci, Ali Akdogan, Mehmet Yokusoglu, Lale Tokgozoglu
European Respiratory Journal Sep 2013, 42 (Suppl 57) 3336;
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