%0 Journal Article
%T SPECIFIC INSPIRATORY MUSCLE TRAINING CAN IMPROVE THE OVERALL FUNCTIONALITY OF THE INSPIRATORY MUSCLES AND CONTIBUTES TO REDUCTION OF RESPIRATORY COMPLICATIONS
%A Jeruc Tan£¿ek
%A Monika
%J -
%D 2017
%X Sa£¿etak Introduction: Specifi c inspiratory muscle training (IMT) can improve the function of the inspiratory muscles. POWERBreathe Kinect Series (POWERBreathe- Int. Ltd, UK) is a recently developed IMT device that applies a variable resistance provided by an electronically controlled valve (variable fl ow resistive load). In contrast to the traditionally applied threshold loading, this variable fl ow resistive load is specifi cally challenging for the inspiratory muscles at higher lung volumes, and may lead to larger training eff ects. Discussion: Th e aim of this article was to summarise the basic facts and evidence based knowledge about IMT with variable resistance for the most relevant indications and to discuss these results in the context of current literature for the group of neuromuscular diseases and the group of obstructive lung diseases as well as current knowledge on £¿weaning¡° from invasive mechanical ventilation in the context of physical activity. Results of the meta analysis done by Ferreira et al, showed that specifi c IMT improved the strength of respiratory muscles and ventilatory function, and should be an adjunct to rehabilitation of patients with neurodegenerative diseases. A recent study done by Gosselink et al reported that a group of subjects who trained at 80% intensity of MIP experienced increased vital capacity and total lung capacity but it has it has it¡¯slimitations. Several studies also confi rmed that daily intermittent inspiratory loading with six to eight contractions repeated in three to four series at moderate to high intensity was safe, it improved inspiratory muscle strength and weaning success in patients with diffi cult weaning. Studies have shown that threshold loading might be less optimal compared with (electronic) tapered fl ow-resistive loading. Conclusion: Specific IMT is safe and eff ective for inidividuals with diff erent diseases. Th e studies and researches indicated that some adjustment have to be taken into consideration for each group of patients. In addition, inspiratory muscle training is expected to reduce the risk of respiratory complications. when training patients with IMT in a clinical setting, therapists should be actively engaged to emphasize the correct training pattern
%K specific inspiratory muscle training
%K diaphragm weakness
%K neuromuscular diseases
%K obstructive lung diseases
%K £¿weaning¡° from invasive mechanical ventilation
%U https://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=256860