Effects of Inspiratory Muscle Training in Patients With Pulmonary Hypertension


ÖZCAN KAHRAMAN B., Tanriverdi A., SAVCI S., AKDENİZ B., SEVİNÇ C., Ozsoy I., ...Daha Fazla

AMERICAN JOURNAL OF CARDIOLOGY, cilt.203, ss.406-413, 2023 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 203
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1016/j.amjcard.2023.06.097
  • Dergi Adı: AMERICAN JOURNAL OF CARDIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, CINAHL, EMBASE, International Pharmaceutical Abstracts
  • Sayfa Sayıları: ss.406-413
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

The study aimed to examine the effects of inspiratory muscle training (IMT) in patients with pulmonary hypertension (PH). A total of 24 patients with PH were included in the ran-domized controlled evaluator-blind study. IMT was performed at 40% to 60% of the maxi-mal inspiratory pressure for 30 min/d, 7 d/wk (1 day supervised) for 8 weeks. Respiratory muscle strength, dyspnea, diaphragm thickness (DT), pulmonary functions, 24-hour ambu-latory blood pressure (BP), arterial stiffness, exercise capacity, upper extremity functional exercise capacity, physical activity levels, fatigue, anxiety-depression levels, activities of daily living (ADL), and quality of life were evaluated. A total of 24 patients (treatment = 12, control = 12) completed the 8-week follow-up. There was no significant difference between the patient groups in terms of demographic and clinical characteristics (p >0.05). Consid-ering the change between the groups in the treatment and control groups, brachial and cen-tral BP, dyspnea, respiratory muscle strength, DT in total lung capacity, knee extension muscle strength, functional exercise capacity, upper extremity functional exercise capacity, physical activity, ADL, fatigue, anxiety, and quality of life improved in favor of the IMT group (p <0.05). In conclusion, IMT has improved brachial and central BP, dyspnea, respi-ratory muscle strength, DT in total lung capacity, knee extension muscle strength, func-tional exercise capacity, upper extremity functional exercise capacity, physical activity, ADL, fatigue, anxiety, and quality of life compared with the control group. IMT is an effec-tive method in cardiopulmonary rehabilitation for patients with PH.& COPY; 2023 Elsevier Inc. All rights reserved. (Am J Cardiol 2023;203:406-413)