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Type:	Artigo de Periódico
Title:	Inspiratory muscle training reduces dyspnea during activities of daily living and improves inspiratory muscle function and quality of life in patients with advanced lung disease
Authors:	Mariana Hoffman Valéria Maria Augusto Daisy Salomão Eduardo Bruna Mara Franco Silveira Marcela Mesquita Dhom Lemos Verônica Franco Parreira
Abstract:	Aim: To evaluate the effects of an inspiratory muscle training (IMT) program on dyspnea during activities of daily living, inspiratory muscle function, functional capacity, and quality of life in patients with advanced lung disease (ALD). Methods: Pre-post interventional study in which patients with ALD from the Advanced Lung Disease and Pre Lung Transplantation Ambulatory Clinic were included. Patients performed home-based high-intensity interval IMT for 8 weeks (two sessions per day, daily). In each session, patients performed two sets of 30 breaths, with a 2-min rest between sets. Dyspnea during activities of daily life, primary outcome – assessed by the London Chest Activity of Daily Living scale-LCADL, inspiratory muscle function (MIP and endurance test), distance on the 6-min walking test [6MWD], and quality of life (St George Respiratory Questionnaire [SGRQ]) were measured pre-IMT, post-IMT, and 3 months after the intervention (follow-up). Results: Dyspnea during activities of daily living significantly decreased after 8 weeks of IMT (LCADLpre = 31.5 [IQR = 23–37.25], LCADLpost = 26 [IQR = 20.75–32], LCADLfollow-up = 30.5 [IQR = 20–35]; p < .03). After IMT, there was an improvement in inspiratory muscle strength (p < .001) and endurance (p < .001). Functional capacity evaluated using the 6MWD increased but did not reach significance (p = .79) There was also a significant improvement in quality of life, as demonstrated by the SGRQ (p < .004). Conclusions: Our results suggest that IMT was able to reduce dyspnea during activities of daily living, as well as improve inspiratory muscle function, and quality of life in patients with ADL, and these benefits were sustained for 3 months.
Subject:	Fisioterapia Músculos respiratórios Treinamento Pulmões - Doenças Exercícios respiratórios Reabilitação
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	EEF - DEPARTAMENTO DE FISIOTERAPIA
Rights:	Acesso Restrito
metadata.dc.identifier.doi:	https://doi.org/10.1080/09593985.2019.1656314
URI:	http://hdl.handle.net/1843/41545
Issue Date:	Aug-2021
metadata.dc.url.externa:	https://www.tandfonline.com/doi/abs/10.1080/09593985.2019.1656314?journalCode=iptp20
metadata.dc.relation.ispartof:	Physiotherapy Theory and Practice
Appears in Collections:	Artigo de Periódico

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