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Updated: Jul 9, 2026
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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Respiratory muscles training in COPD patients
Ernesto Crisafulli1, Stefania Costi, Leonardo M Fabbri
1University of Modena-Reggio Emilia, Deparmentt of Pulmonary Rehabilitation, Ospedale Villa Pineta, Pavullo (MO), Italy.
International Journal of Chronic Obstructive Pulmonary Disease
|November 30, 2007
Summary
Respiratory muscle training (RMT) improves function in COPD patients. While inspiratory muscle training (IMT) shows benefits, expiratory muscle training (EMT) requires further study for COPD patients.
Area of Science:
- Pulmonary Medicine
- Exercise Physiology
Background:
- Stable COPD patients exhibit respiratory muscle adaptation to exercise.
- Exercise training enhances respiratory muscle function and patient outcomes.
Purpose of the Study:
- To review updated evidence on respiratory muscle training (RMT) methods in COPD patients.
- To compare the efficacy and safety of different RMT types.
Main Methods:
- Review of current literature on RMT in COPD.
- Analysis of three RMT types: resistive training, pressure threshold loading, and normocapnic hyperpnea.
- Consideration of exercise parameters: frequency, duration, and intensity.
Main Results:
- Inspiratory muscle training (IMT) has extensive supporting data.
- Expiratory muscle training (EMT) lacks sufficient clinical and physiological studies.
- IMT may offer additional benefits like dyspnea reduction compared to EMT.
Conclusions:
- RMT is beneficial for COPD patients, with IMT showing more established benefits.
- Further research is needed to fully understand the effects and safety of EMT in COPD.
- Optimizing RMT requires careful consideration of exercise parameters.
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