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Influence of Respiratory Muscle Training on Patients' Recovery after Lung Resection
Filipa Kendall1,2,3, Gustavo Silva4, João Almeida5
1Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal.
International Journal of Sports Medicine
|April 7, 2020
Summary
Respiratory muscle training improves maximal inspiratory pressure and physical activity post-surgery. Combined training enhanced inspiratory pressure most, while inspiratory training boosted physical activity more than expiratory training.
Area of Science:
- Respiratory Medicine
- Rehabilitation Science
Background:
- Postoperative recovery often involves impaired respiratory function and reduced physical activity.
- Respiratory muscle training (RMT) is a potential intervention to mitigate these effects.
Purpose of the Study:
- To compare the effects of home-based inspiratory (IMT), expiratory (EMT), and combined (CombT) respiratory muscle training protocols on postoperative recovery.
- To evaluate safety, respiratory muscle function, pulmonary function, physical fitness, physical activity (PA), dyspnea, and quality of life (QoL).
Main Methods:
- Prospective experimental study with four groups: Usual Care (UCare), IMT, EMT, and CombT.
- Patients received home-based RMT protocols post-surgery.
- Measurements included maximal inspiratory pressure (MIP), PA levels (sedentary, light, total), and QoL.
Main Results:
- Significant improvements in MIP were observed across all RMT groups (CombT, IMT, EMT).
- Combined training (CombT) showed the greatest improvement in MIP.
- Inspiratory training (IMT) was more effective than EMT in increasing light and total physical activity, while reducing sedentary activity.
Conclusions:
- Adding RMT to usual physiotherapy care is safe and effective for improving postoperative maximal inspiratory pressure and physical activity.
- Combined training offers superior gains in inspiratory muscle strength.
- Inspiratory training demonstrates a greater positive impact on enhancing overall physical activity levels compared to expiratory training.
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