Control of Ventilation, Respiratory Muscle Strength, and Granulomatous Involvement of Skeletal Muscle in Patients With Sarcoidosis

CHEST Journal ◽  
1993 ◽  
Vol 103 (2) ◽  
pp. 396-402 ◽  
Author(s):  
Ahmet Baydur ◽  
Kamlesh Pandya ◽  
Om P. Sharma ◽  
Gary C. Kanel ◽  
Michael Carlson
Keyword(s):  
Skeletal Muscle ◽  
Muscle Strength ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Control Of Ventilation ◽  
Granulomatous Involvement

scholarly journals A role of tiotropium bromide in different methods of physical rehabilitation in patients with COPD

2007 ◽  
pp. 40-45
Author(s):  
N. N. Meshcheryakova ◽  
A. S. Belevsky
Keyword(s):  
Skeletal Muscle ◽  
Drug Therapy ◽  
Muscle Strength ◽  
Respiratory Muscle ◽  
Physical Rehabilitation ◽  
Tiotropium Bromide ◽  
Respiratory Muscle Training ◽  
Respiratory Muscle Strength ◽  
Muscle Training ◽  
Copd Patients

COPD is characterized not only by pulmonary pathology but also by systemic disorders leading to abrupt reduction in physical tolerance causing a significant decrease in the patients' quality of life (QoL). Training of upper and lower limb muscles along with breathing training, training of respiratory muscles using respiratory training devices and adequate drug therapy can improve physical tolerance of COPD patients. The aim of this work was to compare different methods of physical rehabilitation under the therapy with tiotropium bromide (TB). The study involved 45 patients with severe and very severe COPD (the mean age, 64.5 ±11.0 yrs) randomized into 3 groups: the 1st group patients took inhaled corticosteroids (ICS), short-acting b-agonists and TB, the 2nd group patients were treated with the same medications plus respiratory muscle training with Threshold IMT, PEP, and the 3rd group received the same medications plus skeletal muscle training. The study continued for 3 months and included 3 active visits with testing of lung function (LF) and respiratory muscle strength (Pi, Pe), 6-minute walking test (6-MWT), evaluation of QoL using the SF-36 questionnaire and of dyspnea using MRC scale. As a result, all groups have improved QoL, LF, respiratory muscle strength, and 6-minute walk distance after 3-month treatment. The best values of QoL and 6-MWT were seen in the 3rd group. The greatest improvement for the 2nd group patients was noted in LF and respiratory muscle strength. The 1st group also improved all the parameters. Therefore, we can not exclude the effect of TB on physical tolerance in COPD patients. We conclude that combined application of respiratory and skeletal muscle training and drug therapy including TB is the optimal treatment for COPD patients.

scholarly journals Respiratory Muscle Weakness as a Risk Factor for Pneumonia in Older People

Gerontology ◽  
2021 ◽  
pp. 1-10
Author(s):  
Tatsuma Okazaki ◽  
Yoshimi Suzukamo ◽  
Midori Miyatake ◽  
Riyo Komatsu ◽  
Masahiro Yaekashiwa ◽  
...  
Keyword(s):  
Risk Factor ◽  
Muscle Strength ◽  
Older People ◽  
Serum Albumin ◽  
Muscle Mass ◽  
Muscle Weakness ◽  
Fat Mass ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Respiratory Muscle Weakness

Introduction: The respiratory muscle strength regulates the effectiveness of coughing, which clears the airways and protects people from pneumonia. Sarcopenia is an aging-related loss of muscle mass and function, the worsening of which is associated with malnutrition. The loss of respiratory and swallowing muscle strength occurs with aging, but its effect on pneumonia is unclear. This study aimed to determine the risks of respiratory muscle weakness on the onset and relapse of pneumonia in older people in conjunction with other muscle-related factors such as malnutrition. Methods: We conducted a longitudinal study with 47 pneumonia inpatients and 35 non-pneumonia controls aged 70 years and older. We evaluated the strength of respiratory and swallowing muscles, muscle mass, and malnutrition (assessed by serum albumin levels and somatic fat) during admission and confirmed pneumonia relapse within 6 months. The maximal inspiratory and expiratory pressures determined the respiratory muscle strength. Swallowing muscle strength was evaluated by tongue pressure. Bioelectrical impedance analysis was used to evaluate the muscle and fat mass. Results: The respiratory muscle strength, body trunk muscle mass, serum albumin level, somatic fat mass, and tongue pressure were significantly lower in pneumonia patients than in controls. Risk factors for the onset of pneumonia were low inspiratory respiratory muscle strength (odds ratio [OR], 6.85; 95% confidence interval [CI], 1.56–30.11), low body trunk muscle mass divided by height2 (OR, 6.86; 95% CI, 1.49–31.65), and low serum albumin level (OR, 5.46; 95% CI, 1.51–19.79). For the relapse of pneumonia, low somatic fat mass divided by height2 was a risk factor (OR, 20.10; 95% CI, 2.10–192.42). Discussion/Conclusions: Respiratory muscle weakness, lower body trunk muscle mass, and malnutrition were risk factors for the onset of pneumonia in older people. For the relapse of pneumonia, malnutrition was a risk factor.

scholarly journals Respiratory muscle strength and aerobic performance of wheelchair basketball players

2016 ◽  
Vol 22 (3) ◽  
pp. 124-132 ◽  
Author(s):  
Raphael N. Pereira ◽  
Marcos Fabio R. Abreu ◽  
Camila B. Gonçalves ◽  
Wilson Flávio S. Corrêa ◽  
Daniel R. Mizuhira ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Respiratory Muscle ◽  
Aerobic Performance ◽  
Respiratory Muscle Strength ◽  
Wheelchair Basketball ◽  
Basketball Players

Effect of Parathyroidectomy on Respiratory Muscle Strength in Uremic Myopathy

1987 ◽  
Vol 7 (6) ◽  
pp. 466-469 ◽  
Author(s):  
P. Gómez-Fernández ◽  
Sanchez Agudo ◽  
J.L. Miguel ◽  
M. Almaraz ◽  
Vila Dupla
Keyword(s):  
Muscle Strength ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength
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