EFFECT OF INSPIRATORY MUSCLE TRAINING ON CARDIAC PARAMETERS OF EXERCISE TOLERANCE TEST IN CHRONIC HEART FAILURE PATIENTS

2016 ◽  
Vol 40 (2) ◽  
pp. 171-184
Author(s):  
Helmy ZM ◽  
Mohammed SH ◽  
Ibrahim BS ◽  
Mohammed RA ◽  
Hassan MH
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Exercise Tolerance ◽  
Tolerance Test ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Muscle Training ◽  
Heart Failure Patients ◽  
Exercise Tolerance Test

scholarly journals Efficacy of inspiratory muscle training in chronic heart failure patients

2012 ◽  
Vol 161 (2) ◽  
pp. 119-120 ◽  
Author(s):  
Graciele Sbruzzi ◽  
Pedro Dal Lago ◽  
Rodrigo Antonini Ribeiro ◽  
Rodrigo Della Méa Plentz
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Muscle Training ◽  
Heart Failure Patients

scholarly journals Application of Inspiratory Muscle Training to Improve Physical Tolerance in Older Patients with Ischemic Heart Failure

2021 ◽  
Vol 18 (23) ◽  
pp. 12441
Author(s):  
Monika Piotrowska ◽  
Paulina Okrzymowska ◽  
Wojciech Kucharski ◽  
Krystyna Rożek-Piechura
Keyword(s):  
Heart Failure ◽  
Muscle Strength ◽  
Cardiac Rehabilitation ◽  
Exercise Tolerance ◽  
Respiratory Muscle ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Respiratory Muscle Strength ◽  
Muscle Training ◽  
Patients With Heart Failure

Regardless of the management regime for heart failure (HF), there is strong evidence supporting the early implementation of exercise-based cardiac rehabilitation (CR). Respiratory therapy is considered to be an integral part of such secondary prevention protocols. The aim of the study was to evaluate the effect of inspiratory muscle training (IMT) on exercise tolerance and the functional parameters of the respiratory system in patients with heart failure involved in cardiac rehabilitation. The study included 90 patients with HF who took part in the second-stage 8-week cycle of cardiac rehabilitation (CR). They were randomly divided into three groups: Group I underwent CR and IMT; Group II only CR; and patients in Group III underwent only the IMT. Before and after the 8-week cycle, participants were assessed for exercise tolerance and the functional parameters of respiratory muscle strength. Significant statistical improvement concerned the majority of the hemodynamic parameters, lung function parameters, and respiratory muscle strength in the first group. Moreover, the enhancement in the exercise tolerance in the CR + IMT group was accompanied by a negligible change in the HRpeak. The results confirm that the addition of IMT to the standard rehabilitation process of patients with heart failure can increase the therapeutic effect while influencing some of the parameters measured by exercise electrocardiography and respiratory function.

scholarly journals The ‘aerobic/resistance/inspiratory muscle training hypothesis in heart failure’

2018 ◽  
Vol 25 (12) ◽  
pp. 1257-1262 ◽  
Author(s):  
Ioannis D Laoutaris
Keyword(s):  
Heart Failure ◽  
Aerobic Training ◽  
Exercise Intervention ◽  
Left Ventricular ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Left Ventricular Ejection ◽  
Muscle Training ◽  
Ventricular Ejection Fraction ◽  
Heart Failure Patients

Evidence from large multicentre exercise intervention trials in heart failure patients, investigating both moderate continuous aerobic training and high intensity interval training, indicates that the ‘crème de la crème’ exercise programme for this population remains to be found. The ‘aerobic/resistance/inspiratory (ARIS) muscle training hypothesis in heart failure’ is introduced, suggesting that combined ARIS muscle training may result in maximal exercise pathophysiological and functional benefits in heart failure patients. The hypothesis is based on the decoding of the ‘skeletal muscle hypothesis in heart failure’ and on revision of experimental evidence to date showing that exercise and functional intolerance in heart failure patients are associated not only with reduced muscle endurance, indication for aerobic training (AT), but also with reduced muscle strength and decreased inspiratory muscle function contributing to weakness, dyspnoea, fatigue and low aerobic capacity, forming the grounds for the addition of both resistance training (RT) and inspiratory muscle training (IMT) to AT. The hypothesis will be tested by comparing all potential exercise combinations, ARIS, AT/RT, AT/IMT, AT, evaluating both functional and cardiac indices in a large sample of heart failure patients of New York Heart Association class II–III and left ventricular ejection fraction ≤35% ad hoc by the multicentre randomized clinical trial, Aerobic Resistance, InSpiratory Training OutcomeS in Heart Failure (ARISTOS-HF trial).

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