VENTILAORY CHANGES AFTER INSPIRATORY MUSCLE TRAINING IN CHRONIC HEART FAILURE PATIENTS
ZM, H., SH, M., BS, I., RA, M., MH, H. (2016). VENTILAORY CHANGES AFTER INSPIRATORY MUSCLE TRAINING IN CHRONIC HEART FAILURE PATIENTS. EKB Journal Management System, 40(2), 205-217. doi: 10.21608/ejom.2016.841
Helmy ZM; Mohammed SH; Ibrahim BS; Mohammed RA; Hassan MH. "VENTILAORY CHANGES AFTER INSPIRATORY MUSCLE TRAINING IN CHRONIC HEART FAILURE PATIENTS". EKB Journal Management System, 40, 2, 2016, 205-217. doi: 10.21608/ejom.2016.841
ZM, H., SH, M., BS, I., RA, M., MH, H. (2016). 'VENTILAORY CHANGES AFTER INSPIRATORY MUSCLE TRAINING IN CHRONIC HEART FAILURE PATIENTS', EKB Journal Management System, 40(2), pp. 205-217. doi: 10.21608/ejom.2016.841
ZM, H., SH, M., BS, I., RA, M., MH, H. VENTILAORY CHANGES AFTER INSPIRATORY MUSCLE TRAINING IN CHRONIC HEART FAILURE PATIENTS. EKB Journal Management System, 2016; 40(2): 205-217. doi: 10.21608/ejom.2016.841

VENTILAORY CHANGES AFTER INSPIRATORY MUSCLE TRAINING IN CHRONIC HEART FAILURE PATIENTS

Egyptian Journal of Occupational Medicine
Article 4, Volume 40, Issue 2, July 2016, Page 205-217  XML PDF (215.65 K)
Document Type: Study paper
DOI: 10.21608/ejom.2016.841
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Authors
Helmy ZM1; Mohammed SH1; Ibrahim BS2; Mohammed RA3; Hassan MH4
1Department of Physical Therapy for Cardiovascular / Respiratory Disorder and Geriatrics. Faculty of Physical Therapy, Cairo University
2Department of Cardiology
3Department of Clinical Pathology
4Department of Physical Therapy, National Heart Institute, Cairo
Abstract
Introduction: inspiratory muscle training (IMT) improves exercise capacity and ventilatory responses to exercise in CHF patients with inspiratory muscle weakness (IMW). Aim of Work: to investigate the effect of inspiratory muscle training (IMT) with comprehensive cardiac rehabilitation (CR) program (aerobic and resisted exercise training) on ventilatory changes in chronic heart failure patients. Materials and Methods: Forty eligible male patients with chronic heart failure secondary to ischemic heart disease but only thirty of them completed the study. Their ages ranged from 50-60 years old .They were randomly assigned to 6 months of aerobic exercise, resisted exercise plus IMT (n=15) or to aerobic exercise plus resisted exercise only (n=15), Before and after intervention, the following measures were obtained: maximal inspiratory muscle pressure (PImax), ventilatory equivalent of CO2 at anaerobic threshold of cardiopulmonary exercise testing. Result: Compared aerobic exercise (AE) + IMT to AE resulted in additional significant difference in EqCO2 (25.43% vs 16.77%) and in PImax (14.81%. vs 34.94 %.). Conclusion: This study demonstrates that the addition of IMT to AE results in improvement in ventilator responses to exercise in selected patients with CHF and IMW
 
Keywords
Inspiratory muscle training; chronic heart failure; Maximal inspiratory pressure and Aerobic exercise
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