Dyspnoea in COPD: Can inspiratory muscle training help?

Kylie Hill; Sue C Jenkins; David R Hillman; Peter R Eastwood

doi:10.1016/S0004-9514(14)60155-0

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Journal article

Dyspnoea in COPD: Can inspiratory muscle training help?

Kylie Hill, Sue C Jenkins, David R Hillman and Peter R Eastwood

Australian journal of physiotherapy, Vol.50(3), pp.169-180

2004

DOI: https://doi.org/10.1016/S0004-9514(14)60155-0

PMID: 15482248

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Abstract

Breathing Exercises

COPD

Dyspnoea

Physical Therapy (Specialty)

Chronic obstructive pulmonary disease (COPD) is a progressive, common and costly condition. Dyspnoea frequently limits activity and reduces health-related quality of life. In addition to impaired lung function, peripheral muscle deconditioning and respiratory muscle dysfunction also contribute to dyspnoea and reduced exercise capacity. Pulmonary rehabilitation using whole body exercise training improves peripheral muscle function and reduces dyspnoea but does not improve respiratory muscle function. Providing that adequate training intensities are utilised, specific loading of the inspiratory muscles with commercially available hand-held devices can improve inspiratory muscle strength and endurance. Several studies have investigated the effects of inspiratory muscle training on dyspnoea in COPD subjects. Results of these studies are conflicting, most likely reflecting methodological shortcomings including insufficient training load, insensitive outcome measures, and inadequate statistical power. This paper describes the origin of dyspnoea in COPD, with particular attention given to the role of inspiratory muscle dysfunction in its genesis and its possible amelioration through inspiratory muscle training.

Details

Title: Dyspnoea in COPD: Can inspiratory muscle training help?
Authors/Creators: Kylie Hill - Curtin University
Sue C Jenkins - Sir Charles Gairdner Hospital
David R Hillman - Sir Charles Gairdner Hospital
Peter R Eastwood - Sir Charles Gairdner Hospital
Publication Details: Australian journal of physiotherapy, Vol.50(3), pp.169-180
Publisher: Elsevier B.V
Identifiers: 991005592761107891
Murdoch Affiliation: Vice Chancellery
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.65 Allergy; 1.65.192 COPD
Web Of Science research areas: Rehabilitation; Sport Sciences
ESI research areas: Clinical Medicine