J 2019

The pulmonary effects of expiratory muscle training in patients with heart failure

DOSBABA, Filip, Ladislav BAŤALÍK, Petra ŽURKOVÁ, Martin HARTMAN, Radka ŠTĚPÁNOVÁ et. al.

Basic information

Original name

The pulmonary effects of expiratory muscle training in patients with heart failure

Authors

DOSBABA, Filip (203 Czech Republic, guarantor, belonging to the institution), Ladislav BAŤALÍK (703 Slovakia), Petra ŽURKOVÁ (203 Czech Republic, belonging to the institution), Martin HARTMAN (203 Czech Republic, belonging to the institution), Radka ŠTĚPÁNOVÁ (203 Czech Republic, belonging to the institution), Marián FELŠŐCI (703 Slovakia) and Ondřej LUDKA (203 Czech Republic)

Edition

Biocell (Mendoza), Argentina, 2019, 1667-5746

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Argentina

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.821

RIV identification code

RIV/00216224:14110/19:00110139

Organization unit

Faculty of Medicine

Keywords (in Czech)

srdeční selhání, trénink, dechové svalstvo

Keywords in English

heart failure; training; respiratory muscles

Tags

Tags

International impact, Reviewed
Změněno: 9/3/2021 07:04, doc. Mgr. Ladislav Baťalík, Ph.D.

Abstract

V originále

Heart failure with reduced ejection fraction (HFrEF) is accompanied with dyspnea of various etiologies, one of them being myopathy of respiratory muscles. The goal of the study was to objectivize the effect of home training of expiratory muscles (EMT) using a Threshold PEP® trainer on functional lung capacity, mouth occlusion pressures, chest expansion, dyspnea and fatigue in HFrEF patients. 32 consecutive patients with stable HFrEF were included in the prospective study. The patients were divided into intervention and no intervention group - 16 patients who performed EMT in the intervention group and the remaining 16 patients as a control group with no intervention. After 10-weeks of EMT maximal expiratory pressure increased significantly from 7.59 to 9.49 kPa, maximal inspiratory pressure increased from 4.80 to 7.20 kPa, both forced expiratory volume in one second and peak respiratory flow also increased. Maximal expiratory pressure was found to have a decreasing trend in the control group together with a significant decrease in maximal inspiratory preasure. Expiratory muscle training significantly improved functional lung capacity, increased strength of respiratory muscles characterised by mouth occlusion pressures, decreased subjective perception of stress dyspnea and fatigue of patients with stable HFrEF.