J 2020

Novel versus Traditional Inspiratory Muscle Training Regimens as Home-Based, Stand-Alone Therapies in COPD: Protocol for a Randomized Controlled Trial

FORMIGA, Magno F., Filip DOSBABA, Martin HARTMAN, Ladislav BAŤALÍK, Marek PLUTINSKÝ et. al.

Basic information

Original name

Novel versus Traditional Inspiratory Muscle Training Regimens as Home-Based, Stand-Alone Therapies in COPD: Protocol for a Randomized Controlled Trial

Authors

FORMIGA, Magno F. (76 Brazil), Filip DOSBABA (203 Czech Republic, guarantor), Martin HARTMAN (203 Czech Republic), Ladislav BAŤALÍK (703 Slovakia), Marek PLUTINSKÝ (703 Slovakia, belonging to the institution), Kristián BRAT (703 Slovakia, belonging to the institution), Ondřej LUDKA (203 Czech Republic, belonging to the institution) and Lawrence P. CAHALIN (840 United States of America)

Edition

International Journal of Chronic Obstructive Pulmonary Disease, Auckland, DOVE MEDICAL PRESS LTD, 2020, 1178-2005

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30203 Respiratory systems

Country of publisher

New Zealand

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.355

RIV identification code

RIV/00216224:14110/20:00116418

Organization unit

Faculty of Medicine

DOI

UT WoS

000569904600001

Keywords in English

chronic obstructive pulmonary disease; pulmonary rehabilitation; telemedicine; quality of life; inspiratory muscle training; test of incremental respiratory endurance

Tags

Tags

International impact, Reviewed
Změněno: 1/10/2020 13:23, Mgr. Tereza Miškechová

Abstract

V originále

Background: Subjects with COPD frequently develop considerable weakness and deconditioning of the inspiratory musculature, which can be corrected with inspiratory muscle training (IMT). While rehabilitation centers may be able to provide IMT as part of the rather complex management of COPD, there is currently a lack of rehabilitation services in the Czech Republic. Remote IMT may then benefit subjects with COPD who are unable to attend or do not have access to rehabilitation programs. We aim at evaluating the utility of the test of incremental respiratory endurance (TIRE) as an at-home IMT method in subjects with COPD, while comparing the effectiveness of this novel training approach to the outcomes of traditional, threshold loading IMT protocols. Methods/Design: This prospective, randomized controlled trial will comprise 8 weeks of at-home IMT sessions with remote supervision followed by 4 months of unsupervised, independent IMT. Eligible subjects will be randomly assigned to one of the following three distinct home-based IMT protocols: (1) TIRE, (2) Threshold loading, and (3) Sham training. Subjects allocated to the TIRE group will train once daily using an advanced IMT electronic system (PrO2), while the other two groups will receive threshold devices. Study outcomes will include measures of inspiratory muscle strength and endurance, pulmonary function, COPD-specific symptomatology, functional exercise capacity, surrogate markers of mortality risk, mental health status and health-related quality of life. Discussion: While we acknowledge the value of threshold loading IMT protocols, we believe that the TIRE training method has the potential to provide additional clinical benefits in COPD given its sophisticated remote tracking system and ability to modulate all aspects of muscular performance, including not only strength but also endurance, power and work capacity, allowing users to achieve considerably higher inspiratory pressures throughout the full range of inspiration when compared to other more traditionally used IMT methods.