Home-Based Inspiratory Muscle Training as Stand-Alone Therapy
in COPD: A Randomized Sham-Controlled Trial Assessing Novel and
Established Training Methods

J 2025

Home-Based Inspiratory Muscle Training as Stand-Alone Therapy in COPD: A Randomized Sham-Controlled Trial Assessing Novel and Established Training Methods

HARTMAN, Martin; Filip DOSBABA; Ladislav BAŤALÍK; Daniela VLAŽNÁ; Marek PLUTINSKÝ et al.

Základní údaje

Originální název

Home-Based Inspiratory Muscle Training as Stand-Alone Therapy in COPD: A Randomized Sham-Controlled Trial Assessing Novel and Established Training Methods

Autoři

HARTMAN, Martin; Filip DOSBABA; Ladislav BAŤALÍK ; Daniela VLAŽNÁ; Marek PLUTINSKÝ; Kristián BRAT; R. C. COSTA; A. S. LIMA; L. P. CAHALIN a M. F. FORMIGA

Vydání

COPD: Journal of Chronic Obstructive Pulmonary Disease, PHILADELPHIA, TAYLOR & FRANCIS, 2025, 1541-2555

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

odkaz na plný text

Impakt faktor

Impact factor: 2.100 v roce 2024

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/25:00142543

Organizační jednotka

Lékařská fakulta

Klíčová slova česky

Humans; Male; Female; Aged; Middle Aged; Biofeedback; Home Care Services; Chronic obstructive pulmonary disease; biofeedback; exercise capacity; home-based rehabilitation; inspiratory muscles1.Print + online

Klíčová slova anglicky

Humans; Male; Female; Aged; Breathing Exercises/methods; Middle Aged; ; Home Care Services; Chronic obstructive pulmonary disease; biofeedback; exercise capacity; home-based rehabilitation; inspiratory muscles1.Print + online

Štítky

14110215, 14110234, 14110614, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 25. 11. 2025 14:06, Mgr. Tereza Miškechová

Anotace

V originále

This randomized controlled trial evaluated the effectiveness of two home-based, stand-alone inspiratory muscle training (IMT) modalities - inspiratory flow-resistive loading with biofeedback (IRFL) and mechanical threshold loading (MTL) - compared to a sham MTL group for improving inspiratory muscle performance and functional exercise capacity in COPD patients. Thirty-six COPD patients trained at home for 8 weeks under remote monitoring. Primary outcomes included inspiratory muscle performance assessed via the Test of Incremental Respiratory Endurance (TIRE), functional exercise capacity, lung function, and other COPD-related measures. Both the TIRE IRFL and MTL groups showed significant improvements in inspiratory muscle strength compared to the sham MTL group (p < 0.05). Additionally, the IRFL with biofeedback group demonstrated significant gains in inspiratory muscle work capacity and 6MWT distance compared to both the MTL and sham groups (p < 0.05). No adverse events were reported, and adherence to training protocols was high across all groups. This study supports home-based IMT as a feasible, effective stand-alone intervention for COPD patients, particularly for those who face barriers in accessing traditional pulmonary rehabilitation programs. TIRE IFRL showed superior benefits in enhancing inspiratory muscle function and overall functional exercise capacity compared to fixed-load IMT.

Citovat

HARTMAN, Martin; Filip DOSBABA; Ladislav BAŤALÍK; Daniela VLAŽNÁ; Marek PLUTINSKÝ; Kristián BRAT; R. C. COSTA; A. S. LIMA; L. P. CAHALIN a M. F. FORMIGA. Home-Based Inspiratory Muscle Training as Stand-Alone Therapy in COPD: A Randomized Sham-Controlled Trial Assessing Novel and Established Training Methods. COPD: Journal of Chronic Obstructive Pulmonary Disease. PHILADELPHIA: TAYLOR & FRANCIS, 2025, roč. 22, č. 1, s. 1-9. ISSN 1541-2555. Dostupné z: https://doi.org/10.1080/15412555.2025.2487473.

@article{2532346,
   author = {Hartman, Martin and Dosbaba, Filip and Baťalík, Ladislav and Vlažná, Daniela and Plutinský, Marek and Brat, Kristián and Costa, R. C. and Lima, A. S. and Cahalin, L. P. and Formiga, M. F.},
   article_location = {PHILADELPHIA},
   article_number = {1},
   doi = {https://doi.org/10.1080/15412555.2025.2487473},
   keywords = {Humans; Male; Female; Aged; Breathing Exercises/methods; Middle Aged; ; Home Care Services; Chronic obstructive pulmonary disease; biofeedback; exercise capacity; home-based rehabilitation; inspiratory muscles1.Print + online},
   language = {eng},
   issn = {1541-2555},
   journal = {COPD: Journal of Chronic Obstructive Pulmonary Disease},
   title = {Home-Based Inspiratory Muscle Training as Stand-Alone Therapy in COPD: A Randomized Sham-Controlled Trial Assessing Novel and Established Training Methods},
   url = {https://doi.org/10.1080/15412555.2025.2487473},
   volume = {22},
   year = {2025}
}

TY  - JOUR
ID  - 2532346
AU  - Hartman, Martin - Dosbaba, Filip - Baťalík, Ladislav - Vlažná, Daniela - Plutinský, Marek - Brat, Kristián - Costa, R. C. - Lima, A. S. - Cahalin, L. P. - Formiga, M. F.
PY  - 2025
TI  - Home-Based Inspiratory Muscle Training as Stand-Alone Therapy in COPD: A Randomized Sham-Controlled Trial Assessing Novel and Established Training Methods
JF  - COPD: Journal of Chronic Obstructive Pulmonary Disease
VL  - 22
IS  - 1
SP  - 1-9
EP  - 1-9
PB  - TAYLOR & FRANCIS
SN  - 15412555
KW  - Humans
KW  - Male
KW  - Female
KW  - Aged
KW  - Breathing Exercises/methods
KW  - Middle Aged
KW  -
KW  - Home Care Services
KW  - Chronic obstructive pulmonary disease
KW  - biofeedback
KW  - exercise capacity
KW  - home-based rehabilitation
KW  - inspiratory muscles1.Print + online
UR  - https://doi.org/10.1080/15412555.2025.2487473
N2  - This randomized controlled trial evaluated the effectiveness of two home-based, stand-alone inspiratory muscle training (IMT) modalities - inspiratory flow-resistive loading with biofeedback (IRFL) and mechanical threshold loading (MTL) - compared to a sham MTL group for improving inspiratory muscle performance and functional exercise capacity in COPD patients. Thirty-six COPD patients trained at home for 8 weeks under remote monitoring. Primary outcomes included inspiratory muscle performance assessed via the Test of Incremental Respiratory Endurance (TIRE), functional exercise capacity, lung function, and other COPD-related measures. Both the TIRE IRFL and MTL groups showed significant improvements in inspiratory muscle strength compared to the sham MTL group (p < 0.05). Additionally, the IRFL with biofeedback group demonstrated significant gains in inspiratory muscle work capacity and 6MWT distance compared to both the MTL and sham groups (p < 0.05). No adverse events were reported, and adherence to training protocols was high across all groups. This study supports home-based IMT as a feasible, effective stand-alone intervention for COPD patients, particularly for those who face barriers in accessing traditional pulmonary rehabilitation programs. TIRE IFRL showed superior benefits in enhancing inspiratory muscle function and overall functional exercise capacity compared to fixed-load IMT.
ER  -

HARTMAN, Martin; Filip DOSBABA; Ladislav BAŤALÍK; Daniela VLAŽNÁ; Marek PLUTINSKÝ; Kristián BRAT; R. C. COSTA; A. S. LIMA; L. P. CAHALIN a M. F. FORMIGA. Home-Based Inspiratory Muscle Training as Stand-Alone Therapy in COPD: A Randomized Sham-Controlled Trial Assessing Novel and Established Training Methods. \textit{COPD: Journal of Chronic Obstructive Pulmonary Disease}. PHILADELPHIA: TAYLOR \&{} FRANCIS, 2025, roč.~22, č.~1, s.~1-9. ISSN~1541-2555. Dostupné z: https://doi.org/10.1080/15412555.2025.2487473.

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