Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease (COPD) as Part of a Respiratory Rehabilitation Program Implementation of Mechanical Devices: A Systematic Review

Eva Vázquez-Gandullo, Antonio Hidalgo-Molina, Francisca Montoro-Ballesteros, María Morales-González, Isabel Muñoz-Ramírez and Aurelio Arnedillo-Muñoz
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Eva Vázquez-Gandullo: Pneumology, Allergology and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain
Antonio Hidalgo-Molina: Pneumology, Allergology and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain
Francisca Montoro-Ballesteros: Pneumology, Allergology and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain
María Morales-González: Pneumology Department, Hospital Punta Europa, 11207 Algeciras, Cádiz, Spain
Isabel Muñoz-Ramírez: Pneumology, Allergology and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain
Aurelio Arnedillo-Muñoz: Pneumology, Allergology and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain

IJERPH, 2022, vol. 19, issue 9, 1-14

Abstract: Chronic Obstructive Pulmonary Disease (COPD) is a complex and heterogeneous disease, with pulmonary and extrapulmonary manifestations, which leads to the need to personalize the assessment and treatment of these patients. The latest updates of national and international guidelines for the management of COPD reveal the importance of respiratory rehabilitation (RR) and its role in improving symptoms, quality of life, and psychosocial sphere of patients. Within RR, the inspiratory muscle training (IMT) has received special interest, showing benefits in maximum inspiratory pressure, perception of well-being, and health status in patients with chronic heart disease, respiratory diseases, and dyspnea during exercise. The aim of this review is to assess the efficacy of IMT in COPD patients through the use of inspiratory muscle training devices, compared with respiratory rehabilitation programs without inspiratory muscle training. In the last years, many mechanical devices focused on inspiratory muscle training have been developed, some of them, such as the AirOFit PRO™, PowerBreath ® , or FeelBreathe ® , have shown clear benefits. The active search for candidate patients to undergo the RR program with inspiratory muscle training using this type of device in COPD patients represents an advance in the treatment of this disease, with direct benefits on the quality of life of the patients. In this article, we review the available evidence on IMT in these patients and describe the different devices used for it.

Keywords: inspiratory muscle training; inspiratory restriction device; chronic obstructive pulmonary disease; respiratory rehabilitation; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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Citations: View citations in EconPapers (4)

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