Alternative therapy for respiratory muscle training using breath stacking
DOI:
https://doi.org/10.33233/fb.v23i2.4896Keywords:
breathing exercises; maximal respiratory pressures; ventilatory muscles; respiratory mechanics; inspiratory capacity; physical therapy techniquesAbstract
Objective: To evaluate the effectiveness of the breath-stacking technique as a method of ventilatory muscle training. Methods: Thirty-eight healthy youngsters were included in the study. The maximum respiratory pressures were evaluated in cmH2O by a digital manovacuometer. The breath-stacking system (face mask attached to a T-tube with a unidirectional inspiratory valve) was used as an overload method in a 4-week 12-session ventilatory muscle training program. Results: Both maximal inspiratory and expiratory pressures increased significantly after ventilatory muscle training for all. Positive peak pressure also increased significantly at the end of the program. Conclusion: Breath-stacking generates sufficient overload to ventilatory muscles to consistently increase maximal respiratory pressures when used in a ventilatory muscle training protocol. The technique was well tolerated, although it needs to be tested in clinical situations involving muscle weakness and other organic dysfunctions.
References
Franco L, Tobin MJ. Disorders of the respiratory muscles. Am J Respir Crit Care Med 2003;168(1):10-48. doi: 10.1164/rccm.2206020
Rondelli RR, Corso SD, Simões A, Malaguti C. Métodos de avaliação da fadigabilidade muscular periférica e seus determinantes energético-metabólicos na DPOC. J Bras Pneumol 2009;35(11):1125-35. doi: 10.1590/s1806-37132009001100011
McConnell AK, Griffiths LA. Acute cardiorespiratory responses to inspiratory pressure threshold loading. Med Sci Sports Exerc 2010;42(9):1696-703. doi: 10.1249/mss.0b013e3181d435cf
Turky K, Afify AMA. Effect of preoperative inspiratory muscle training on alveolar-arterial oxygen gradients after coronary artery bypass surgery. J Cardiopulm Rehabil Prev 2017;37(4):290-4. doi: 10.1097/hcr.0000000000000234
Illi SK, Held U, Frank I, Spengler CM. Effect of respiratory muscle training on exercise performance in healthy individuals: a systematic review and meta-analysis. Sports Med 2012;42(8):707-24. doi: 10.1007/bf03262290
HajGhanbari B, Yamabayashi C, Buna TR, Coelho JD, Freedman KD, Morton TA, et al. Effects of respiratory muscle training on performance in athletes: a systematic review with meta-analyses. J Strength Cond Res 2013;27(6):1643-63. doi: 10.1519/jsc.0b013e318269f73f
Lin SJ, McElfresh J, Hall B, Bloom R, Farrell K. Inspiratory muscle training in patients with heart failure: a systematic review. Cardiopulm Phys Ther J 2012;23(3):29-36. doi: 10.1097/01823246-201223030-00005
Plentz RD, Sbruzzi G, Ribeiro RA, Ferreira JB, Dal Lago P. Inspiratory muscle training in patients with heart failure: meta-analysis of randomized trials. Arq Bras Cardiol 2012;99(2):762-71. doi: 10.1016/j.ijcard.2012.06.035
Katsura M, Kuriyama A, Takeshima T, Fukuhara S, Furukawa TA. Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery. Cochrane Database Syst Rev 2015;(10):CD010356. doi: 10.1002/14651858.cd010356
Mans CM, Reeve JC, Elkins MR. Postoperative outcomes following preoperative inspiratory muscle training in patients undergoing cardiothoracic or upper abdominal surgery: a systematic review and meta analysis. Clin Rehabil 2015;29(5):426-38. doi: 10.1177/0269215514545350
Kendall F, Oliveira J, Peleteiro B, Pinho P, Bastos PT. Inspiratory muscle training is effective to reduce postoperative pulmonary complications and length of hospital stay: a systematic review and meta-analysis. Disabil Rehabil 2017:1-22. doi: 10.1080/09638288.2016.1277396
Silva IS, Fregonezi GA, Dias FA, Ribeiro CT, Guerra RO, Ferreira GM. Inspiratory muscle training for asthma. Cochrane Database Syst Rev 2013;(9):CD003792. doi: 10.1002/14651858.cd003792.pub2
Tamplin J, Berlowitz DJ. A systematic review and meta-analysis of the effects of respiratory muscle training on pulmonary function in tetraplegia. Spinal Cord 2014;52(3):175-80. doi: 10.1038/sc.2013.162
Martín-Valero R, Zamora-Pascual N, Armenta-Peinado JA. Training of respiratory muscles in patients with multiple sclerosis: a systematic review. Respir Care 2014;59(11):1764-72. doi: 10.4187/respcare.02881
Martín-Valero R, De La Casa Almeida M, Casuso-Holgado MJ, Heredia-Madrazo A. Systematic review of inspiratory muscle training after cerebrovascular accident. Respir Care 2015;60(11):1652-9. doi: 10.4187/respcare.03981
Gomes-Neto M, Saquetto MB, Silva CM, Carvalho VO, Ribeiro N, Conceição CS. Effects of respiratory muscle training on respiratory function, respiratory muscle strength, and exercise tolerance in patients poststroke: a systematic review with meta-analysis. Arch Phys Med Rehabil 2016;97(11):1994-2001. doi: 10.1016/j.apmr.2016.04.018
Bissett BM, Leditschke A, Neeman T, Boots R, Paratz J. Inspiratory muscle training to enhance recovery from mechanical ventilation: a randomised trial. Thorax 2016;71:812-9. doi: 10.1136/thoraxjnl-2016-208279
Strasser B, Siebert U, Schobersberger W. Effects of resistance training on respiratory function in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Sleep Breath 2013;17(1):217-26. doi: 10.1007/s11325-012-0676-4
Romer LM, McConnell AK. Specificity and reversibility of inspiratory muscle training. Med Sci Sports Exerc 2003;35(2):237-44. doi: 10.1249/01.mss.0000048642.58419.1e
Verges S, Renggli AS, Notter DA, Spengler CM. Effects of different respiratory muscle training regimes on fatigue-related variables during volitional hyperpnoea. Respir Physiol Neurobiol 2009;169(3):282-90. doi: 10.1016/j.resp.2009.09.005
Marini JJ, Rodriguez RM, Lamb VJ. Involuntary breath-stacking. An alternative method for vital capacity estimation in poorly cooperative subjects. Am Rev Respir Dis 1986;134:694-8. doi: 10.1164/arrd.1986.134.5.902
Sá Feitosa LA, Barbosa PA, Pessoa MF, Rodrigues-Machado MG , de Andrade AD. Clinimetric properties of breath-stacking technique for assessment of inspiratory capacity. Physiother Res Int 2012;17:48-54. doi: 10.1002/pri.512
Dias CM, Plácido TR, Ferreira MFB, Guimarães FS, Menezes SLS. Inspirometria de incentivo e breath stacking: repercussões sobre a capacidade inspiratória em indivíduos submetidos à cirurgia abdominal. Rev Bras Fisioter 2008;12(2):94-9. doi: 10.1590/s1413-35552008000200004
Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests: II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res 1999;32(6):719-27. doi: 10.1590/s0100-879x1999000600007
Rodrigues A, Silva ML, Berton DC, Cipriano G Jr, Pitta F, O'Donnell DE, et al. Maximal inspiratory pressure: does the choice of reference values actually matter? Chest 2017;152(1):32-9. doi: 10.1183/13993003.congress-2016.pa2251
Souza RB. Diretrizes para teste de função pulmonar: pressões respiratórias estáticas máximas. J Pneumol 2002;28(supl3):155-65.
Lenhard W, Lenhard A. Calculation of effect sizes. Dettelbach (Germany): Psychometrica; 2016. [Internet] [cited 2022 March 8]. Available from: https://www.psychometrica.de/effect_size.html
Forbes S, Game A, Syrotuik D, Jones R, Bell GJ. The effect of inspiratory and expiratory respiratory muscle training in rowers. Res Sports Med 2011;19(4):217-30. doi: 10.1080/15438627.2011.608033
Published
Issue
Section
License
Copyright (c) 2022 Fabrício Edler Macagnan, Bianca Andrade Martha, Inaiá Miranda Lourenzon, Anderson Sartor Pedroni, Adriana Kessler
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
