Acta Universitatis Carolinae Kinanthropologica (AUC Kinanthropologica) is an international peer reviewed journal for the publication of research outcomes in the humanities, the social sciences and the natural sciences, as applied to kinathropology. It is a multidisciplinary journal accepting only original unpublished articles in English in the various sub-disciplines and related fields of kinanthropology, such as Anthropology, Anthropomotorics, Sports Pedagogy, Sociology of Sport, Philosophy of Sport, History of Sport, Physiology of Sport And Exercise, Physical Education, Applied Physical Education, Physiotherapy, Human Biomechanics, Psychology of Sport, Sports Training and Coaching, Sport Management, etc. The journal also welcomes interdisciplinary articles. The journal also includes reports of relevant activities and reviews of relevant publications.

The journal is abstracted and indexed by CNKI, DOAJ, EBSCO, ERIH PLUS, SPOLIT, SPORTDiscus, and Ulrichsweb.

AUC KINANTHROPOLOGICA, Vol 56 No 2 (2020), 116–127

Inspiratory muscle training combined with pursed lip technique in women with chronic obstructive pulmonary disease: a case study

Anna Arnal-Gómez, Irene Davia-Ruiz, Gemma Victoria Espí-López

zveřejněno: 17. 12. 2020


Objective. To improve pulmonary function, exercise capacity and quality of life of two women with Chronic Obstructive Pulmonary Disease (COPD). Material and Methods. Study of two clinical cases, both women. An intervention of 8 weeks was performed, in which the patients performed 3 weekly sessions, of which 1 was performed with supervision of the physiotherapist and 2 sessions were performed at home. The treatment sessions consisted of inspiratory muscle training with an inspiratory threshold and controlled breathing exercises with the pursed lip technique. Results. Quality of life of both women improved at the end of the study. In the woman with severe COPD, Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP) increased after the intervention. The Peak Expiratory Flow (PEF) improved in both cases, but not the rest of the spirometric values. Dyspnea improved in the woman with moderate COPD but not in the case of the one with severe COPD. Finally, the distance walked in the 6MWT improved in both cases. Conclusions. The training of the inspiratory muscles together with the pursed lip technique positively influences quality of life and exercise capacity of two women with COPD.

klíčová slova: chronic obstructive pulmonary disease; inspiratory muscle training; pursed lip; respiratory physiotherapy

reference (46)

1. Ancochea, J., Miravitlles, M., Garcia-Rio, F., Muñoz, L., Sánchez, G., Sobradillo, V. et al. (2013). Underdiagnosis of chronic obstructive pulmonary disease in women: quantification of the problem, determinants and proposed actions. Arch. Bronconeumol., 49(6), 223-229. CrossRef PubMed

2. Barreiroa, E., Geaa, J., Marína, J. (2007). Respiratory muscles, exercise tolerance and muscular training in chronic obstructive pulmonary disease. Arch. Bronconeumol., 43(S3), 15-24.

3. Basso-Vanelli, R. P., Di Lorenzo, V. A., Labadessa, I. G., Regueiro, E. M., Jamami, M., Gomes, E. L. (2016). Effects of Inspiratory Muscle Training and Calisthenics-and-Breathing Exercises in COPD with and Without Respiratory Muscle Weakness. Respir. Care, 61(1), 50-60. CrossRef PubMed

4. Beaumont, M., Mialon, P., Le Ber-Moy, C., Lochon, C., Péran, L., Pichon, R. et al. (2015). Inspiratory muscle training during pulmonary rehabilitation in chronic obstructive pulmonary disease: a randomized trial. Chron. Respir. Dis., 12(4), 305-312. CrossRef PubMed

5. Becklake, M., Kauffmann, F. (1999). Gender differences in airway behaviour over the human life span. Thorax., 54(12), 1119-1138. CrossRef PubMed PubMed Central

6. Belman, M. J., Brooks, L. R., Ross, D. J., Mohsenifar, Z. (1991). Variability of breathlessness measurement in patients with chronic obstructive pulmonary disease. Chest, 99(3), 566-571. CrossRef PubMed PubMed Central

7. Borgue, C., Marit, A., Omenaas, E., Moum, T., Ekman, I., Lein, M. et al. (2015). Effects of guided deep breathing on breathlessness and the breathing pattern in chronic obstructive pulmonary disease: a double-blind randomized control study. Patient Educ. Couns., 98(2), 182-190. CrossRef PubMed PubMed Central

8. Buist, A. S., McBurnie, M. A., Vollmer, W. M., Gillespie, S., Burney, P., Mannino, D. M. et al. (2007). International variation in the prevalence of COPD (the Bold Study): a population-based prevalence study. Lancet, 370, 741-750. CrossRef PubMed Central

9. Carrasco-Garrido, P., Miguel-Diez, J., Rejas-Gutierrez, J. (2009). Characteristics of chronic obstructive pulmonary disease in Spain from a gender perspective. BMC Pulm. Med., 9(2), 1471-1479. CrossRef PubMed PubMed Central

10. Celli, B. R., MacNee, W., Agsuti, A. G. (2004). Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur. Resp. Jour., 23(6), 932-946. CrossRef PubMed PubMed Central

11. Dellweg, D., Reissig, K., Hoehn, E., Siemon, K., Haidl, P. (2017). Inspiratory muscle training during rehabilitation in successfully weaned hypercapnic patients with COPD. Respir. Med., 123, 116-123. CrossRef PubMed PubMed Central

12. De Torres, J. P., Casanova, C. (2010). EPOC en la mujer. Arch. Bronconeumol., 46(3), 23-27. CrossRef PubMed Central

13. Dransfield, M. T., Washko, G. R., Foreman, M. G., Estepar, R. S., Reilly, J., Bailey, W. C. (2007). Gender differences in the severity of emphysema in COPD. Chest, 132(2), 464-470. CrossRef PubMed PubMed Central

14. ERS Task Force, Palange, P., Ward, S. A., Carlsen, K. H., Casaburi, R., Gallagher, C. G. et al. (2007). Recommendations on the use of exercise testing in clinical practice. Eur. Resp. Jour., 29(1), 185-209. CrossRef PubMed PubMed Central

15. Esteban, C., Quintana, J. M., Aburto, M., Moraza, J., Egurrola, M., Pérez-Izquierdo, J. et al. (2010). Impact of changes in physical activity on health-related quality of life among patients with COPD. Eur. Resp. Jour., 36(2), 292-300. CrossRef PubMed PubMed Central

16. Ferrari, R., Tanni, S. E., Lucheta, P. A. (2010). Gender differences in predictors of health status in patients with COPD. J. Bras. Pneumol., 36(1), 37-43. CrossRef PubMed PubMed Central

17. <bez popisu> CrossRef PubMed PubMed Central

18. Gan, W. Q., Man, S. F., Postma, D. S., Camp, P., Sin, D. D. (2006). Female smokers beyond the perimenopausal period are at increased risk of chronic obstructive pulmonary disease: A systematic review and meta-analysis. Respir. Res., 7(1), 52. CrossRef PubMed PubMed Central

19. García-Río, F., Call, M., Burgo, F., Casan, P., del Campo, F., Gáldiz, J. et al. (2013). Espirometría. Arch. Bronconeumol., 49(9), 369-412. CrossRef PubMed PubMed Central

20. González Mangado, N., Rodríguez Nieto, M. J. (2016). Prueba de la marcha de los 6 minutos. Med. Resp., 9(1), 15-22. PubMed Central

21. Gosselink, R. (2004). Breathing techniques in patients with chronic obstructive pulmonary disease (COPD). Chron. Respir. Dis., 1(3), 163-172. CrossRef PubMed PubMed Central

22. Gosselink, R., De Vos, J., van den Heuvel, S. P., Segers, J., Decramer, M., Kwakkel, G. (2011). Impact of inspiratory muscle training in patients with COPD: what is the evidence? Eur. Resp. Jour., 37(2), 416-425. CrossRef PubMed PubMed Central

23. Green, M., Road, J., Sieck, G., Similowski, T. (2002). ATS/ERS Statement on Respiratory Muscle Testing. Am. J. Respir. Crit. Care Med., 166(4), 518-624. CrossRef PubMed PubMed Central

24. Güell, M. R., Díaz Lobato, S., Rodríguez Trigo, G., Morante Vélez, F., San Miguel, M., Cejudo, P. et al. (2014). Rehabilitación respiratoria. Arch. Bronconeumol., 50(8), 332-344. CrossRef PubMed PubMed Central

25. Güell, R., Casan, P., Sangenis, M., Morante, F., Belda, J., Guyatt, G. H. (1998). Quality of life in patients with chronic respiratory disease: the spanish versión of the Chronic Respiratory. Eur. Resp. Jour., 11(1), 55-60. CrossRef PubMed PubMed Central

26. Holland, A. E., Spruit, M. A., Troosters, T., Puhan, M. A., Pepin, V., Saey, D. et al. (2014). An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. Eur. Resp. Jour., https :// 936.00150 314. PubMed Central

27. Charususin, N., Gosselink, R., Decramer, M., McConnell, A., Saey, D., Maltais, F. et al. (2013). Inspiratory muscle training protocol for patients with chronic obstructive pulmonary disease (IMTCO study): a multicentre randomised controlled trial. BMJ Open, 3:e003101. CrossRef PubMed PubMed Central

28. Jones, P. W., Quirk, F. H., Baveystock, C. M. (1991). The St George's Respiratory Questionnaire. Respir. Med., 85, Suppl. B, 25-31. CrossRef PubMed Central

29. Jones, P. W., Quirk, F. H., Baveystock, C. M., Littlejohns, P. (1992). A self-complete measure of health status for chronic airflow limitation. Am. Rev. Respir. Dis., 145(6), 1321-1327. CrossRef PubMed PubMed Central

30. Karras, D. J., Sammon, M. E., Terregino, C. A., Lopez, B. L., Griswold, S. K., Arnold, G. K. (2000). Clinically meaningful changes in quantitative measures of asthma severity. Acad. Emerg. Med., 7(4), 327-334. CrossRef PubMed PubMed Central

31. Larson, J., Kim, M., Sharp, J., Larson, D. (1988). Inspiratory muscle training with a pressure threshold breathing device in patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 138, 689-696. CrossRef PubMed PubMed Central

32. Lei Burton, D., LeMay, K. S., Saini, B., Smith, L., Bosnic-Anticevich, S., Southwell, P. et al. (2015). The reliability and utility of spirometry performed on people with asthma in community pharmacies. J. Asthma, 52(9), 913-919. CrossRef PubMed PubMed Central

33. MacIntyre, N. R. (2008). Mechanisms of functional loss in patients with chronic lung disease. Respir. Care, 53(9), 1177-1184. PubMed Central

34. Mayer, A. F., Karloh, M., Dos Santos, K., de Araujo, C. L. P., Gulart, A. A. (2018). Effects of acute use of pursed-lips breathing during exercise in patients with COPD: a systematic review and meta-analysis. Physiotherapy, 104(1), 9-17. CrossRef PubMed PubMed Central

35. Mehani, S. H. M. (2017). Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease. AJIC, 45(3), 245-250. CrossRef PubMed PubMed Central

36. <bez popisu> CrossRef PubMed Central

37. Nikoletou, D., Man, W. D., Mustfa, N., Moore, J., Rafferty, G., Grant, R. L. et al. (2016). Evaluation of the effectiveness of a home-based inspiratory muscle training programme in patients with chronic obstructive pulmonary disease using multiple inspiratory muscle tests. Disabil. Rehabil., 38(3), 250-259. CrossRef PubMed PubMed Central

38. Schultz, K., Jelusic, D., Wittmann, M., Kramer, B., Huber, V., Fuchs, S. (2018). Inspiratory muscle training does not improve clinical outcomes in 3-week COPD rehabilitation: results from a randomised controlled trial. Eur. Respir. Rev., 51(1), pii: 1702000. CrossRef PubMed PubMed Central

39. <bez popisu> CrossRef PubMed Central

40. Spruit, M. A., Singh, S. J., Garvey, C., ZuWallack, R., Nici, L., Rochester, C. et al. (2013). ATS/ERS Task Force on Pulmonary Rehabilitation. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am. J. Respir. Crit. Care Med., 188(8), 13-64. PubMed Central

41. Suh, D., Lau, H., Pokras, S. M. (2008). Sex differences in ambulatory visits for chronic obstructive pulmonary disease, based on the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey from 1995 to 2004. Resp. Care, 53(11), 1461-1469. PubMed Central

42. Torres-Sanchez, I., Valenza, M. C., Cebria I Iranzo, M. D. A., Lopez-Lopez, L., Moreno-Ramirez, M. P., Ortiz-Rubio, A. et al. (2018). Effects of different physical therapy programs on perceived health status in acute exacerbation of chronic obstructive pulmonary disease patients: a randomized clinical trial. Disabil. Rehabil., 40(17), 2025-2031. CrossRef PubMed PubMed Central

43. Valenza, M. C., Valenza-Peña, G., Torres-Sánchez, I., González-Jiménez, E., Conde-Valero, A., Valenza-Demet, G. (2014). Effectiveness of controlled breathing techniques on anxiety and depression in hospitalized patients with COPD: a randomized clinical trial. Res. Care, 59(2), 209-215. CrossRef PubMed PubMed Central

44. Van Stel, H. F., Bogaard, J. M., Rijssenbeek-Nouwens, L. H. M., Colland, V. T. (2001). Multivariable assessment of the 6-min walking test in patients with chronic obstructive pulmonary disease. Am. Jour. Resp. Crit. Care Med., 163(7), 1567-1571. CrossRef PubMed PubMed Central

45. Varkey, A. B. (2004). Chronic obstructive pulmonary disease in women: exploring gender differences. Curr. Op. in Pulm. Med., 10(2), 98-103. CrossRef PubMed PubMed Central

46. Wu, W., Guan, L., Zhang, X., Li, X., Yang, Y., Guo, B. (2017). Effects of two types of equal-intensity inspiratory muscle training in stable patients with chronic obstructive pulmonary disease: a randomised controlled trial. Res. Med., 132, 84-91. CrossRef PubMed PubMed Central

Creative Commons License
Inspiratory muscle training combined with pursed lip technique in women with chronic obstructive pulmonary disease: a case study is licensed under a Creative Commons Attribution 4.0 International License.

157 x 230 mm
vychází: 2 x ročně
cena tištěného čísla: 190 Kč
ISSN: 1212-1428
E-ISSN: 2336-6052

Ke stažení