Investigation of inspiratory muscle training efficiency before bronchoscopic lung volume reduction: a randomized controlled trial

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dc.contributor.authorPehlivan, Esra
dc.contributor.authorÇetinkaya, Erdoğan
dc.contributor.authorÖzcan, Zeynep Betül
dc.contributor.authorKaraahmetoğlu, Fulya Senem
dc.contributor.authorÇörtük, Mustafa
dc.contributor.authorAtaç, Amine
dc.contributor.authorÇınarka, Halit
dc.date.accessioned2025-02-14T05:58:22Z
dc.date.available2025-02-14T05:58:22Z
dc.date.issued2025
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.description.abstractIntroduction: Pulmonary rehabilitation (PR) is recommended prior to bronchoscopic lung volume reduction (BLVR) procedures to optimize patient outcomes. However, there's a lack of clear guidance on PR content. The aim of our study is to examine the effect of adding inspiratory muscle training (IMT) to standard PR before BLVR on exercise capacity, dyspnea, fatigue level and quality of life. Methods: Sixty-four patients were randomly assigned to either the PR Group (PRGr) or the PR with IMT group (IMTGr). Both groups underwent an 8-week standard PR program, including breathing exercises, muscle strengthening, and walking. Additionally, IMTGr received IMT sessions. Outcome measures comprised six-minute walking distance (6MWD), maximal inspiratory and expiratory pressures (MIP, MEP), peripheral muscle strength, modified Medical Research Council dyspnea score, fatigue symptom scale, spirometric parameters, Saint George Quality of Life Questionnaire (SGRQ), International Physical Activity Questionnaire Short Form (IPAQ-SF), and Hospital Anxiety and Depression Scale. Results: Our study found no significant difference in exercise capacity improvement between IMTGr and PRGr. However, IMTGr showed significant improvement in MIP compared to PRGr. Both groups experienced improvements in dyspnea, fatigue, and depression scores, as well as enhancements in 6MWD, MEP, peripheral muscle strength, IPAQ-SF and SGRQ scores. Conclusion: Adding IMT to PR did not show a significant difference between groups among BLVR-eligible patients. However, improved respiratory muscle strength may have positive clinical implications. Further research is needed to explore short and long-term effects.
dc.identifier.doi10.1016/j.arbres.2024.06.007
dc.identifier.endpage21
dc.identifier.issn0300-2896
dc.identifier.issn1579-2129
dc.identifier.issue1
dc.identifier.pmid39025760
dc.identifier.scopus2-s2.0-85199159195
dc.identifier.scopusqualityQ3
dc.identifier.startpage13
dc.identifier.urihttps://doi.org/10.1016/j.arbres.2024.06.007
dc.identifier.urihttps://hdl.handle.net/11501/2061
dc.identifier.volume61
dc.identifier.wosWOS:001410525100001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorAtaç, Amine
dc.institutionauthorid0000-0001-8211-9096
dc.language.isoen
dc.publisherSociedad Espanola de Neumologia y Cirugia Toracica (SEPAR)
dc.relation.ispartofArchivos de Bronconeumologia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCoil
dc.subjectCOPD
dc.subjectEmphysema
dc.subjectExercise
dc.subjectPulmonary Rehabilitation
dc.subjectValve
dc.titleInvestigation of inspiratory muscle training efficiency before bronchoscopic lung volume reduction: a randomized controlled trial
dc.typeArticle

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