Document Detail


A randomized controlled trial of inspiratory muscle training in stable chronic heart failure.
MedLine Citation:
PMID:  9740347     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To assess whether a domiciliary programme of specific inspiratory muscle training in stable chronic heart failure results in improvements in exercise tolerance or quality of life. METHODS AND RESULTS: We conducted a randomized controlled trial of 8 weeks of inspiratory muscle training in 18 patients with stable chronic heart failure, using the Threshold trainer. Patients were randomized either to a training group inspiring for 30 min daily at 30% of maximum inspiratory mouth pressure, or to a control group of 'sham' training at 15% of maximum inspiratory mouth pressure. Sixteen of the 18 patients completed the study. Maximum inspiratory mouth pressure improved significantly in the training group compared with controls, by a mean (SD) of 25.4 (11.2) cmH2O (P=0.04). There were, however, no significant improvements in treadmill exercise time, corridor walk test time or quality of life scores in the trained group compared with controls. CONCLUSION: Despite achieving a significant increase in inspiratory muscle strength, this trial of simple domiciliary inspiratory muscle training using threshold loading at 30% of maximum inspiratory mouth pressure did not result in significant improvements in exercise tolerance or quality of life in patients with chronic heart failure.
Authors:
P H Johnson; A J Cowley; W J Kinnear
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  European heart journal     Volume:  19     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-11-24     Completed Date:  1998-11-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1249-53     Citation Subset:  IM    
Affiliation:
Department of Respiratory Medicine, University Hospital, Nottingham, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Chronic Disease
Exercise Tolerance
Female
Heart Failure / physiopathology,  rehabilitation*
Humans
Male
Quality of Life
Respiratory Muscles*
Respiratory Therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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