Effect of combining inspiratory and expiratory training on pulmonary function and health status in patients with COPD: a randomized controlled trial

Basant Hamdy Elrefaey, Hagar Ahmed Elhadidy, Heba Ahmed Moussa

Basant Hamdy Elrefaey, Hagar Ahmed Elhadidy, Heba Ahmed Moussa – Effect of combining inspiratory and expiratory training on pulmonary function and health status in patients with COPD: a randomized controlled trial. Fizjoterapia Polska 2020; 20(2); 70-74

Streszczenie

Objectives. Chronic Obstructive Pulmonary Disease (COPD) patients suffers from respiratory muscle dysfunction. The current study aimed to assess the effect of combined respiratory muscle training (both inspiratory and expiratory) on pulmonary function and health status of chronic obstructive pulmonary disease patients. Methods. Sixty men (40-60 years old) with (COPD) were enrolled. They were assigned randomly with 30 patients allocated to the control group and 30 patients allocated to the experimental group. The control group received a guideline protocol chest physiotherapy, whereas the experimental group received the same program in addition to respiratory muscle training using power lung device. Both groups received the treatment sessions three times per week for 3 successive months. Measurement of ventilatory function, respiratory muscle strength and the COPD Assessment Test (CAT) was done before and after the intervention. Results. Both groups demonstrated significant improvements in ventilatory function and respiratory muscle Strength after treatment, with significantly greater improvements seen in the experimental group. No significant difference was detected between groups regarding (CAT). Conclusions. Training both inspiratory and expiratory muscles improves pulmonary function and health status in in patients with COPD.

Słowa kluczowe: Chronic Obstructive Pulmonary Disease, health status, pulmonary function, respiratory muscle training

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