Int J Sports Med 2020; 41(07): 484-491
DOI: 10.1055/a-1096-0913
Clinical Sciences

Influence of Respiratory Muscle Training on Patients’ Recovery after Lung Resection

Filipa Kendall
1  Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
2  Department of Cardiothoracic Surgery, Centro Hospitalar São João, Porto, Portugal
3  Polytechnic Health Institute of the North, CESPU, Gandra (PRD), Portugal
,
4  Research Center in Sports Sciences, Health and Human Development (CIDESD), University Institute of Maia (ISMAI), Maia, Portugal
,
João Almeida
5  Sleep Medicine Department, Hospital CUF, Porto, Portugal
,
Ermelinda Eusébio
6  Pulmonology Department, Centro Hospitalar São João, Porto, Portugal
,
Paulo Pinho
2  Department of Cardiothoracic Surgery, Centro Hospitalar São João, Porto, Portugal
,
Jose Oliveira
1  Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
,
Pedro Teixeira Bastos
2  Department of Cardiothoracic Surgery, Centro Hospitalar São João, Porto, Portugal
› Author Affiliations
Funding: The CIAFEL is supported by European Regional Development Fund through the Operational Competitiveness Program, and by Fundação para a Ciência e a Tecnologia (FCT) within the project FCT/ UIDB/00617/2020.

Abstract

This prospective experimental study aimed to compare effects of 3 different home-based postoperative respiratory muscle training protocols – inspiratory, expiratory and combined, in the patients’ postoperative recovery, regarding safety and respiratory muscle function, pulmonary function, physical fitness, physical activity (PA), dyspnoea and quality of life (QoL). Patients were divided in four groups Usual Care (UCare), inspiratory (IMT), expiratory (EMT) or combined muscle training (CombT) according to group allocation. Significant treatment*time interactions were found for maximal inspiratory pressure (MIP) (p=0.014), sedentary PA (SEDPA) (p=0.003), light PA (LIGPA) (p=0.045) and total PA (p=0.035). Improvements were observed for MIP in CombT (p=0.001), IMT (p=0.001), EMT (p=0.050). SEDPA reduced in EMT (p=0.001) and IMT (p=0.006), while LIGPA increased in both groups (p=0.001), as well as Total PA (p=0.005 and p=0.001, respectively). In UCare, CombT, and EMT, QoL improved only for Usual Activities. In conclusion, the addition of respiratory muscle training to physiotherapy usual care is safe and effective to increase MIP and contribute to improve physical activity. The CombT showed greater improvement on MIP, while IMT compared to EMT, was more effective to improve physical activity.



Publication History

Received: 00 00 2019

31 December 2019

Publication Date:
06 April 2020 (online)

© Georg Thieme Verlag KG
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