Inspiratory muscle training in patients with prior polio who use part-time assisted ventilation

Arch Phys Med Rehabil. 2000 Aug;81(8):1065-71. doi: 10.1053/apmr.2000.7164.

Abstract

Objective: To evaluate whether inspiratory muscle training in patients with prior poliomyelitis (and with symptoms and signs of hypoventilation) who use part-time assisted ventilation could improve symptoms and respiratory muscle function without adverse effects.

Design: Intervention study with before-after trial.

Setting: Training was performed in the patients' homes; assessments were performed at the hospital.

Patients: Ten prior-polio patients were included. Three of them did not complete the trial, and their data were not included in results of training.

Intervention: Ten weeks of daily inspiratory muscle training.

Main outcome measures: Spirometry, maximal inspiratory and expiratory pressures, inspiratory muscle endurance, and questions regarding activities of daily living were performed.

Results: Inspiratory endurance capacity over 5 minutes improved from 10.7 to 16.7cm H2O (p < .05) assessed at 15 on the Borg scale, and most patients improved in activities of daily living. The whole-body endurance capacity remained stable over the studied period.

Conclusion: Inspiratory muscle training and close supervision can increase respiratory muscle endurance and improve well-being in patients with prior polio who use part-time assisted ventilation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Aged
  • Breathing Exercises*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Poliomyelitis / physiopathology
  • Poliomyelitis / rehabilitation*
  • Respiration, Artificial*
  • Respiratory Muscles / physiopathology*
  • Spirometry