Perception of patients with interstitial lung diseases submitted to inspiratory muscle training

Physiother Theory Pract. 2024 Jun;40(6):1317-1325. doi: 10.1080/09593985.2022.2141598. Epub 2022 Nov 3.

Abstract

Background: Although inspiratory muscle training reduces dyspnea in patients with chronic respiratory diseases, it was not yet evaluated in a sample composed exclusively of patients with interstitial lung diseases.

Objective: To discuss the perception of patients with interstitial lung diseases about inspiratory muscle training intervention.

Methods: This is a qualitative study. Data were collected using semi-structured interviews, transcribed, and analyzed by thematic analysis.

Results: Fourteen patients (64 ± 7 years) with interstitial lung disease were interviewed. Average participation in the inspiratory muscle training program was 90% (range, 66-100%). Three themes were elaborated: 1) dyspnea and other symptoms in daily life (e.g. "I could not carry out a bag; I was very uncomfortable"); 2) less symptom and greater performance (e.g. "I wash and change my clothes, house cleaning, do everything without feeling anything"); and 3) IMT: a time dedicated to my health (e.g. "For me it was great because I saw my evolution every day").

Conclusion: Patients noticed improvements in symptoms and performance related to daily activities. Despite initial difficulties, patients continued training as planned.

Keywords: Physiotherapy; lung diseases; qualitative research; rehabilitation; respiratory muscle training.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Breathing Exercises*
  • Dyspnea / physiopathology
  • Female
  • Humans
  • Interviews as Topic
  • Lung Diseases, Interstitial* / physiopathology
  • Lung Diseases, Interstitial* / rehabilitation
  • Male
  • Middle Aged
  • Perception
  • Qualitative Research*
  • Respiratory Muscles / physiopathology