Respiratory Muscle Training: A Review | Chapter 3 | Medical Science: Recent Advances and Applications Vol. 3

Background: Respiratory Muscle Training (RMT) can be defined as a technique that aims to improve the function of the respiratory muscles through specific exercises. RMT may consist of Inspiratory Muscle Training (IMT) or Expiratory Muscle Training (EMT), or a combination of the two. Indications: Asthma, Bronchitis, Emphysema, COPD, Sports training, stroke/CVA, spinal cord injury, Amyotrophic lateral sclerosis, Ankylosing spondylosis and many others. respiratory muscle strength training protocols include two types resistance training and endurance training.

Protocols/Methodology: There are two devices available for this purpose: A nonlinear device and A threshold IMT device. With the threshold device, a reliable inspiratory pressure load is provided regardless of airflow rate.  The load is adjusted by the the rapist or patient according to a desired percentage of the patient's maximal inspiratory pressure (PI max). Usually, the patient begins training at a low load, equal to about one third of the pimax and progresses slowly in small increments adjusting a screw to alter the tension until the training load reaches 60% of the current Pimax. To determine the appropriate starting load for Inspiratory Muscle Strength (IMS) or Expiratory Muscle Strength (EMS) training, a pressure-measuring device, such as a digital manometer, peak flow meter, or pressure threshold device, is required.

Clinical Significance: Respiratory Muscle Strength Training (RMST) has the potential to reduce shortness of breath, boost exercise tolerance, and improve the overall quality of life in individuals with respiratory conditions.

 

Author (s) Details

Dinkey Mankad
College of Physiotherapy, Sumandeep Vidyapeeth (Deemed to be University) Waghodia, Vadodara, India.

 

Tejas R Chokshi
College of Physiotherapy, Sumandeep Vidyapeeth (Deemed to be University) Waghodia, Vadodara, India.

Kalpesh Satani
College of Physiotherapy, Sumandeep Vidyapeeth (Deemed to be University) Waghodia, Vadodara, India.

Please see the book here:- https://doi.org/10.9734/bpi/msraa/v3/5293