Title |
Inspiratory muscle training for asthma
|
---|---|
Published in |
Cochrane database of systematic reviews, September 2013
|
DOI | 10.1002/14651858.cd003792.pub2 |
Pubmed ID | |
Authors |
Ivanizia S Silva, Guilherme AF Fregonezi, Fernando AL Dias, Cibele TD Ribeiro, Ricardo O Guerra, Gardenia MH Ferreira |
Abstract |
In some people with asthma, expiratory airflow limitation, premature closure of small airways, activity of inspiratory muscles at the end of expiration and reduced pulmonary compliance may lead to lung hyperinflation. With the increase in lung volume, chest wall geometry is modified, shortening the inspiratory muscles and leaving them at a sub-optimal position in their length-tension relationship. Thus, the capacity of these muscles to generate tension is reduced. An increase in cross-sectional area of the inspiratory muscles caused by hypertrophy could offset the functional weakening induced by hyperinflation. Previous studies have shown that inspiratory muscle training promotes diaphragm hypertrophy in healthy people and patients with chronic heart failure, and increases the proportion of type I fibres and the size of type II fibres of the external intercostal muscles in patients with chronic obstructive pulmonary disease. However, its effects on clinical outcomes in patients with asthma are unclear. |
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Country | Count | As % |
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Australia | 1 | 25% |
United Kingdom | 1 | 25% |
Unknown | 2 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Spain | 2 | <1% |
Portugal | 1 | <1% |
Brazil | 1 | <1% |
Germany | 1 | <1% |
United Kingdom | 1 | <1% |
United States | 1 | <1% |
Unknown | 569 | 99% |
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Student > Bachelor | 89 | 15% |
Student > Master | 78 | 14% |
Researcher | 41 | 7% |
Student > Ph. D. Student | 40 | 7% |
Student > Postgraduate | 38 | 7% |
Other | 97 | 17% |
Unknown | 193 | 34% |
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Medicine and Dentistry | 139 | 24% |
Nursing and Health Professions | 107 | 19% |
Sports and Recreations | 26 | 5% |
Social Sciences | 20 | 3% |
Agricultural and Biological Sciences | 17 | 3% |
Other | 55 | 10% |
Unknown | 212 | 37% |