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Article

Effects of a Rehabilitation Programme Using a Nasal Inspiratory Restriction Device in COPD

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Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11519 Puerto Real, Spain
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Galeno Research Group, Department of Physical Education, Faculty of Education Science, University of Cádiz, 11519 Puerto Real, Spain
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Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, 11009 Cádiz, Spain
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Bahía Sur Andalusian Center for Sports Medicine, 11100 Cádiz, Spain
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MOVE-IT Research Group Department of Physical Education, Faculty of Education Science, University of Cádiz, 11519 Puerto Real, Spain
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Pneumology, Allergy and Thoracic Surgery Department, Puerta del Mar University Hospital, 11009 Cádiz, Spain
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Author to whom correspondence should be addressed.
Academic Editor: Johnny Padulo
Int. J. Environ. Res. Public Health 2021, 18(8), 4207; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084207
Received: 15 February 2021 / Revised: 7 April 2021 / Accepted: 8 April 2021 / Published: 15 April 2021
(This article belongs to the Special Issue Respiratory Muscle Training for Health and Performance)
Chronic obstructive pulmonary disease (COPD) patients are characterised for presenting dyspnea, which reduces their physical capacity and tolerance to physical exercise. The aim of this study was to analyse the effects of adding a Feel-Breathe (FB) device for inspiratory muscle training (IMT) to an 8-week pulmonary rehabilitation programme. Twenty patients were randomised into three groups: breathing with FB (FBG), oronasal breathing without FB (ONBG) and control group (CG). FBG and ONBG carried out the same training programme with resistance, strength and respiratory exercises for 8 weeks. CG did not perform any pulmonary rehabilitation programme. Regarding intra group differences in the value obtained in the post-training test at the time when the maximum value in the pre-training test was obtained (PostPRE), FBG obtained lower values in oxygen consumption (VO2, mean = −435.6 mL/min, Bayes Factor (BF10) > 100), minute ventilation (VE, −8.5 L/min, BF10 = 25), respiratory rate (RR, −3.3 breaths/min, BF10 = 2), heart rate (HR, −13.7 beats/min, BF10 > 100) and carbon dioxide production (VCO2, −183.0 L/min, BF10 = 50), and a greater value in expiratory time (Tex, 0.22 s, BF10 = 12.5). At the maximum value recorded in the post-training test (PostFINAL), FBG showed higher values in the total time of the test (Tt, 4.3 min, BF10 = 50) and respiratory exchange rate (RER, 0.05, BF10 = 1.3). Regarding inter group differences at PrePOST, FBG obtained a greater negative increment than ONBG in the ventilatory equivalent of CO2 (EqCO2, −3.8 L/min, BF10 = 1.1) and compared to CG in VE (−8.3 L/min, BF10 = 3.6), VCO2 (−215.9 L/min, BF10 = 3.0), EqCO2 (−3.7 L/min, BF10 = 1.1) and HR (−12.9 beats/min, BF10 = 3.4). FBG also showed a greater PrePOST positive increment in Tex (0.21 s, BF10 = 1.4) with respect to CG. At PreFINAL, FBG presented a greater positive increment compared to CG in Tt (4.4 min, BF10 = 3.2) and negative in VE/VCO2 intercept (−4.7, BF10 = 1.1). The use of FB added to a pulmonary rehabilitation programme in COPD patients could improve tolerance in the incremental exercise test and energy efficiency. However, there is only a statically significant difference between FBG and ONBG in EqCO2. Therefore, more studies are necessary to reach a definitive conclusion about including FB in a pulmonary rehabilitation programme. View Full-Text
Keywords: chronic pulmonary obstructive pulmonary disease; inspiratory muscle training; physical exercise; cardiopulmonary exercise test chronic pulmonary obstructive pulmonary disease; inspiratory muscle training; physical exercise; cardiopulmonary exercise test
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MDPI and ACS Style

Gonzalez-Montesinos, J.L.; Fernandez-Santos, J.R.; Vaz-Pardal, C.; Ponce-Gonzalez, J.G.; Marin-Galindo, A.; Arnedillo, A. Effects of a Rehabilitation Programme Using a Nasal Inspiratory Restriction Device in COPD. Int. J. Environ. Res. Public Health 2021, 18, 4207. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084207

AMA Style

Gonzalez-Montesinos JL, Fernandez-Santos JR, Vaz-Pardal C, Ponce-Gonzalez JG, Marin-Galindo A, Arnedillo A. Effects of a Rehabilitation Programme Using a Nasal Inspiratory Restriction Device in COPD. International Journal of Environmental Research and Public Health. 2021; 18(8):4207. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084207

Chicago/Turabian Style

Gonzalez-Montesinos, Jose L., Jorge R. Fernandez-Santos, Carmen Vaz-Pardal, Jesus G. Ponce-Gonzalez, Alberto Marin-Galindo, and Aurelio Arnedillo. 2021. "Effects of a Rehabilitation Programme Using a Nasal Inspiratory Restriction Device in COPD" International Journal of Environmental Research and Public Health 18, no. 8: 4207. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084207

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