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The Effect of a High-Intensity PrO2Fit Inspiratory Muscle Training Intervention on Physiological and Psychological Health in Adults with Bronchiectasis

A Mixed-Methods Study

Bibliographic Data

ID15484841
AuthorsJessica L McCreery (0000-0001-6572-9300, Swansea University), Kelly A Mackintosh (0000-0003-0355-6357, Swansea University), Rebekah Mills-Bennett (Glangwili General Hospital), Melitta A McNarry (0000-0003-0813-7477, Swansea University, corresponding author)
Year2021
Volume18
Issue6
Pages3051-3051
Publication date2021-03-16
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18063051
PMID33809595
OpenAlexW3139065233
LanguageEN
References cited52

Bronchiectasis is characterised by airflow obstruction and hyperinflation resulting in respiratory muscle weakness, and decreased exercise capacity. Inspiratory muscle training (IMT) is potentially an alternative treatment strategy to enhance respiratory muscle strength and endurance. Therefore, the aim was to investigate the effects of IMT on those with bronchiectasis. Eighteen participants (10 bronchiectasis) took part in an eight-week, three times a week IMT programme at 80% sustained maximal inspiratory pressure (SMIP). Lung function, respiratory muscle strength and endurance, exercise capacity, physical activity and self-determination theory measures were taken. Participants also took part in a semi-structured interview to assess their perceptions and experience of an IMT intervention. After eight weeks of IMT, bronchiectasis and healthy participants exhibited significant increases in MIP (27% vs. 32%, respectively), SMIP (16% vs. 17%, respectively) and inspiratory duration (36% vs. 30%, respectively). Healthy participants exhibited further improvements in peak expiratory flow and maximal oxygen consumption. Bronchiectasis participants reported high levels of perceived competence and motivation, reporting higher adherence and improved physical ability. Eight weeks of IMT increased inspiratory muscle strength and endurance in those with bronchiectasis. IMT also had a positive effect on perceived competency and autonomy, with bronchiectasis participants reporting improved physical ability and motivation, and high adherence

Bronchiectasis · Lung · Lung volumes · Physical therapy · Respiratory system · Childhood Cancer Survivors' Quality of Life · Chronic Obstructive Pulmonary Disease (COPD) Research · Cystic Fibrosis Research Advances · Medicine · Internal Medicine

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