Breathing Exercises and Inspiratory Muscle Training in Heart Failure

被引:58
作者
Cahalin, Lawrence P. [1 ]
Arena, Ross A. [2 ]
机构
[1] Univ Miami, Dept Phys Therapy, Leonard M Miller Sch Med, Coral Gables, FL 33146 USA
[2] Univ Illinois, Coll Appl Hlth Sci, Dept Phys Therapy, Chicago, IL 60612 USA
关键词
Functional capacity; Respiratory muscle weakness; Rehabilitation; Exercise training; QUALITY-OF-LIFE; OBSTRUCTIVE PULMONARY-DISEASE; SYMPATHETIC-NERVE ACTIVITY; RANDOMIZED-TRIAL; CLINICAL-TRIAL; RESPIRATORY EFFORT; OXYGEN-SATURATION; CAPACITY; WEAKNESS; SENSATION;
D O I
10.1016/j.hfc.2014.09.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Breathing exercises (BE) and inspiratory muscle training (IMT) have been demonstrated to improve ventilation and ventilation-to-perfusion matching, and to improve exercise, functional performance, and many pathophysiologic manifestations of heart failure (HF). This article provides an extensive review of BE and IMT in patients with HF and identifies several key areas in need of further investigation, including the role of expiratory muscle training, IMT targeted at various locations of inspiration (early, mid, or late inspiration), and alteration of the ratio of inspiratory time to total breath time, all of which have substantial potential to improve many pathophysiologic manifestations of HF.
引用
收藏
页码:149 / +
页数:25
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