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IJPR.2017.223

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Type of Article:  Original Research

Volume 5; Issue 6 (November 2017)

Page No.: 2432-2442

DOI: https://dx.doi.org/10.16965/ijpr.2017.223

IMPACT OF INSPIRATORY MUSCLE TRAINING VERSUS RESISTANCE TRAINING ON VENTRICULAR DYSFUNCTION IN PATIENTS WITH DILATED CARDIOMYOPATHY: A RANDOMIZED CONTROLLED TRIAL

Shereen H. Elsayed 1,  Azza M. Atya *2a,b.

1 Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Egypt.

*2a Assistant professor of Physical Therapy, Department of basic sciences for Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

2b Rehabilitation sciences department, faculty of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, KSA.

Address for Correspondence: Dr. Azza M.  Mohamed   Atya, Assistant professor of Physical Therapy, Department of basic sciences for Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza ,Egypt. E-mail: Azzaatya73@gmail.com

ABSTRACT

Background: Dilated cardiomyopathy is a common cardiac dysfunction affecting patient’s functional activities. Inspiratory muscle training retains the progression of the disease and improve cardiac functions.

Objectives: To investigate the effect of inspiratory muscle training versus resistance training on left-ventricular dysfunction in patients with dilated cardiomyopathy.

Materials and Methods: Thirty male patients with ischemic dilated cardiomyopathy were randomly assigned to either the Inspiratory Muscle Training (n = 15) or Resistance Training (n = 15) Groups. The Inspiratory Muscle Training Group received supervised aerobic training plus inspiratory muscle training at 40% of the maximal inspiratory pressure for 28 min once daily 3 days a week for 16 weeks. The Resistance Training Group received aerobic training plus resistance training (50–60% of the one-repetition maximum) in three sets per session 3 days a week for 16 weeks.

Main measures: Left-ventricular end-diastolic and end-systolic diameters via echocardiography, left-ventricular ejection fraction, aerobic capacity, inspiratory muscle strength, and N-terminal prohormone of brain natriuretic peptide levels were assessed at baseline, after 16 weeks of training-based intervention, and at a 24-week follow-up.

Results: The Inspiratory Muscle Training Group exhibited significantly greater improvements in left-ventricular end-diastolic and end-systolic diameters, left-ventricular ejection fraction, aerobic capacity, respiratory muscle strength, and N-terminal prohormone of brain natriuretic peptide levels than the Resistance Training Group (p > 0.05). These significant gains were maintained at a 24-week follow-up.

Conclusion: Inspiratory muscle training has more significant effect in eliminating the left ventricular dysfunction than resistance training for patients with dilated cardiomyopathy.

KEY WORDS: Inspiratory muscle training, Resistance training, Dilated cardiomyopathy.

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Cite this article: Shereen H. Elsayed, Azza M. Atya. IMPACT OF INSPIRATORY MUSCLE TRAINING VERSUS RESISTANCE TRAINING ON VENTRICULAR DYSFUNCTION IN PATIENTS WITH DILATED CARDIOMYOPATHY: A RANDOMIZED CONTROLLED TRIAL. Int J Physiother Res 2017;5(6):2432-2442. DOI: 10.16965/ijpr.2017.223