Case report: inspiratory muscle training in chronic critically ill patients - A report of two cases

Chang, Angela T., Boots, Robert J., Henderson, Robert D., Paratz, Jennifer D. and Hodges, Paul W. (2005) Case report: inspiratory muscle training in chronic critically ill patients - A report of two cases. Physiotherapy Research International, 10 4: 222-226. doi:10.1002/pri.14


Author Chang, Angela T.
Boots, Robert J.
Henderson, Robert D.
Paratz, Jennifer D.
Hodges, Paul W.
Title Case report: inspiratory muscle training in chronic critically ill patients - A report of two cases
Journal name Physiotherapy Research International   Check publisher's open access policy
ISSN 1358-2267
Publication date 2005-12-01
Sub-type Article (original research)
DOI 10.1002/pri.14
Volume 10
Issue 4
Start page 222
End page 226
Total pages 5
Editor C. Partridge
Place of publication NJ, USA
Publisher Whurr Publ
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730110 Respiratory system and diseases (incl. asthma)
Formatted abstract
Background and Purpose
Inspiratory muscle weakness and fatigue has been documented following prolonged mechanical ventilation despite successful weaning from mechanical ventilation. This report describes the application of inspiratory muscle training in two patients following successful discharge from an intensive care unit (ICU) after prolonged mechanical ventilation.

Methods

Both patients undertook inspiratory muscle training in conjunction with standard physiotherapy rehabilitation.

Results
Improvements in inspiratory muscle strength and endurance, exercise tolerance and functional performance following twice-daily inspiratory muscle training were recorded. In both cases, an improvement in maximal inspiratory pressure (MIP) and maximal tolerated inspiratory load (MIPload) was found following training.

Conclusion

These positive results indicate further research is needed to investigate the effect of inspiratory muscle training on respiratory function, exercise tolerance and functional performance, for the possible inclusion of inspiratory muscle training into the physiotherapy management of patients following prolonged mechanical ventilation. Copyright © 2005 John Wiley & Sons, Ltd.
Keyword rehabilitation
inspiratory muscle training
case report
Q-Index Code C1

 
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Created: Wed, 15 Aug 2007, 16:38:12 EST