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Effects of a Rehabilitation Programme with a Nasal Inspiratory Restriction Device on Exercise Capacity and Quality of Life in COPD

Author

Listed:
  • Aurelio Arnedillo

    (Pneumology, Allergy and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain)

  • Jose L. Gonzalez-Montesinos

    (GALENO Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11003 Puerto Real, Spain)

  • Jorge R. Fernandez-Santos

    (GALENO Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11003 Puerto Real, Spain
    Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital University of Cádiz, 11009 Cádiz, Spain)

  • Carmen Vaz-Pardal

    (Bahía Sur Andalusian Center for Sports Medicine, 11100 Cádiz, Spain)

  • Carolina España-Domínguez

    (Pneumology, Allergy and Thoracic Surgery Department, University Hospital Puerta del Mar, 11009 Cádiz, Spain)

  • Jesús G. Ponce-González

    (Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital University of Cádiz, 11009 Cádiz, Spain
    MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11003 Puerto Real, Spain)

  • Magdalena Cuenca-García

    (GALENO Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11003 Puerto Real, Spain
    Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital University of Cádiz, 11009 Cádiz, Spain)

Abstract

Objective: The objective was to assess the effects of a nasal restriction device for inspiratory muscle training, called Feelbreathe ® , added to a rehabilitation program (RP) on exercise capacity, quality of life, dyspnea and inspiratory muscle strength in patients with stable COPD. Methods: Patients were randomized into three groups, one performed a supervised RP using the Feelbreathe ® device (FB group), the second group developed the same RP with oronasal breathing without FB (ONB group) and the third was the control group (CG). We evaluated inspiratory muscle strength (PImax), dyspnea (mMRC), quality of life (CAT) and exercise capacity (6MWT) before and after 8-week of RP. Results: A total of 16 patients completed the study, seven in FB group, five in ONB group and four in the CG. After the RP, the FB group showed a significant increase in PImax (93.3 ± 19.1 vs. 123.0 ± 15.8 mmHg) and in the 6MWT distance (462.9 ± 71.8 m vs. 529.1 ± 50.1 m) and a decrease in the CAT score (9.7 ± 6.5 vs. 5.9 ± 6.0) and in the mMRC dyspnea score. FB provides greater improvement in PImax, dyspnea, quality of life and 6MWT than ONB. Conclusions: The Feelbreathe ® device provides greater improvements in quality of life, dyspnea, exercise capacity and inspiratory muscle strength compared to patients that did not use it.

Suggested Citation

  • Aurelio Arnedillo & Jose L. Gonzalez-Montesinos & Jorge R. Fernandez-Santos & Carmen Vaz-Pardal & Carolina España-Domínguez & Jesús G. Ponce-González & Magdalena Cuenca-García, 2020. "Effects of a Rehabilitation Programme with a Nasal Inspiratory Restriction Device on Exercise Capacity and Quality of Life in COPD," IJERPH, MDPI, vol. 17(10), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3669-:d:361920
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    Citations

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    Cited by:

    1. Jose L. Gonzalez-Montesinos & Jorge R. Fernandez-Santos & Carmen Vaz-Pardal & Ruben Aragon-Martin & Aurelio Arnedillo-Muñoz & Jose Reina-Novo & Eva Orantes-Gonzalez & Jose Heredia-Jimenez & Jesus G. P, 2021. "Chronic Effects of a Training Program Using a Nasal Inspiratory Restriction Device on Elite Cyclists," IJERPH, MDPI, vol. 18(2), pages 1-13, January.
    2. José L. Gonzalez-Montesinos & Aurelio Arnedillo & Jorge R. Fernandez-Santos & Carmen Vaz-Pardal & Pelayo A. García & José Castro-Piñero & Jesús G. Ponce-González, 2020. "A New Nasal Restriction Device Called FeelBreathe ® Improves Breathing Patterns in Chronic Obstructive Pulmonary Disease Patients during Exercise," IJERPH, MDPI, vol. 17(13), pages 1-15, July.
    3. Eva Vázquez-Gandullo & Antonio Hidalgo-Molina & Francisca Montoro-Ballesteros & María Morales-González & Isabel Muñoz-Ramírez & Aurelio Arnedillo-Muñoz, 2022. "Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease (COPD) as Part of a Respiratory Rehabilitation Program Implementation of Mechanical Devices: A Systematic Review," IJERPH, MDPI, vol. 19(9), pages 1-14, May.
    4. Jose L. Gonzalez-Montesinos & Jorge R. Fernandez-Santos & Carmen Vaz-Pardal & Jesus G. Ponce-Gonzalez & Alberto Marin-Galindo & Aurelio Arnedillo, 2021. "Effects of a Rehabilitation Programme Using a Nasal Inspiratory Restriction Device in COPD," IJERPH, MDPI, vol. 18(8), pages 1-14, April.
    5. Eva Vázquez-Gandullo & Antonio Hidalgo-Molina & Francisca Montoro-Ballesteros & María Morales-González & Isabel Muñoz-Ramírez & Aurelio Arnedillo-Muñoz, 2023. "Reply to Yigit, S.; Akinci, B. Comment on “Vázquez-Gandullo et al. Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease (COPD) as Part of a Respiratory Rehabilitation Pro," IJERPH, MDPI, vol. 20(6), pages 1-3, March.

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