Institute of Sport and Exercise Science, James Cook University, Cairns, Queensland, Australia.
Respirology. 2013 Aug;18(6):1022-7. doi: 10.1111/resp.12100.
There is conjecture over the efficacy of respiratory muscle training (RMT). The aim of this study was to establish whether or not exercise tolerance, physical performance and effort perceptions are influenced by RMT.
Thirty-six healthy males (age 24 ± 4) agreed to participate (experimental group (EXP) n = 18, control (CON) n = 18). RMT was performed using an inspiratory pressure-threshold training device at either 55% (EXP) or 10% (CON) of maximal inspiratory effort. Measurements of spirometry and maximal static inspiratory mouth pressure were taken before and after 4 weeks of RMT in addition to an incremental test to volitional exhaustion for the determination of: (i) V˙O(2) peak; (ii) maximal velocity at volitional exhaustion (vV˙O(2) peak)); (iii) time to volitional exhaustion; and (iv) effort perceptions.
There were no differences in spirometry, but mean maximal static inspiratory mouth pressure increased significantly in EXP (P < 0.01). V˙O(2) peak was unchanged following the 4-week intervention for both EXP and CON, although the proportion of EXP attaining the criteria for a V˙O(2) plateau significantly increased (P < 0.05). Both time to volitional exhaustion (P < 0.05) and vV˙O(2) peak were significantly improved for EXP (P < 0.05), while effort perceptions were reduced (P < 0.05).
EXP tolerated higher running velocities during incremental exercise and demonstrated a significant flattening (plateau) of V˙O(2) after training. This suggests that RMT may promote an improved performance outcome vV˙O(2) peak probably as a result of blunted afferent sensations reducing the perceived discomfort of exercise at high ventilatory loads.
呼吸肌训练(RMT)的疗效存在争议。本研究旨在确定 RMT 是否会影响运动耐量、身体表现和努力感知。
36 名健康男性(年龄 24±4 岁)同意参与(实验组(EXP)n=18,对照组(CON)n=18)。RMT 使用吸气压力阈值训练设备进行,吸气努力的 55%(EXP)或 10%(CON)。在 4 周的 RMT 前后,进行肺活量测定和最大静态吸气口腔压力测量,并进行递增测试至自愿衰竭,以确定:(i)V˙O2 峰值;(ii)最大速度在自愿衰竭时(vV˙O2 峰值);(iii)衰竭时间;和(iv)努力感知。
两组的肺活量均无差异,但 EXP 的平均最大静态吸气口腔压力显著增加(P<0.01)。在 4 周的干预后,EXP 和 CON 的 V˙O2 峰值均无变化,尽管达到 V˙O2 平台标准的 EXP 比例显著增加(P<0.05)。EXP 的衰竭时间(P<0.05)和 vV˙O2 峰值均显著提高(P<0.05),而努力感知降低(P<0.05)。
EXP 在递增运动中耐受更高的跑步速度,并在训练后显示出 V˙O2 的显著平坦化(平台)。这表明 RMT 可能会提高 vV˙O2 峰值的表现结果,这可能是由于传入感觉迟钝降低了在高通气负荷下运动的不适感。