1Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, ETH Zurich, Zurich, SWITZERLAND; and 2Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, SWITZERLAND.
Med Sci Sports Exerc. 2015 Sep;47(9):1979-87. doi: 10.1249/MSS.0000000000000627.
Respiratory muscle training has been shown to improve physical performance in healthy individuals and patients. One training modality for both inspiratory and expiratory muscles is respiratory muscle endurance training (RMET), which consists of normocapnic hyperpnea at constant ventilation for 30 min. Here, a new training regimen, respiratory muscle sprint-interval training (RMSIT), is introduced and tested for its potential to fatigue respiratory muscles. In addition, effects of both modalities on airway properties are investigated.
In 12 healthy subjects (six men and six women; 24 ± 3 yr; forced expiratory volume in 1 s, 115% ± 10%), changes in inspiratory transdiaphragmatic twitch pressure (Pdi,tw) and expiratory gastric twitch pressure (Pga,tw) were assessed during cervical magnetic stimulation or thoracic magnetic stimulation before and after a single bout of RMET and RMSIT. At similar time points, mechanical airway properties were assessed by impulse oscillometry. RMET was performed for 30 min at 60% of maximal voluntary ventilation, with constant tidal volume and breathing frequency. RMSIT consisted of six 30-s respiratory sprints (with 2-min breaks in between) at constant tidal volume, with the greatest possible breathing frequency and added resistance.
Pdi,tw and Pga,tw decreased significantly after RMET (-17.7% ± 9.0% and -22.4% ± 18.5%; P < 0.01) and RMSIT (-18.1% ± 12.8% and -21.2% ± 13.1%; P < 0.01), and changes did not differ between training modalities (P = 0.50 and P = 0.12), suggesting similar levels of fatigue. Work of breathing per minute was 2.4 ± 0.8-fold greater in RMSIT than in RMET, whereas total work of breathing was substantially smaller in RMSIT (3.4 ± 0.8 kJ) than in RMET (15.0 ± 0.42 kJ). No subject showed clinically relevant changes in mechanical airway properties.
Despite different work history, RMSIT appears to place a metabolic load on respiratory muscles similarly to RMET and could therefore be considered a time-saving and safe training alternative.
呼吸肌训练已被证明能改善健康个体和患者的身体表现。一种用于吸气肌和呼气肌的训练方式是呼吸肌耐力训练(RMET),它由常氧性过度通气组成,持续 30 分钟,通气量保持恒定。在这里,引入了一种新的训练方案,即呼吸肌冲刺间歇训练(RMSIT),并对其使呼吸肌疲劳的潜力进行了测试。此外,还研究了这两种方式对气道特性的影响。
在 12 名健康受试者(6 名男性和 6 名女性;24 ± 3 岁;1 秒用力呼气容积,115% ± 10%)中,在单次 RMET 和 RMSIT 后,分别在颈磁刺激或胸磁刺激前和后评估吸气跨膈 twitch 压力(Pdi,tw)和呼气胃 twitch 压力(Pga,tw)的变化。在相似的时间点,通过脉冲振荡法评估机械气道特性。RMET 以 60%最大自主通气量持续 30 分钟,潮气量和呼吸频率保持恒定。RMSIT 由六个 30 秒的呼吸冲刺(之间有 2 分钟的休息时间)组成,潮气量保持恒定,呼吸频率和外加阻力尽可能大。
RMET(-17.7% ± 9.0%和-22.4% ± 18.5%;P < 0.01)和 RMSIT(-18.1% ± 12.8%和-21.2% ± 13.1%;P < 0.01)后 Pdi,tw 和 Pga,tw 显著降低,两种训练方式的变化没有差异(P = 0.50 和 P = 0.12),表明疲劳程度相似。每分钟呼吸功 RMSIT 比 RMET 高 2.4 ± 0.8 倍,而 RMSIT 的总呼吸功(3.4 ± 0.8 kJ)明显小于 RMET(15.0 ± 0.42 kJ)。没有受试者出现机械气道特性的临床相关变化。
尽管工作负荷不同,RMSIT 似乎对呼吸肌的代谢负荷与 RMET 相似,因此可以被认为是一种节省时间和安全的训练替代方案。