Ozsoy Ismail, Kahraman Buse Ozcan, Ozsoy Gulsah, Ilcin Nursen, Tekin Nil, Savci Sema
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Selcuk University, Konya, Turkey.
School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.
Ann Geriatr Med Res. 2021 Mar;25(1):45-54. doi: 10.4235/agmr.21.0014. Epub 2021 Mar 30.
Inspiratory muscle training (IMT) is a commonly used exercise method for both patients with chronic obstructive pulmonary disease (COPD) and the older adult population. In addition to their primary function, respiratory muscles play an active role in core stabilization. However, no IMT program includes both of these functions (i.e., core stabilization and postural control functions as well as respiration). This study investigated the effects of a newly integrated exercise program, termed "functional IMT," in geriatric individuals with and without COPD.
This prospective and experimental study included 45 geriatric individuals with COPD (n=22) and without COPD (n=23). The training program consisted of 4 weeks of conventional IMT followed by 4 weeks of functional IMT. Respiratory muscle strength, symptoms, exercise capacity, balance, postural control, physical activity, and quality of life were evaluated.
After training, respiratory muscle strength, symptoms, exercise capacity, balance, postural control, and quality of life improved in both groups (p<0.05). In addition, physical activity was increased in the COPD group (p<0.05). We observed no statistically significant difference in outcomes between the two groups before and after treatment (p>0.05).
The gains were similar in both groups. Functional IMT, which is an integrated approach that includes all respiratory muscle functions, is a safe, effective, and innovative method for use in geriatric individuals with and without COPD.
吸气肌训练（IMT）是慢性阻塞性肺疾病（COPD）患者和老年人群常用的锻炼方法。呼吸肌除了其主要功能外，在核心稳定方面也发挥着积极作用。然而，尚无IMT方案兼顾这两种功能（即核心稳定和姿势控制功能以及呼吸功能）。本研究调查了一种新的综合锻炼方案，即“功能性IMT”，对有和没有COPD的老年个体的影响。
这项前瞻性实验研究纳入了45名老年个体，其中22名患有COPD，23名没有COPD。训练方案包括4周的传统IMT，随后是4周的功能性IMT。评估了呼吸肌力量、症状、运动能力、平衡、姿势控制、身体活动和生活质量。
训练后，两组患者的呼吸肌力量、症状、运动能力、平衡、姿势控制和生活质量均有所改善（p<0.05）。此外，COPD组的身体活动增加（p<0.05）。我们观察到两组治疗前后的结果无统计学显著差异（p>0.05）。
两组的获益相似。功能性IMT是一种包含所有呼吸肌功能的综合方法，对于有和没有COPD的老年个体来说，是一种安全、有效且创新的方法。
