Beaumont M, Le Tallec F, Villiot-Danger E
Service de réhabilitation respiratoire, centre hospitalier des Pays de Morlaix, Morlaix, France; Laboratoire GETBO (EA3878), CIC Inserm 1412, centre hospitalier universitaire de Brest, Brest, France.
Service de kinésithérapie, centre hospitalier privé Saint-Grégoire, Rennes, France.
Rev Mal Respir. 2021 Sep;38(7):754-767. doi: 10.1016/j.rmr.2021.04.003. Epub 2021 Apr 18.
Inspiratory muscle training (IMT) is part of the management of patients with pulmonary diseases during rehabilitation. Since the last recommendations of the Société de pneumologie de langue française, several studies have focused on the role of inspiratory muscle training during pulmonary rehabilitation.
IMT, in comparison to standard care or sham-IMT, improves the strength and endurance of the inspiratory muscles, decreases dyspnoea during the activities of daily living, improves walking distance and quality of life. However, the different studies did not show an additional effect of IMT during a pulmonary rehabilitation program compared to a rehabilitation program without IMT, with regard to improvement of exercise capacity and quality of life.
One study showed an improvement in dyspnoea of effort, but these results are yet to be confirmed. Finally, it seems appropriate to associate IMT with an exercise-training program before chest or abdominal surgery, even if further studies are necessary.
During a pulmonary rehabilitation program, IMT does not provide additional benefits. However, when patients cannot perform a global exercise training, IMT has shown benefit. IMT provides additional benefits in pre-operative programs.
吸气肌训练（IMT）是肺部疾病患者康复治疗的一部分。自法国胸科学会上次发布建议以来，多项研究聚焦于吸气肌训练在肺康复中的作用。
与标准护理或假吸气肌训练相比，吸气肌训练可增强吸气肌力量和耐力，减轻日常生活活动中的呼吸困难，增加步行距离并改善生活质量。然而，不同研究表明，在肺康复计划中，与未进行吸气肌训练的康复计划相比，吸气肌训练在改善运动能力和生活质量方面并无额外效果。
一项研究显示用力时呼吸困难有所改善，但这些结果尚待证实。最后，即使有必要开展进一步研究，在胸部或腹部手术前将吸气肌训练与运动训练计划相结合似乎是合适的。
在肺康复计划中，吸气肌训练并无额外益处。然而，当患者无法进行全面运动训练时，吸气肌训练已显示出益处。吸气肌训练在术前计划中可提供额外益处。
