心衰患者呼吸肌训练.pdf

Journal of the American College of Cardiology Vol. 47, No. 4, 2006 © 2006 by the American College of Cardiology Foundation ISSN 0735-1097/06/$32.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2005.09.052 Inspiratory Muscle Training in Patients With Heart Failure and Inspiratory Muscle Weakness A Randomized Trial Pedro Dall’Ago, PT, SCD,*† Gaspar R. S. Chiappa, PT, MSC,‡ Henrique Guths, PT, MSC,† Ricardo Stein, MD, SCD,‡ Jorge P. Ribeiro, MD, SCD‡§ Porto Alegre and Canoas, Brazil OBJECTIVES This study sought to evaluate the effects of inspiratory muscle training in inspiratory muscle strength, as well as in functional capacity, ventilatory responses to exercise, recovery oxygen uptake kinetics, and quality of life in patients with chronic heart failure (CHF) and inspiratory muscle weakness. BACKGROUND Patients with CHF may have reduced strength and endurance in inspiratory muscles, which may contribute to exercise intolerance and is associated with a poor prognosis. METHODS Thirty-two patients with CHF and weakness of inspiratory muscles (maximal inspiratory pressure [PImax] 70% of predicted) were randomly assigned to a 12-week program of inspiratory muscle training (IMT, 16 patients) or to a placebo-inspiratory muscle training (P-IMT, 16 patients). The following measures were obtained before and after the prog