PMID- 31429207
OWN - NLM
STAT- MEDLINE
DCOM- 20200828
LR  - 20200828
IS  - 1742-7924 (Electronic)
IS  - 1742-7924 (Linking)
VI  - 17
IP  - 2
DP  - 2020 Apr
TI  - The effect of inspiratory muscle training on fatigue and dyspnea in patients with 
      heart failure: A randomized, controlled trial.
PG  - e12290
LID - 10.1111/jjns.12290 [doi]
AB  - AIM: Fatigue and dyspnea are debilitating symptoms in patients with heart failure 
      (HF). The purpose of this study was to evaluate the effects of inspiratory muscle 
      training (IMT) on dyspnea, fatigue and the New York Heart Association (NYHA) 
      functional classification in patients with HF. METHODS: In this prospective, 
      randomized, controlled trial, 84 patients with HF (NYHA classes II-III/IV) with a 
      mean age of 56.62 +/- 9.56 years were randomly assigned to a 6-week IMT (n = 42) or 
      a sham IMT (n = 42) program. The IMT was performed at 40% of the maximal 
      inspiratory pressure (MIP) in the IMT group and at 10% in the sham group. The 
      main outcomes were assessed at baseline and after the intervention and included 
      dyspnea severity scale (Modified Medical Research Council [MMRC], Fatigue 
      Severity Scale [FSS] and the NYHA functional classification (based on the 
      presenting symptoms). RESULTS: The between-group analysis showed significant 
      improvements in dyspnea, fatigue and the NYHA functional classification in the 
      IMT group compared to the sham group (P < .05). The within-group analysis showed 
      significant improvements in dyspnea (from 2.63 +/- 0.79 to 1.38 +/- 0.66, P < .001), 
      fatigue (from 43.36 +/- 8.5 to 28.95 +/- 9.11, P < .001) and the NYHA functional 
      classification (from 2.73 +/- 0.5 to 2.1 +/- 0.6, P = .001) in the IMT group, while 
      fatigue and dyspnea increased significantly in the sham group. CONCLUSIONS: The 
      6-week home-based IMT was found to be an effective and safe tool for reducing 
      dyspnea and fatigue and improving the NYHA functional classification.
CI  - (c) 2019 Japan Academy of Nursing Science.
FAU - Hossein Pour, Amir Hossein
AU  - Hossein Pour AH
AD  - Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, 
      Iran.
FAU - Gholami, Mohammad
AU  - Gholami M
AUID- ORCID: 0000-0001-5553-2651
AD  - School of Nursing and Midwifery, Lorestan University of Medical Sciences, 
      Khorramabad, Iran.
FAU - Saki, Mandana
AU  - Saki M
AD  - Social Determinants of Health Research Center, Lorestan University of Medical 
      Sciences, Khorramabad, Iran.
FAU - Birjandi, Mehdi
AU  - Birjandi M
AD  - Department of Biostatistics and Epidemiology, School of Health and Nutrition, 
      Lorestan University of Medical Sciences, Khorramabad, Iran.
LA  - eng
GR  - project code: A-10-1,661-1/Research and Technology Deputy of Lorestan University 
      of Medical Sciences/
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20190819
PL  - Japan
TA  - Jpn J Nurs Sci
JT  - Japan journal of nursing science : JJNS
JID - 101227890
SB  - IM
MH  - Aged
MH  - *Breathing Exercises
MH  - Dyspnea/complications/*physiopathology
MH  - Exercise Tolerance
MH  - Fatigue/complications/*physiopathology
MH  - Female
MH  - Heart Failure/complications/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Quality of Life
MH  - Respiratory Muscles/*physiology
OTO - NOTNLM
OT  - dyspnea
OT  - fatigue
OT  - heart failure
OT  - inspiratory muscle training
EDAT- 2019/08/21 06:00
MHDA- 2020/08/29 06:00
CRDT- 2019/08/21 06:00
PHST- 2018/08/24 00:00 [received]
PHST- 2019/04/18 00:00 [revised]
PHST- 2019/06/27 00:00 [accepted]
PHST- 2019/08/21 06:00 [pubmed]
PHST- 2020/08/29 06:00 [medline]
PHST- 2019/08/21 06:00 [entrez]
AID - 10.1111/jjns.12290 [doi]
PST - ppublish
SO  - Jpn J Nurs Sci. 2020 Apr;17(2):e12290. doi: 10.1111/jjns.12290. Epub 2019 Aug 19.