1 / 17

Breathing

Breathing. Untrained Trained Support Diaphragm Healthy Unhealthy. Intervention. Proof of Concept. Respiratory Muscle Strength Training Since about 1999. Bilateral Paralysis. SCI. PD. MS. Children. Elderly. Spinal Muscle Atrophy. ALS. Paradoxical VF Dysfunction. Safety. COPD.

uri
Download Presentation

Breathing

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Breathing Untrained Trained Support Diaphragm Healthy Unhealthy

  2. Intervention • Proof of Concept

  3. Respiratory Muscle Strength Training Since about 1999 BilateralParalysis SCI PD MS Children Elderly SpinalMuscleAtrophy ALS ParadoxicalVF Dysfunction Safety COPD

  4. Pressure, Flow, Voice

  5. Intervention What is it? What is it not? Who can it be used with? Outcomes: Case, Group, and Randomized trials CoMorbidities Protocol Maintenance

  6. Respiratory Muscle Strength Training (RMST) • The process of building strength within muscle groups • Two Types: • Inspiratory Muscle Strength Training (IMST) • Diaphragm • External intercostals • Expiratory muscle strength training (EMST) • Abdominals • Internal intercostals

  7. Question: Which Direction? Problem? Purpose? Desired Outcome? MIP or MEP?

  8. Overload & Specificity • Training must“overload” the system/muscle type LowLoad Overload

  9. Progress Strength • Neural adaptations (6-8 weeks) • Myogenic adaptations (+ 5 weeks) Hypertrophy Neural adaptations Time (Modified from Sale, 1988) Result:Adaptations

  10. Multiple Functions have Been Studied

  11. What is a RMST? • General “breathing exercisers” • Resistive trainers – is there a difference? • Pressure threshold trainers

  12. EMST? 4 week program 5 days per week 25 breaths per day Load set at 75% of MEP • Expiratory pressure threshold training: • Pressure‑threshold device • Calibrated, one way, spring-loaded valve • Not resistance training (physiological load calibrated and imposed) • Target muscles: expiratory (abdominals) and supralaryngeal

  13. Loaded Spring Mouthpiece Adjustable Valve What is the setting?

  14. Provides specific, constant, pressure load (spring loaded valve 0-150 cm/H20)

  15. Recommendations for Training (EMST) Twice daily exercise in all studies Daily or every other day Most studies used an overload principle Specificity of training observed with some carry-over noted 5 weeks to 3 months of training resulted in increased respiratory muscle strength

  16. Time to Do Your Training

  17. Time to Train • Training manual included • Video online • Very simple to use • Very instrumental feeling

More Related