Evaluación de los efectos de un dispositivo de entrenamiento de los músculos inspiratorios sobre la oxigenación muscular y la activación neuromuscular de los músculos respiratorios

  1. Jesús G. Ponce González 14
  2. C. España Domínguez 2
  3. J.L. González Montesinos 14
  4. C. Casals 14
  5. J. Corral Pérez 14
  6. D. Velázquez Díaz 14
  7. J.R. Fernández Santos 14
  8. R. Aragón Martín 14
  9. C. Vaz Pardal 3
  10. A. Arnedillo Muñoz 24
  1. 1 Universidad de Cádiz
    info

    Universidad de Cádiz

    Cádiz, España

    ROR https://ror.org/04mxxkb11

  2. 2 Hospital Universitario Puerta del Mar
    info

    Hospital Universitario Puerta del Mar

    Cádiz, España

    ROR https://ror.org/040xzg562

  3. 3 Centro Andaluz de Medicina del Deporte Bahía Sur, San Fernando (Cádiz).
  4. 4 Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA).
Mostrar afiliaciones +
Revista:
Revista española de patología torácica

ISSN: 1889-7347

Año de publicación: 2022

Volumen: 34

Número: 2

Páginas: 115-120

Tipo: Artículo

DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista española de patología torácica

Resumen

Objective: To compare changes in electromyographic activity and peripheral muscle oxygenation of the intercostal muscles, in their condition as accessory muscles for respiration, in patients with COPD during a 6-minute walk test (6MWT) with and without the use of a FeelBreathe (FB) device.Material and methods: 20 subjects diagnosed with COPD who underwent two 6MTMs separated by at least 60 minutes were selected. Randomly, each of the patients underwent two 6MWT, one using the FB device and the other without FB (SFB) and electromyographic activity (EMG) was measured during the performance of both 6MWT, obtaining the root mean square (RMS), and on the other hand, tissue oxygenation of the intercostal muscles through the oxyhemoglobin (HbO2) variable.Results: There were no significant differences in the distance traveled in both 6MWT with HR to SFB. Both RMS and tissue oxygenation showed similar values between the FB condition vs. SFB at the end of both tests (32.26 ± 101.94 μV vs 28.25 ± 87.02 μV; p = 0.16 and 70.63 ± 18.80 vs 70.74 ± 16.77; p = 0.975 respectively).Conclusions: The work stimulus of the intercostal muscles during the 6MWT with the FB device does not compromise the appearance of early fatigue due to excessive activation or decreased oxygenation of these muscles at the intensity level of the 6MWT.

Referencias bibliográficas

  • 2021 GOLD Reports - Global Initiative for Chronic Obstructive Lung Disease - GOLD [Internet]. [cited 2021 Apr 25]. Availablefrom: https: //goldcopd.org/2021-gold-reports/
  • Miravitlles M, Soler-Cataluña JJ, Calle M et al. Guía española de la enfermedad pulmonar obstructiva crónica (GesEPOC) 2017. Tratamiento farmacológico en fase estable. Archivos de Bronconeumología. 2017; 53(6): 324–35.
  • Rosa M, Rous G, Díaz et al. Rehabilitación respiratoria. Archivos de bronconeumologia. 2014; 50(8): 332–44.
  • Magadle R, McConnell AK, Beckerman M. et al. Inspiratory muscle training in pulmonary rehabilitation program in COPD patients. Respiratory Medicine. 2007; 7: 1500–5.
  • de Lucas Ramos P, Rodríguez González-Moro JM. Rehabilitación de los músculos respiratorios en la EPOC. Archivos de Bronconeumologia 2000; 36(8): 460–70.
  • Spruit MA, Singh SJ, Garvey C et al. An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation. American Journal of Respiratory and Critical Care Medicine 2013; 188(8): e13–64.
  • Gonzalez-Montesinos JL, Arnedillo A, Fernandez-Santos JR et al. A new nasal restriction device called feelbreathe® improves breathing patterns in chronic obstructive pulmonary disease patients during exercise. International Journal of Environmental Research and Public Health. 2020; 17(13): 1–15.
  • Arnedillo A, Gonzalez-Montesinos JL, Fernandez-Santos JR et al. Effects of a rehabilitation programme with a nasal inspiratory restriction device on exercise capacity and quality of life in COPD. International Journal of Environmental Research and Public Health. 2020; 17(10): 1–13.
  • ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. American journal of respiratory and critical care medicine. 2002 Jul; 166(1): 111–7.
  • Ferrari M, Quaresima V. Near Infrared Brain and Muscle Oximetry: From the Discovery to Current Applications. Journal of Near Infrared Spectroscopy 2012; 20(1): 1–14.
  • Ramsook AH, Molgat-Seon Y, Schaeffer MR et al. Effects of inspiratory muscle training on respiratory muscle electromyography and dyspnea during exercise in healthy men. Journal of Applied Physiology 2017; 122(5): 1267–75.
  • Wada JT, Borges-Santos E, Porras DC et al. Effects of aerobic training combined with respiratory muscle stretching on the functional exercise capacity and thoracoabdominal kinematics in patients with COPD: A randomized and controlled trial. International Journal of COPD2016; 11(1): 2691–700.
  • Morrow B, Brink J, Grace S et al. The effect of positioning and diaphragmatic breathing exercises on respiratory muscle activity in people with chronic obstructive pulmonary disease. South African Journal of Physiotherapy 2016; 72(1).
  • Barberan‐Garcia A, Munoz PA, Gimeno‐Santos E et al. Training‐induced changes on quadriceps muscle oxygenation measured by near‐infrared spectroscopy in healthy subjects and in chronic obstructive pulmonary disease patients. ClinicalPhysiology and Functional Imaging 2019; 39(4): 284–90.
  • Puente-Maestu L, Tena T, Trascasa C et al. Training improves muscle oxidative capacity and oxygenation recovery kinetics in patients with chronic obstructive pulmonary disease. European Journal of Applied Physiology 2003; 88(6): 580–7.
  • Camillo CA, Osadnik CR, van Remoortel Het al. Effect of “add-on” interventions on exercise training in individuals with COPD: a systematic review. ERJ Open Research 2016; 2(1): 00078–2015.
Fuente de los datos: Dialnet