Journal article 771 views 82 downloads
Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial
European Respiratory Journal, Volume: 60, Issue: 6, Start page: 2103101
Swansea University Authors:
Melitta McNarry , James Shelley, Joanne Hudson
, Gwyneth Davies
, Kelly Mackintosh
-
PDF | Accepted Manuscript
Copyright ©The authors 2022. This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contactpermissions@ersnet.org
Download (797.94KB)
DOI (Published version): 10.1183/13993003.03101-2021
Abstract
Background: Many people recovering from COVID-19 experience prolonged symptoms, particularly breathlessness. We urgently need to identify safe and effective COVID-19 rehabilitative strategies. The aim of the current study was to investigate the potential rehabilitative role of inspiratory muscle tra...
Published in: | European Respiratory Journal |
---|---|
ISSN: | 0903-1936 1399-3003 |
Published: |
European Respiratory Society (ERS)
2022
|
Online Access: |
Check full text
|
URI: | https://cronfa.swan.ac.uk/Record/cronfa59407 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
first_indexed |
2022-02-16T09:06:35Z |
---|---|
last_indexed |
2023-01-11T14:40:39Z |
id |
cronfa59407 |
recordtype |
SURis |
fullrecord |
<?xml version="1.0"?><rfc1807><datestamp>2023-01-04T14:27:00.3279250</datestamp><bib-version>v2</bib-version><id>59407</id><entry>2022-02-16</entry><title>Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial</title><swanseaauthors><author><sid>062f5697ff59f004bc8c713955988398</sid><ORCID>0000-0003-0813-7477</ORCID><firstname>Melitta</firstname><surname>McNarry</surname><name>Melitta McNarry</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>120b09997c79f9494ca91b8a7706efe4</sid><firstname>James</firstname><surname>Shelley</surname><name>James Shelley</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>304341cf2cd1bdb99d7d6ccf0f030d99</sid><ORCID>0000-0003-4732-8356</ORCID><firstname>Joanne</firstname><surname>Hudson</surname><name>Joanne Hudson</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>92d69cf8519a334ced3f55142c811d95</sid><ORCID>0000-0003-1218-1008</ORCID><firstname>Gwyneth</firstname><surname>Davies</surname><name>Gwyneth Davies</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>bdb20e3f31bcccf95c7bc116070c4214</sid><ORCID>0000-0003-0355-6357</ORCID><firstname>Kelly</firstname><surname>Mackintosh</surname><name>Kelly Mackintosh</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2022-02-16</date><deptcode>STSC</deptcode><abstract>Background: Many people recovering from COVID-19 experience prolonged symptoms, particularly breathlessness. We urgently need to identify safe and effective COVID-19 rehabilitative strategies. The aim of the current study was to investigate the potential rehabilitative role of inspiratory muscle training (IMT).Methods: 281 adults (46.6±12.2 years; 88% female) recovering from self-reported COVID-19 (9.0±4.2 months post-acute infection) were randomized 4:1 to an eight-week IMT or a “usual care” wait list control arm. Health-related quality of life and breathlessness questionnaires (King’s Brief Interstitial Lung Disease (KBILD) and Transition Dyspnoea Index (TDI)), respiratory muscle strength and fitness (Chester Step Test) were assessed pre- and post-intervention. The primary endpoint was KBILD total score, with the KBILD subdomains and TDI being key secondary outcomes. Results: According to intention to treat (ITT), there was no difference between groups in KBILD total score post-intervention (Control: 59.5±12.4; IMT: 58.2±12.3; P<0.05) but IMT elicited clinically meaningful improvements in the KBILD subdomains of breathlessness (Control: 59.8±12.6; IMT: 62.2±16.2; P<0.05) and chest symptoms (Control: 59.2±18.7; IMT: 64.5±18.2; P<0.05), along with clinically meaningful improvements in breathlessness according to TDI (Control: 0.9 ± 1.7 vs. 2.0 ± 2.0; P<0.05). IMT also improved respiratory muscle strength and estimated aerobic fitness. Conclusions: IMT may represent an important home-based rehabilitation strategy for wider implementation as part of COVID-19 rehabilitative strategies. Given the diverse nature of long-COVID, further research is warranted on the individual responses to rehabilitation - the withdrawal rate herein highlights that no one strategy is likely to be appropriate for all.</abstract><type>Journal Article</type><journal>European Respiratory Journal</journal><volume>60</volume><journalNumber>6</journalNumber><paginationStart>2103101</paginationStart><paginationEnd/><publisher>European Respiratory Society (ERS)</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0903-1936</issnPrint><issnElectronic>1399-3003</issnElectronic><keywords>Long COVID; breathlessness; dyspnoea; fitness; physical activity; post-COVID; quality of life</keywords><publishedDay>2</publishedDay><publishedMonth>3</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-03-02</publishedDate><doi>10.1183/13993003.03101-2021</doi><url/><notes/><college>COLLEGE NANME</college><department>Sport and Exercise Sciences</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>STSC</DepartmentCode><institution>Swansea University</institution><apcterm/><funders/><projectreference/><lastEdited>2023-01-04T14:27:00.3279250</lastEdited><Created>2022-02-16T09:00:54.6834225</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2">School of Engineering and Applied Sciences - Uncategorised</level></path><authors><author><firstname>Melitta</firstname><surname>McNarry</surname><orcid>0000-0003-0813-7477</orcid><order>1</order></author><author><firstname>Ronan M G</firstname><surname>Berg</surname><order>2</order></author><author><firstname>James</firstname><surname>Shelley</surname><order>3</order></author><author><firstname>Joanne</firstname><surname>Hudson</surname><orcid>0000-0003-4732-8356</orcid><order>4</order></author><author><firstname>Zoe L</firstname><surname>Saynor</surname><order>5</order></author><author><firstname>Jamie</firstname><surname>Duckers</surname><orcid>0000-0003-3004-279x</orcid><order>6</order></author><author><firstname>Keir</firstname><surname>Lewis</surname><order>7</order></author><author><firstname>Gwyneth</firstname><surname>Davies</surname><orcid>0000-0003-1218-1008</orcid><order>8</order></author><author><firstname>Kelly</firstname><surname>Mackintosh</surname><orcid>0000-0003-0355-6357</orcid><order>9</order></author></authors><documents><document><filename>59407__23843__b6762f5ae76442bcb54884a920932e13.pdf</filename><originalFilename>59407 with licence.pdf</originalFilename><uploaded>2022-04-13T17:11:29.2202830</uploaded><type>Output</type><contentLength>817093</contentLength><contentType>application/pdf</contentType><version>Accepted Manuscript</version><cronfaStatus>true</cronfaStatus><documentNotes>Copyright ©The authors 2022. This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contactpermissions@ersnet.org</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by-nc/4.0/</licence></document></documents><OutputDurs/></rfc1807> |
spelling |
2023-01-04T14:27:00.3279250 v2 59407 2022-02-16 Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false 120b09997c79f9494ca91b8a7706efe4 James Shelley James Shelley true false 304341cf2cd1bdb99d7d6ccf0f030d99 0000-0003-4732-8356 Joanne Hudson Joanne Hudson true false 92d69cf8519a334ced3f55142c811d95 0000-0003-1218-1008 Gwyneth Davies Gwyneth Davies true false bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 2022-02-16 STSC Background: Many people recovering from COVID-19 experience prolonged symptoms, particularly breathlessness. We urgently need to identify safe and effective COVID-19 rehabilitative strategies. The aim of the current study was to investigate the potential rehabilitative role of inspiratory muscle training (IMT).Methods: 281 adults (46.6±12.2 years; 88% female) recovering from self-reported COVID-19 (9.0±4.2 months post-acute infection) were randomized 4:1 to an eight-week IMT or a “usual care” wait list control arm. Health-related quality of life and breathlessness questionnaires (King’s Brief Interstitial Lung Disease (KBILD) and Transition Dyspnoea Index (TDI)), respiratory muscle strength and fitness (Chester Step Test) were assessed pre- and post-intervention. The primary endpoint was KBILD total score, with the KBILD subdomains and TDI being key secondary outcomes. Results: According to intention to treat (ITT), there was no difference between groups in KBILD total score post-intervention (Control: 59.5±12.4; IMT: 58.2±12.3; P<0.05) but IMT elicited clinically meaningful improvements in the KBILD subdomains of breathlessness (Control: 59.8±12.6; IMT: 62.2±16.2; P<0.05) and chest symptoms (Control: 59.2±18.7; IMT: 64.5±18.2; P<0.05), along with clinically meaningful improvements in breathlessness according to TDI (Control: 0.9 ± 1.7 vs. 2.0 ± 2.0; P<0.05). IMT also improved respiratory muscle strength and estimated aerobic fitness. Conclusions: IMT may represent an important home-based rehabilitation strategy for wider implementation as part of COVID-19 rehabilitative strategies. Given the diverse nature of long-COVID, further research is warranted on the individual responses to rehabilitation - the withdrawal rate herein highlights that no one strategy is likely to be appropriate for all. Journal Article European Respiratory Journal 60 6 2103101 European Respiratory Society (ERS) 0903-1936 1399-3003 Long COVID; breathlessness; dyspnoea; fitness; physical activity; post-COVID; quality of life 2 3 2022 2022-03-02 10.1183/13993003.03101-2021 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2023-01-04T14:27:00.3279250 2022-02-16T09:00:54.6834225 Faculty of Science and Engineering School of Engineering and Applied Sciences - Uncategorised Melitta McNarry 0000-0003-0813-7477 1 Ronan M G Berg 2 James Shelley 3 Joanne Hudson 0000-0003-4732-8356 4 Zoe L Saynor 5 Jamie Duckers 0000-0003-3004-279x 6 Keir Lewis 7 Gwyneth Davies 0000-0003-1218-1008 8 Kelly Mackintosh 0000-0003-0355-6357 9 59407__23843__b6762f5ae76442bcb54884a920932e13.pdf 59407 with licence.pdf 2022-04-13T17:11:29.2202830 Output 817093 application/pdf Accepted Manuscript true Copyright ©The authors 2022. This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contactpermissions@ersnet.org true eng https://creativecommons.org/licenses/by-nc/4.0/ |
title |
Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial |
spellingShingle |
Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial Melitta McNarry James Shelley Joanne Hudson Gwyneth Davies Kelly Mackintosh |
title_short |
Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial |
title_full |
Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial |
title_fullStr |
Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial |
title_full_unstemmed |
Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial |
title_sort |
Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial |
author_id_str_mv |
062f5697ff59f004bc8c713955988398 120b09997c79f9494ca91b8a7706efe4 304341cf2cd1bdb99d7d6ccf0f030d99 92d69cf8519a334ced3f55142c811d95 bdb20e3f31bcccf95c7bc116070c4214 |
author_id_fullname_str_mv |
062f5697ff59f004bc8c713955988398_***_Melitta McNarry 120b09997c79f9494ca91b8a7706efe4_***_James Shelley 304341cf2cd1bdb99d7d6ccf0f030d99_***_Joanne Hudson 92d69cf8519a334ced3f55142c811d95_***_Gwyneth Davies bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh |
author |
Melitta McNarry James Shelley Joanne Hudson Gwyneth Davies Kelly Mackintosh |
author2 |
Melitta McNarry Ronan M G Berg James Shelley Joanne Hudson Zoe L Saynor Jamie Duckers Keir Lewis Gwyneth Davies Kelly Mackintosh |
format |
Journal article |
container_title |
European Respiratory Journal |
container_volume |
60 |
container_issue |
6 |
container_start_page |
2103101 |
publishDate |
2022 |
institution |
Swansea University |
issn |
0903-1936 1399-3003 |
doi_str_mv |
10.1183/13993003.03101-2021 |
publisher |
European Respiratory Society (ERS) |
college_str |
Faculty of Science and Engineering |
hierarchytype |
|
hierarchy_top_id |
facultyofscienceandengineering |
hierarchy_top_title |
Faculty of Science and Engineering |
hierarchy_parent_id |
facultyofscienceandengineering |
hierarchy_parent_title |
Faculty of Science and Engineering |
department_str |
School of Engineering and Applied Sciences - Uncategorised{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Uncategorised |
document_store_str |
1 |
active_str |
0 |
description |
Background: Many people recovering from COVID-19 experience prolonged symptoms, particularly breathlessness. We urgently need to identify safe and effective COVID-19 rehabilitative strategies. The aim of the current study was to investigate the potential rehabilitative role of inspiratory muscle training (IMT).Methods: 281 adults (46.6±12.2 years; 88% female) recovering from self-reported COVID-19 (9.0±4.2 months post-acute infection) were randomized 4:1 to an eight-week IMT or a “usual care” wait list control arm. Health-related quality of life and breathlessness questionnaires (King’s Brief Interstitial Lung Disease (KBILD) and Transition Dyspnoea Index (TDI)), respiratory muscle strength and fitness (Chester Step Test) were assessed pre- and post-intervention. The primary endpoint was KBILD total score, with the KBILD subdomains and TDI being key secondary outcomes. Results: According to intention to treat (ITT), there was no difference between groups in KBILD total score post-intervention (Control: 59.5±12.4; IMT: 58.2±12.3; P<0.05) but IMT elicited clinically meaningful improvements in the KBILD subdomains of breathlessness (Control: 59.8±12.6; IMT: 62.2±16.2; P<0.05) and chest symptoms (Control: 59.2±18.7; IMT: 64.5±18.2; P<0.05), along with clinically meaningful improvements in breathlessness according to TDI (Control: 0.9 ± 1.7 vs. 2.0 ± 2.0; P<0.05). IMT also improved respiratory muscle strength and estimated aerobic fitness. Conclusions: IMT may represent an important home-based rehabilitation strategy for wider implementation as part of COVID-19 rehabilitative strategies. Given the diverse nature of long-COVID, further research is warranted on the individual responses to rehabilitation - the withdrawal rate herein highlights that no one strategy is likely to be appropriate for all. |
published_date |
2022-03-02T04:16:41Z |
_version_ |
1763754116911202304 |
score |
11.021648 |