Inspiratory muscle endurance in adults with asthma: a systematic review
DOI:
https://doi.org/10.15448/1983-652X.2019.2.32851Keywords:
respiratory muscles, muscle endurance, physical endurance, adults, asthma.Abstract
Introduction: Asthma is a chronic disease that can lead to impaired inspiratory muscle endurance (IME). Objective: To evaluate the IME profile in asthmatic patients. Materials and Methods: This is a systematic review conducted through the Pubmed/Medline, Lilacs, Scielo and PEDro. We selected studies that evaluated IME in adults (≥18 years old) diagnosed with asthma. The following search strategies were used: 1) Asthma AND Respiratory Muscle AND Physical Endurance; 2) Asthma AND Respiratory Muscle AND Muscle Endurance; 3) Asthma AND Respiratory Muscle AND Muscle Resistance; 4) Asthma AND Inspiratory Muscle Endurance. The methodological quality was evaluated through the adapted Grading of Recommendations Assessment, Development, and Evaluation. Results: In a total of 904 articles, only 04 were included. The studies totaled 137 individuals, including asthmatics dependent/nondependent on corticoids (n=121), as well as control subjects (n=16). For the IME evaluation, the most frequent equipment was the use of inspiratory plungers (3/4), but half of the studies used the incremental load protocol (2/4) and the rest the permanent load test (2/4). All of them showed IME reduction in adult asthmatics, both by the comparison with a control group and by using cutoff points. Conclusion: Asthma causes deleterious effects on IME, leading to an inspiratory muscle capacity reduction in tolerating a particular ventilatory demand.
References
Boulet LP, FitzGerald JM, Reddel HK. The revised 2014 GINA strategy report: opportunities for change. Curr Opin Pulm Med. 2015;21(1):1-7. https://doi.org/10.1097/mcp.0000000000000125
Sociedade Brasileira de Pneumologia e Tisiologia. Diretrizes da Sociedade Brasileira de Pneumologia e Tisiologia para o manejo da asma: 2012. J Bras Pneumol. 2012;38(suppl 1):1-46. https://doi.org/10.1590/s1806-37132005000400013
Reppold CT, Antunes ADP, Corrêa LM, Zanon C, Dal Lago P. Características clínicas e psicológicas de pacientes asmáticos de um ambulatório de pneumologia. Psico-USF. 2014;19(2):199-208. https://doi.org/10.1590/1413-82712014019002005
Menezes AMB, Wehrmeister FC, Hortal B, Szwarcwald CL, Vieira ML, Malta DC. Prevalência de diagnóstico médico de asma em adultos brasileiros: pesquisa nacional de saúde, 2013. Rev Bras Epidemiol. 2015;18(suppl 2):204-13. https://doi.org/10.1590/1980-5497201500060018
Akkoca O, Mungan D, Karabiyikoglu G, Misirligil Z. Inhaled and systemic corticosteroid therapies: do they contribute to inspiratory muscle weakness in asthma? Respiration. 1999;66(4):332-7. https://doi.org/10.1159/000029403
Oliveira CMG, Lanza FC, Solé D. Força dos músculos respiratórios em crianças e adolescentes com asma: similar à de indivíduos saudáveis? J Bras Pneumol. 2012;38(3):308-14. https://doi.org/10.1590/s1806-37132012000300005
Sette L, Ganassini A, Boner AL, Rossi A. Maximal inspiratory pressure and inspiratory muscle endurance time in asthmatic children: reproducibility and relationship with pulmonary function tests. Pediatr Pulmonol. 1997;24(6):385-90. https://doi.org/10.1002/(sici)1099-0496(199712)24:6<385::aidppul2>3.0.co;2-g
Rochester DF. The diaphragm: contractile properties and fatigue. J Clin Invest. 1985;75(5):1397-402.
Ratnovsky A, Elad D, Halpern P. Mechanics of respiratory muscles. Respir Physiol Neurobiol. 2008;163(1-3):82-9. https://doi.org/10.1016/j.resp.2008.04.019
Laghi F, Tobin MJ. Disorders of the respiratory muscles. Am J Respir Crit Care Med. 2003;168(1):10-48. https://doi.org/10.1164/rccm.2206020
Perez T, Becquart LA, Stach B, Wallaert B, Tonnel AB. Inspiratory muscle strength and endurance in steroid-dependent asthma. Am J Respir Crit Care Med. 1996;153(2):610-5. https://doi.org/10.1164/ajrccm.153.2.8564106
Brancaleone P, Perez T, Robin S, Neviere R, Wallaert B. Clinical impact of inspiratory muscle impairment in sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2004;21(3):219-27.
Lands L, Desmond KJ, Demizio D, Pavilanis A, Coates AL. The effects of nutritional status and hyperinflation on respiratory muscle strength in children and young adults. Am Rev Respir Dis. 1990;141(6):1506-9. https://doi.org/10.1164/ajrccm/141.6.1506
Bruurs ML, van der Giessen LJ, Moed H. The effectiveness of physiotherapy in patients with asthma: a systematic review of the literature. Respir Med. 2013;107(4):483-94. https://doi.org/10.1016/j.rmed.2012.12.017
de Jong W, van Aalderen WM, Kraan J, Koëter GH, van der Schans CP. Inspiratory muscle training in patients with cystic fibrosis. Respir Med. 2001;95(1):31-6. https://doi.org/10.1053/rmed.2000.0966
Troosters T, Gosselink R, Decramer M. Respiratory muscle assessment. Eur Respir Mon. 2005;31:57-71. https://doi.org/10.1183/1025448x.00031004
Atkins D, Best D, Briss PA, Eccles M, Falck-Ytter Y, Flottorp S, Guyatt GH, Harbour RT, Haugh MC, Henry D, Hill S, Jaeschke R, Leng G, Liberati A, Magrini N, Mason J, Middleton P, Mrukowicz J, O’Connell D, Oxman AD, Phillips B, Schünemann HJ, Edejer T, Varonen H, Vist GE, Williams JW Jr, Zaza S; GRADE Working Group. Grading quality of evidence and strength of recommendations. BMJ. 2004;328(7454):1490. https://doi.org/10.1186/1472-6963-5-25
Picado C, Fiz JA, Montserrat JM, Grau JM, Fernandez-Sola J, Luengo MT, Casademont J, Agusti-Vidal A. Respiratory and skeletal muscle function in steroid-dependent bronchial asthma. Am Rev Respir Dis. 1990;141(1):14-20. https://doi.org/10.1164/ajrccm/141.1.14
Gorman RB, McKenzie DK, Gandevia SC, Plassman BL. Inspiratory muscle strength and endurance during hyperinflation and histamine induced bronchoconstriction. Thorax. 1992; 47(11):922-7. https://doi.org/10.1136/thx.47.11.922
Weiner P, Azgad Y, Ganam R, Weiner M. Inspiratory muscle training in patients with bronchial asthma. Chest. 1992; 102(5):1357-61. https://doi.org/10.1378/chest.102.5.1357
Hart N, Hawkins P, Hamnegård CH, Green M, Moxham J, Polkey MI. A novel clinical test of respiratory muscle endurance. Eur Respir J. 2002;19(2):232-9. https://doi.org/10.1183/09031936.02.00247602
Pereira LFF, Mancuzo EV, Rezende CF, Côrrea RA. Six-minute walk test and respiratory muscle strength in patients with uncontrolled severe asthma: a pilot study. J Bras Pneumol. 2015;41(3):211-8. https://doi.org/10.1590/s1806-37132015000004483
Sampaio LMM, Jamami M, Pires VA, Silva AB, Costa D. Força muscular respiratória em pacientes asmáticos submetidos ao treinamento muscular respiratório e treinamento físico. Rev Fisioter Univ São Paulo. 2002;9(2):43-8. https://doi.org/10.11606/t.5.2017.tde-20062017-151204
Dekhuijzen PN, Decramer M. Steroid-induced myopathy and its significance to respiratory disease: a known disease rediscovered. Eur Respir J. 1992;5(8):997-1003.
Weiner P, Azgad Y, Weiner M. The effect of corticosteroids on inspiratory muscle performance in humans. Chest. 1993; 104(6):1788-91. https://doi.org/10.1378/chest.104.6.1788
Nickerson BG, Keens TG. Measuring ventilatory muscle endurance in humans as sustainable inspiratory pressure. J Appl Physiol Respir Environ Exerc Physiol. 1982;52(3):768-72. https://doi.org/10.1152/jappl.1982.52.3.768
Reiter M, Totzauer A, Werner I, Koessler W, Zwick H, Wanke T. Evaluation of inspiratory muscle function in a healthy Austrian population: practical aspects. Respiration. 2006;73(5):590-6. https://doi.org/10.1159/000091392
Hill K, Jenkins SC, Philippe DL, Shepherd KL, Hillman DR, Eastwood PR. Comparison of incremental and constant load tests of inspiratory muscle endurance in COPD. Eur Respir J. 2007; 30(3):479-86. https://doi.org/10.1183/09031936.00095406
Woszezenki CT, Heinzmann-Filho JP, Vendrusculo FM, Piva TC, Levices I, Donadio MV. Reference values for inspiratory muscle endurance in healthy children and adolescents. PLoS One. 2017;12(1):e0170696. https://doi.org/10.1371/journal.pone.0170696
Johnson PH, Cowley AJ, Kinnear WJ. Incremental threshold loading: a standard protocol and establishment of a reference range in naive normal subjects. Eur Respir J. 1997;10(12): 2868-71. https://doi.org/10.1183/09031936.97.10122868
Downloads
Published
Issue
Section
License
COPYRIGHT
The submission of originals to Ciência & Saúde implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Ciência & Saúde as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Ciência & Saúde , the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Ciência & Saúde endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.
