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. Author manuscript; available in PMC: 2018 Dec 1.
Published in final edited form as: Springer Sci Rev. 2017 Dec 12;5(1-2):49–64. doi: 10.1007/s40362-017-0046-5

Table 1.

Summary of studies examining the impact of inspiratory muscle training on exercise performance

Study Population Protocol Outcome
Chatham et al. [16] 22 healthy subjects (10 male, 12 female) 8-week flow-resistive IMT; 3 times weekly using TIRE regimen (progressive work: rest ratio at 80% of sustained maximal inspiratory pressure, up to 36 breaths per session) PImax increased by 42 cm H2O; 9.8% improvement in shuttle run performance
Volianitis et al. [115] 14 female competitive rowers 11-week pressure-threshold IMT; 30 breaths at 50% PImax twice daily PImax increased by 44 ± 25 cm H2O; distance covered in 6-min all-out effort increased by 3.5 ± 1.2%, 5000 m time trial improved by 36 ± 9 s
Romer et al. [92] 16 male trained cyclists 6-week pressure-threshold IMT; 30 breaths at 50% PImax twice daily PImax increased by 28 ± 7%; 40-km cycling time trial performance improved by 4.6 ± 1.9%, 20-km time trial improved by 3.8 ± 1.7%
Romer et al. [93] 24 male repetitive sprint athletes 6-week pressure-threshold IMT; 30 breaths at 50% PImax twice daily PImax increased by 30.5 ± 2.2%; total recovery time during repetitive sprint test improved by 6.2 ± 1.1%
Gething et al. [34] 15 apparently healthy subjects (10 male, 5 female) 10-week flow-resistive IMT; 3 times weekly using TIRE regimen (progressive work: rest ratio at 80% of sustained maximal inspiratory pressure, up to 36 breaths per session) PImax increased by 34%; cycling time to exhaustion at 75% of VO2peak improved by 36%
Enright et al. [26] 20 moderately trained adults (9 male, 11 female) 8-week flow-resistive IMT; 3 times weekly using TIRE regimen (progressive work: rest ratio at 80% of sustained maximal inspiratory pressure, up to 36 breaths per session) PImax increased by 41%; Exercise capacity improved by 23% in progressive, incremental test on cycle ergometer (beginning with no resistance, then 8-W increases every minute until volitional exhaustion or reaching 80% of age-predicted maximum heart rate)
Kilding et al. [58] 16 competitive club-level swimmers 6-week pressure-threshold IMT; 30 breaths at 50% PImax twice daily PImax increased by 9.1 ± 4.2%; 100-m swim time improved by 1.7 ± 1.4%, 200-m swim time improved by 1.5 ± 1.0%
Mickleborough et al. [69] 24 recreational road runners 6-week flow-resistive IMT; 3 times weekly using TIRE regimen (progressive work: rest ratio at 80% of sustained maximal inspiratory pressure, up to 36 breaths per session) PImax increased by 43.9%; Endurance capacity during treadmill run set at 80% VO2max improved by 16.4%
Turner et al. [111] 16 male highly trained cyclists 6-week pressure-threshold IMT; 30 breaths at 50% PImax twice daily PImax increased by 22.5 ± 8.7%; Oxygen cost of voluntary hyperpnea decreased by 1.5% at 75% of VO2max and 3.4% at 100% of VO2max