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. 2023 Jan 6;2023(1):CD013778. doi: 10.1002/14651858.CD013778.pub2

Chuang 2017.

Study characteristics
Methods Study design: RCT
Study grouping: parallel‐group
Participants Baseline characteristics
IMT
  • N (randomized/analyzed): 30/27

  • Loss to follow‐up or excluded: 3

  • Age, mean (SD), in years: 66.22 (12.76)

  • Gender (M/F): 17/10


Control/sham
  • N (randomized/analyzed): 30/28

  • Loss to follow‐up or excluded: 2

  • Age, mean (SD), in years: 66.04 (10.99)

  • Gender (M/F): 19/9


Overall
  • N (randomized/analyzed): 60/55

  • Loss to follow‐up or excluded: 5

  • Gender (M/F): 36/19

  • COPD stage (GOLD): moderate to very severe


Included criteria
  • Outpatients with a stable condition

  • Showed airflow limitation on pulmonary function test, that is FEV1 < 80% and FEV1/FVC < 70%

  • Participants were conscious and able to express themselves orally, were self‐walkers and co‐operated with the intervention.


Excluded criteria
  • Cardiovascular diseases

  • Severe unstable diseases, such as pulmonary heart disease or cancer

  • Ongoing oxygen treatment

  • Muscle power rating < 5

  • ADL scale score < 80

  • Severe mental illness

Interventions Intervention characteristics
IMT: the training was conducted 5 d/week, for 8 weeks. Each session lasted for 21–30 min. It consisted of a cycle of 2 min inspiratory training with a pressure threshold loading device and 1 min of rest, and then repeated 7 cycles. The training load ranged from 15 cmH20 to 40 cmH2O. Each participant was followed up once a day by phone from Monday–Friday, and visits were made by research assistants every 2 weeks to increase the pressure threshold loading progressively after assessing the participant’s condition.
Control: no intervention was received by this group.
Outcomes Dyspnea: BDI
Functional exercise capacity: 6MWD
HRQoL: SF‐36 Questionnaire
  • Physiological functions

  • Mental functions


Respiratory muscle strength: PImax
Identification Country: Taiwan
Author's name: Hsiao‐Yun Chang
Institution: Department of Nursing, Fooyin University, Kaohsiung City
Email: chang369@gmail.com
Address: Taiwan
Notes