It is well-known that muscle weakness and deconditioning play an important role in low exercise capacity of patients with HF. Interestingly, not only peripheral muscles are impaired, but also respiratory muscles. Studies have shown that patients with HF may have, in addition to decreasing maximal inspiratory muscle strength and endurance, metabolic and structural impairments in diaphragm fibers. Moreover, exercise capacity and weakness of inspiratory muscles have been associated with low quality of life and poor prognosis, which make the addition of inspiratory muscle training (IMT) reasonable in cardiovascular rehabilitation.The specifications of the loads to be imposed during IMT is the main factor determining the outcome. Studies of IMT have highlighted the need for a fixed inspiratory workload during exercise. Thus, purpose of this report was to perform a randomized clinical trial of the effects of addition of high-intensity vs. low-intensity IMT to combined aerobic and resistance Exercise in patients with heart failure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
90
High-intensity IMT
Low-intensity IMT
Aerobic and resistance exercise
Mansueto Gomes Neto
Salvador, Estado de Bahia, Brazil
RECRUITINGAerobic Capacity
Six-minute walk test
Time frame: 10 weeks
Health-Related Quality of Life: MLHFQ
Health-Related Quality of Life will be measured by a questionnaire (Minnesota Living with Heart Failure questionnaire - MLHFQ)
Time frame: 10 weeks
Respiratory muscle strength
Maximal respiratory pressures
Time frame: 10 weeks
Disability
The World Health Organization Disability Assessment Schedule (WHODAS 2.0)
Time frame: 10 weeks
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