Inspiratory Muscle Training Compared With Other Rehabilitation Interventions in Chronic Obstructive Pulmonary Disease.

O?brien K, Geddes EL, Reid WD, Brooks D, Crowe J

The purpose of this systematic review was to determine the effect of inspiratory muscle training (IMT) and compare with other rehabilitation interventions among adults with chronic obstructive pulmonary disease (COPD). 18 articles were included.  Fourteen meta-analyses were performed for outcomes of inspiratory muscle strength, exercise tolerance, and quality of life. Results showed significant improvements in maximum inspiratory pressure and maximum exercise tidal volume favoring combined IMT and exercise compared with exercise alone.

Performing a combination of inspiratory muscle training plus exercise may lead to significant improvements in inspiratory muscle strength and exercise tolerance for individuals with COPD.

Journal of Cardiopulmonary Rehabilitation Preview, 2008, 28(2), 128-141

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Therapeutic Interventions for the Shoulder

Explore evidence-based interventions for shoulder pain including the Shoulder Symptom Modification Procedure and prescription considerations. Covers clinical approaches to management of specific conditions including instability, rotator cuff and subacromial pain.

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