Effectiveness of 12-week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study

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dc.authoridYasemin Buran Çırak / 0000-0002-8044-8539en_US
dc.authoridGül Deniz Yılmaz Yelvar / 0000-0002-6960-5302en_US
dc.authoridNurgül Dürüstkan Elbaşı / 0000-0002-9201-1094
dc.authorscopusidGül Deniz Yılmaz Yelvar / 56669851100
dc.authorscopusidYasemin Buran Çırak / 57236664600
dc.authorscopusidNurgül Dürüstkan Elbaşı / 57992132100
dc.authorwosidGül Deniz Yılmaz Yelvar / AAO-2603-2020
dc.authorwosidYasemin Buran Çırak / AAJ-2441-2021
dc.authorwosidNurgül Dürüstkan Elbaşı / L-4524-2018
dc.contributor.authorBuran Çırak, Yasemin
dc.contributor.authorYılmaz Yelvar, Gül Deniz
dc.contributor.authorDürüstkan Elbaşı, Nurgül
dc.date.accessioned2022-04-06T05:39:27Z
dc.date.available2022-04-06T05:39:27Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümüen_US
dc.description.abstractThe benefits of inspiratory muscle training (IMT) in patients with COPD were reported. However, its effects are limited in severe COPD patients. Further researches are required in new and complementary modalities demonstrating IMT efficacy in severe COPD patients. This study aims to investigate effects of manual therapy (MT) additional over IMT on functional capacity, respiratory muscle strength, pulmonary function, dyspnea, fatigue, and quality of life in severe COPD patients. Sixty patients with COPD in GOLD stage III-IV were included in this prospective single-blind randomized trial. Patients were randomly assigned to receive either MT additional over IMT at 40% of maximal inspiratory pressure (MIP) (n = 30) or only IMT (n = 30) for 12 weeks. MT group received MT during 12 weeks for 30 min additional to IMT. Pulmonary function, respiratory muscle strength, functional capacity, dyspnea, fatigue, and quality of life were evaluated by spirometry, mouth pressure device, six-minute walk test, Modified Medical Research Council (mMRC) dyspnea scale, fatigue severity scale, and St. George's Respiratory Questionnaire (SGRQ), respectively. MT group had significantly greater improvement in FEV1%, FVC%, PEF%, respiratory muscle strength, function, dyspnea, fatigue, and quality of life compared with IMT group (p < 0.05). 6MWT (p < 0.001, effect size Cohen's d: 0.915), MIP (p < 0.001, effect size Cohen's d: 1.235), and mMRC score (p < 0.001, effect size Cohen's d: 0.982) were significantly improved in IMT with MT group. This study demonstrated that subjects in IMT with MT group had improved outcomes in functional capacity, respiratory muscle strength, pulmonary function, dyspnea, fatigue perception, and quality of life compared with alone IMT group.en_US
dc.identifier.citationBuran Cirak, Y., Yilmaz Yelvar, G. D., & Durustkan Elbasi, N. (2022). Effectiveness of 12-week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study. The clinical respiratory journal,en_US
dc.identifier.doi10.1111/crj.13486en_US
dc.identifier.pmid35332685en_US
dc.identifier.scopus2-s2.0-85127162819en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.urihttps://doi.org/10.1111/crj.13486
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2604
dc.identifier.wosWOS:000772674600001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorBuran Çırak, Yasemin
dc.institutionauthorYılmaz Yelvar, Gül Deniz
dc.institutionauthorDürüstkan Elbaşı, Nurgül
dc.language.isoenen_US
dc.relation.ispartofClin Respiren_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOPDen_US
dc.subjectFunctional Capacityen_US
dc.subjectInspiratory Muscle Trainingen_US
dc.subjectManual Therapyen_US
dc.titleEffectiveness of 12-week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled studyen_US
dc.typeArticleen_US

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