Inspiratory Muscle Training in Patients with Heart Failure



Downloads per month over past year

Fernández Rubio, Hugo and Becerro de Bengoa Vallejo, Ricardo and Rodríguez Sanz, David and Calvo Lobo, César and Vicente Campos, Davinia and López Chicharro, José Luis (2020) Inspiratory Muscle Training in Patients with Heart Failure. Journal of Clinical Medicine, 9 (6). p. 1710. ISSN 2077-0383

[thumbnail of 4c50d285304b2928e6ed6c4b414dd4139bb7.pdf] PDF
Creative Commons Attribution.


Official URL:


Background: Prior systematic reviews and meta-analysis addressed that inspiratory muscle training (IMT) improved inspiratory muscle weakness, cardiorespiratory fitness and quality of life similar to conventional exercise training as a first alternative in deconditioned patients with heart failure (HF) lead to a better adaptation to posterior exercise training. The heterogeneity and variability in a wide range of new studies about this topic led to the necessity of an updated and comprehensive narrative review. The present review aimed to analyze and update the most relevant studies about IMT in patients who suffer from HF.
Methods: A narrative review was carried out about IMT in HF patients including 26 experimental studies divided into 21 clinical trials and 5 quasi-experimental studies identified through database searching in PubMed, Cochrane and PEDro.
Results: There is enough evidence to state that IMT produces improvements in functional capacity of patients with HF. Nevertheless, there is not enough evidence to support that IMT could improve cardiovascular parameters, blood biomarkers or quality of life in these patients.
Conclusions: Thus, IMT may be recommended to improve functional capacity in patients who suffer from HF; nevertheless, more evidence is needed regarding cardiovascular parameters, biomarkers and quality of life. Furthermore, mortality or HF hospitalization was not evaluated and most studies were not longer than 3 months. According to IMT protocols and study designs heterogeneity and mid-term follow-up, further investigations through high-quality long-term randomized clinical trials should be performed to achieve systematic reviews and meta-analysis to support strong evidence for IMT in HF patients.

Item Type:Article
Uncontrolled Keywords:heart failure; maximal respiratory pressures; resistance training; respiration
Subjects:Medical sciences > Medicine > Cardiology
Medical sciences > Nursing > Physical therapy
ID Code:67619
Deposited On:03 Sep 2021 07:49
Last Modified:03 Sep 2021 07:49

Origin of downloads

Repository Staff Only: item control page