Publication details
Respiratory Training Combined with Aerobic Training In Patient With Dilated Cardiomyopathy – A Case Study
| Authors | |
|---|---|
| Year of publication | 2017 |
| Type | Article in Proceedings |
| Conference | Proceedings of the 11th International Conference on Kinanthropology |
| MU Faculty or unit | |
| Citation | |
| web | http://conference.fsps.muni.cz/media/3065171/proceedings-of-the-11th-conference-on-kinanthropology.pdf |
| Keywords | aerobic training; respiratory training; cardiac rehabilitation; dilated cardiomyopathy; chronic heart failure |
| Description | Purpose: This case study demonstrates the benefit of expiratory muscle training with the Threshold PEP® combined with aerobic training in a patient suffering from chronic systolic heart failure (CSHF) based on the diagnosis of dilated cardiomyopathy. CSHF is a serious disease with very bad prognosis. Cardiovascular rehabilitation (CR) reduces the symptoms of CSHF and thus improves the quality of life. The main symptoms presented by the patients with CSHF are exercise-induced dyspnea and fatigue, which limits their ability to perform activities of daily living. Respiratory muscles function can be affected by heart diseases when the patients display weakness and respiratory muscle deterioration. A specific respiratory muscles training programme improves muscle strength, functional capacity and quality of life for CSHF patients with weakened inspiratory and expiratory muscles. Improvement in cardiorespiratory indicators and indicators of exercise tolerance after completing CR reinforces the crucial role of physical activity too. Methods: 44-year-old patient with dilated cardiomyopathy was assessed: resting echocardiography with left ventricular ejection fraction (LVEF) of 16%, cardiopulmonary exercise testing (CPX), mouth inspiratory (MIP) and expiratory pressures (MEP) measurement, elasticity measurement of the chest and also completed a modified Medical Research Council Dyspnea Questionnaire (mMRC) and Minnesota Living with Heart Failure Questionnaire (MLHFQ). The respiratory training with Threshold PEP® methodology: in accordance with the discovered occlusion expiratory pressure, an expiratory resistance in centimetres of water column was precisely set to meet the patient’s needs. Aerobic training complied with the criteria recommended for rehabilitation of patients with cardiovascular diseases issued by the Czech Society of Cardiology. The duration of the programme was set to 10 weeks in total with a frequency of 2 training units per week. Results: After ten-week-long training with Threshold PEP® combined with aerobic training, a significant change in cardiorespiratory parameters, questionnaires and elasticity of the chest has occurred. Conclusion: On the basis of positive results, we can indicate that applied respiratory and aerobic training is suitable and practicable for the patient. It positively influences the quality of life of patients with dilated cardiomyopathy, improves cardiorespiratory indicators, reduces effortless breathlessness, and returns to the patient’s self-confidence in activities of daily living. However, it is necessary to focus on these problems in more detail in the future. |