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Page 43
Volume 3
Current Research: Integrative Medicine
Nursing Care & ICNND 2018
October 22-23, 2018
October 22-23, 2018 Madrid, Spain
46
th
World Congress on
Nursing Care, Neurology and Neuromuscular Diseases
Inspiratory muscle training in children and adolescents living with neuromuscular diseases: A pre-
experimental study
Anri Human
Sefako Makgatho Health Sciences University, South Africa
P
eople with Neuromuscular Diseases (NMD) have high risk of morbidity and mortality caused by underlying respiratory muscle
weakness and an inability to cough effectively. Respiratorymuscle training aims to preserve or improve respiratorymuscle strength,
delay respiratory morbidity onset, optimize ventilation and ultimately improve Health-Related Quality of Life (HRQoL). Inspiratory
Muscle Training (IMT) among children and adolescents with NMD is controversial, owing to differences in pathophysiology and
potential risk of muscle damage in some conditions. Despite reports of potential benefits, there is insufficient evidence to guide clinical
practice regarding the use of IMT in this sub-population. A pre-experimental, observational pre-test post-test study was conducted
to determine the effect of a six-week IMT program on pulmonary function, Peak Expiratory Cough Flow (PECF), inspiratory muscle
strength (Pimax), upper limb function and coordination (using the Motor Function Measurement (MFM) scale), adverse events and
HRQoL using the PedsQL. Eight participants (n=8 boys; mean age 12.71±3.53 years) with a variety of NMD were included. Training
consisted of 30 breaths, twice daily, five days a week, for six weeks with an electronic threshold device (Power breathe K3, HaB
International Ltd, Southam, UK). There were no significant changes in spirometry, PECF or HRQoL. However, maximum inspiratory
pressure (Pimax) (p<0.01), strength-index (p<0.02), peak inspiratory flow (p<0.02) and MFM (p<0.03) improved significantly from
pre- to post intervention. Overall patient satisfaction with the IMT program was extremely high, with a mean of 9.13±1.73 out of a
possible score of 10. No adverse events occurred. This study suggests that short term IMT may improve inspiratory muscle strength
as well as improving upper limb function and coordination. IMT seems to be safe and effective in this sub-population, however
randomized controlled trials are needed to determine the mid and long-term effect of IMT in children and adolescents with NMD.
anrihuman@gmail.comJ Current Res: Int Medicine 2018, Volume 3
DOI: 10.4172/2529-797X-C2-006