title: Case report: inspiratory muscle training in chronic critically ill patients--a report of two cases.
abstract: OBJECTIVE
  Inspiratory muscle weakness and fatigue has been documented following prolonged mechanical ventilation despite successful weaning from mechanical ventilation. This report describes the application of inspiratory muscle training in two patients following successful discharge from an intensive care unit (ICU) after prolonged mechanical ventilation.
  
  
  METHODS
  Both patients undertook inspiratory muscle training in conjunction with standard physiotherapy rehabilitation.
  
  
  RESULTS
  Improvements in inspiratory muscle strength and endurance, exercise tolerance and functional performance following twice-daily inspiratory muscle training were recorded. In both cases, an improvement in maximal inspiratory pressure (MIP) and maximal tolerated inspiratory load (MIP(load)) was found following training.
  
  
  CONCLUSIONS
  These positive results indicate further research is needed to investigate the effect of inspiratory muscle training on respiratory function, exercise tolerance and functional performance, for the possible inclusion of inspiratory muscle training into the physiotherapy management of patients following prolonged mechanical ventilation.
authors.affiliation: Division of Physiotherapy, University of Queensland, School of Physiotherapy, Brisbane, Australia. a.chang@shrs.uq.edu.au
authors.forename: Angela T
authors.initials: AT
authors.lastname: Chang
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Boots
authors.forename: Robert
authors.initials: R
authors.lastname: Henderson
authors.forename: Jennifer D
authors.initials: JD
authors.lastname: Paratz
authors.forename: Paul W
authors.initials: PW
authors.lastname: Hodges
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001945:Breathing Exercises; D017079:Exercise Tolerance; D006801:Humans; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology / Q000534:rehabilitation*; D012131:Respiratory Insufficiency / Q000534:rehabilitation*; D012132:Respiratory Muscles; D015300:Ventilator Weaning