title: Comparing Inspiratory Resistive Muscle Training with Incentive Spirometry on Rehabilitation of COPD Patients.
abstract: OBJECTIVE
  To examine the effect of incentive spirometry in pulmonary rehabilitation of chronic obstructive pulmonary disease (COPD) patients and compare its efficacy with inspiratory resistive muscle training (IMT) technique.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  Thirty patients with COPD, from a general hospital in Mashhad, Iran, were randomly assigned to two study groups. All subjects trained daily in two 15-minute sessions, 4 days a week, for 4 weeks. Respiratory function tests were compared before interventions and at the end of weeks 2 and 4.
  
  
  RESULTS
  Both techniques improved the mean values of all respiratory function tests (p≤.01). The IMT technique was more effective to improve MVV and PImax (p≤.05). PEFR was better improved in the incentive spirometry group (p≤.05). There was no significant difference for other spirometric parameters between two groups.
  
  
  CONCLUSIONS
  Incentive spirometry can be considered as an effective component for pulmonary rehabilitation in COPD patients.
authors.affiliation: School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Abbas
authors.initials: A
authors.lastname: Heydari
authors.affiliation: School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Marjan
authors.initials: M
authors.lastname: Farzad
authors.affiliation: Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Seyed-hossein
authors.initials: SH
authors.lastname: Ahmadi hosseini
mesh_terms: D000328:Adult; D000368:Aged; D001945:Breathing Exercises / Q000379:methods*; D004417:Dyspnea / Q000209:etiology / Q000451:nursing*; D005260:Female; D006801:Humans; D007320:Inspiratory Capacity; D007492:Iran; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000534:rehabilitation*; D019145:Rehabilitation Nursing / Q000379:methods*; D012129:Respiratory Function Tests; D013147:Spirometry
keywords: COPD; incentive spirometry; inspiratory resistive muscle training; rehabilitation