EFFCTS OF INSPIRATORY MUSCLE TRAINING ASSOCIATED WITH AEROBIC CAPACITY IN FUNCTIONAL IN PATIENT WITH CHRONIC HEART FAILURE: CASE RELATED

Abstract

Background: Patients with chronic heart failure have decreased tolerance to physical exercise, which is associated with muscle fatigue and dyspnea, and in many cases, reduced muscle strength. The inspiratory muscle training is a form of intervention used to improve, enhance or preserve the strength and inspiratory muscle strength, should be individualized, the well-established type of exercise, intensity, number of repetitions and time. Objective: To evaluate the effects of inspiratory muscle training associated with aerobic training in chronic heart failure. Methods: A descriptive case study of quantitative 4-week period, 3 times a week where we applied a inspiratory muscle training protocol associated with aerobic training. Analyzed the vital capacity, functional capacity through the six-minute walk test (6MWT) and maximal inspiratory pressure (MIP) before and after the treatment protocol. Results: It was found that the vital capacity was improved by 16.2% at 4 weeks of intervention. Regarding the assessment of the MIP, there was a variation of -48 cm / H2O to -72 cm / H2O thereby obtaining a gain of 50% in the MEP, we noticed a gain of 10.0% for the functional capacity of the distance covered on the test of six-minute walk increased from 428m to 525m and was noticeable during the reassessment that the patient had a gain of 22.7%, increasing the walk route Conclusion: Based on the results obtained through the inspiratory muscle training, MIP improved showing efficiency and benefit of this rehabilitation program, which gave strength and endurance of the respiratory muscles, improvement of dyspnea and functional capacity.