Beruflich Dokumente
Kultur Dokumente
Inspiratory Muscle
Tr a i n i n g i n H e a r t Fa i l u re
Lawrence P. Cahalin, PhD, PT, CCSa,*,
Ross A. Arena, PhD, PTb
KEYWORDS
Functional capacity Respiratory muscle weakness Rehabilitation Exercise training
KEY POINTS
Because of the intimate and linked functional and compensatory relationships it is often difficult to
identify the primary determinant limiting exercise in heart failure (HF).
Respiratory contributions have been shown to limit exercise in patients with HF due to abnormal-
ities in ventilation, perfusion, or both ventilation and perfusion.
Breathing exercises and inspiratory muscle training seem to have substantial potential to improve
exercise and functional performance in HF and should be considered as key components of a reha-
bilitation program in this patient population.
a
Department of Physical Therapy, Leonard M. Miller School of Medicine, University of Miami, Miami, 5915
Ponce de Leon Boulevard, Coral Gables, FL 33146-2435, USA; b Department of Physical Therapy, College of
Applied Health Sciences, University of Illinois at Chicago, 1919 West Taylor Street, Room 459, Chicago, IL
60612, USA
* Corresponding author. Department of Physical Therapy, Leonard M. Miller School of Medicine, University of
Miami, 5915 Ponce de Leon Boulevard, Fifth Floor, Coral Gables, FL 33146-2435.
E-mail address: l.cahalin@miami.edu