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Reference chart of inspiratory muscle strength: a new tool to monitor the effect of pre-operative training
Authors:S van Buuren  EHJ Hulzebos  K Valkenet  E Lindeman  NLU van Meeteren
Institution:1. Netherlands Organisation for Applied Scientific Research TNO, Leiden, The Netherlands;2. University of Utrecht, Utrecht, The Netherlands;3. Child Development and Exercise Centre, Division of Paediatrics, University Children''s Hospital Utrecht, Utrecht, The Netherlands;4. Department of Rehabilitation, Nursing Science and Sport, Rudolf Magnus Institute of Neurosciences, University Medical Centre Utrecht, Utrecht, The Netherlands
Abstract:

Objectives

To develop a reference chart to monitor inspiratory muscle strength during pre-operative inspiratory muscle training for patients at high risk of developing postoperative pulmonary complications awaiting coronary artery bypass graft (CABG) surgery.

Design

Secondary data analysis using patients from the intervention arm of a randomised clinical trial.

Setting

University medical centre.

Participants

Patients at high risk of developing postoperative pulmonary complications awaiting CABG surgery.

Interventions

Patients performed inspiratory muscle training seven times per week for at least 2 weeks before surgery.

Main outcome measures

Maximal inspiratory muscle strength.

Results

A new reference chart was produced using a non-linear time trend model with a normal error structure.

Conclusions

The chart is a novel tool for monitoring the progress of inspiratory muscle training for physiotherapy practice. Wider use of this chart is recommended.
Keywords:Randomised controlled trial  CABG  Pre-operative inspiratory muscle training  Postoperative pulmonary complications
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