Skip to main content
Log in

Inspiratory muscle training in patients with diabetic autonomic neuropathy: a randomized clinical trial

  • Short Communication
  • Published:
Clinical Autonomic Research Aims and scope Submit manuscript

Abstract

Aims and methods

We evaluated the effects of an 8-week inspiratory muscle training (IMT, n = 5) or placebo IMT (P-IMT, n = 5) on maximal respiratory pressures, pulmonary function, functional capacity, and cardiac autonomic control in patients with type 2 diabetes and diabetic autonomic neuropathy (DAN).

Results and conclusions

The IMT group had a greater increase in maximum inspiratory pressure as compared to P-IMT (p < 0.05). The IMT improved inspiratory muscle strength in patients with DAN.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Arikan H, Bellur N, Caliskan H, Saglam M, Vardar-Yagli N, Calik E, Inal-Ince D, Savci S, Yuce Ege M, Firat H, Ardic S (2012) Inspiratory muscle training in obstructive sleep apnea syndrome. Eur Respir J 40

  2. Chiappa GR, Roseguini BT, Vieira PJ, Alves CN, Tavares A, Winkelmann ER, Ferlin EL, Stein R, Ribeiro JP (2008) Inspiratory muscle training improves blood flow to resting and exercising limbs in patients with chronic heart failure. J Am Coll Cardiol 51:1663–1671

    Article  PubMed  Google Scholar 

  3. Correa AP, Ribeiro JP, Balzan FM, Mundstock L, Ferlin EL, Moraes RS (2011) Inspiratory muscle training in type 2 diabetes with inspiratory muscle weakness. Med Sci Sports Exerc 43:1135–1141

    Article  PubMed  Google Scholar 

  4. Dall’Ago P, Chiappa GR, Guths H, Stein R, Ribeiro JP (2006) Inspiratory muscle training in patients with heart failure and inspiratory muscle weakness: a randomized trial. J Am Coll Cardiol 47:757–763

    Article  PubMed  Google Scholar 

  5. Ewing DJ, Campbell IW, Clarke BF (1980) The natural history of diabetic autonomic neuropathy. Q J Med 49:95–108

    CAS  PubMed  Google Scholar 

  6. Ewing DJ, Clarke BF (1982) Diagnosis and management of diabetic autonomic neuropathy. Br Med J (Clin Res Ed) 285:916–918

    Article  CAS  Google Scholar 

  7. Ferreira JB, Plentz RD, Stein C, Casali KR, Arena R, Lago PD (2013) Inspiratory muscle training reduces blood pressure and sympathetic activity in hypertensive patients: a randomized controlled trial. Int J Cardiol 166:61–67

    Article  PubMed  Google Scholar 

  8. Fuso L, Pitocco D, Longobardi A, Zaccardi F, Contu C, Pozzuto C, Basso S, Varone F, Ghirlanda G, Antonelli Incalzi R (2012) Reduced respiratory muscle strength and endurance in type 2 diabetes mellitus. Diabetes Metab Res Rev 28:370–375

    Article  PubMed  Google Scholar 

  9. Kabitz HJ, Sonntag F, Walker D, Schwoerer A, Walterspacher S, Kaufmann S, Beuschlein F, Seufert J, Windisch W (2008) Diabetic polyneuropathy is associated with respiratory muscle impairment in type 2 diabetes. Diabetologia 51:191–197

    Article  PubMed  Google Scholar 

  10. Lahiri MK, Kannankeril PJ, Goldberger JJ (2008) Assessment of autonomic function in cardiovascular disease: physiological basis and prognostic implications. J Am Coll Cardiol 51:1725–1733

    Article  PubMed  Google Scholar 

  11. Mello PR, Guerra GM, Borile S, Rondon MU, Alves MJ, Negrao CE, Dal Lago P, Mostarda C, Irigoyen MC, Consolim-Colombo FM (2012) Inspiratory muscle training reduces sympathetic nervous activity and improves inspiratory muscle weakness and quality of life in patients with chronic heart failure: a clinical trial. J Cardiopulm Rehabil Prev 32:255–261

    Article  PubMed  Google Scholar 

  12. Neumann C, Schmid H (1997) Standardization of a computerized method for calculating autonomic function test responses in healthy subjects and patients with diabetes mellitus. Braz J Med Biol Res 30:197–205

    Article  CAS  PubMed  Google Scholar 

  13. Yeh HC, Punjabi NM, Wang NY, Pankow JS, Duncan BB, Cox CE, Selvin E, Brancati FL (2008) Cross-sectional and prospective study of lung function in adults with type 2 diabetes: the Atherosclerosis Risk in Communities (ARIC) Study. Diabetes Care 31:741–746

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Beatriz D. Schaan.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kaminski, D.M., Schaan, B.D., da Silva, A.M.V. et al. Inspiratory muscle training in patients with diabetic autonomic neuropathy: a randomized clinical trial. Clin Auton Res 25, 263–266 (2015). https://doi.org/10.1007/s10286-015-0291-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10286-015-0291-0

Keywords

Navigation