{"id":18,"user_id":null,"title":"Inspiratory muscle training improves exercise capacity with thoracic load carriage","summary":"6 weeks of flow-resistive IMT improves exercise capacity with thoracic LC. The improvement in exercise performance could be a consequence of increased inspiratory muscle strength, which may be associated with delays in the onset of diaphragmatic fatigue. Both occupational and recreational situations that require LC may benefit from incorporating IMT into their normal exercise routine.","fulltext":"Thoracic load carriage (LC) exercise impairs exercise performance compared to unloaded exercise, partially due to impaired respiratory mechanics. We investigated the effects of LC on exercise and diaphragmatic fatigue in a constant-load exercise task; and whether inspiratory muscle training (IMT) improved exercise capacity and diaphragmatic fatigue with LC. Twelve recreationally active males completed three separate running trials to exhaustion (Tlim) at a fixed speed eliciting 70% of their urn:x-wiley:2051817X:media:phy213558:phy213558-math-0001O2max. \r\n\r\nThe first two trials were completed either unloaded (UL) or while carrying a 10 kg backpack (LC). Subjects then completed 6 weeks of either true IMT or placebo-IMT. Posttraining, subjects completed an additional LC trial identical to the pretraining LC trial. Exercise metabolic and ventilatory measures were recorded. Diaphragm fatigue was assessed as the difference between preexercise and postexercise twitch diaphragmatic pressure (Pdi, tw), assessed by bilateral stimulation of the phrenic nerve with esophageal balloon-tipped catheters measuring intrathoracic pressures. Tlim was significantly shorter (P \u003c 0.001) with LC compared with UL by 42.9 (29.1)% (1626.5 (866.7) sec and 2311.6 (1246.5) sec, respectively). The change in Pdi, tw from pre- to postexercise was significantly greater (P = 0.001) in LC (−13.9 (5.3)%) compared with UL (3.8 (6.5)%). \r\n\r\nSix weeks of IMT significantly improved Tlim compared to pretraining (P = 0.029, %Δ +29.3 (15.7)% IMT, −8.8 (27.2)% Placebo), but did not alter the magnitude of diaphragmatic fatigue following a run to exhaustion (P \u003e 0.05). Minute ventilation and breathing mechanics were unchanged post-IMT (P \u003e 0.05). Six weeks of flow-resistive IMT improved exercise capacity, but did not mitigate diaphragmatic fatigue following submaximal, constant-load running to volitional exhaustion with LC.\r\n\r\n\r\n[Read full study](https://physoc.onlinelibrary.wiley.com/doi/full/10.14814/phy2.13558)\r\n","category":1,"position":20,"created_at":"2024-07-16T19:36:57.093Z","updated_at":"2024-08-25T20:14:21.949Z","url":"https://www.pro2fit.com/articles/18.json"}