Effect of inspiratory muscle training on resipatory muscle functions in multiple sclerosis / Faten Eltohamy Megahed Ali ; Supervised Azza Abdelaziz Abdelhady , Hoda Ali Aboyousef , Mohamed Elsaid

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Cardiopulmonary and Geriatrics disorder

Background: This study aimed to investigate the effect of inspiratory muscle training on respiratory muscle functions in multiple sclerosis patients. Methods: Forty Multiple Sclerosis patients from both gender (29 women &11men), their age ranged 25-45 years selected from neurology department of Kasr Al-Aini hospital, were assigned randomly into two groups equal in number , each group received 24 sessions, 3 times /week for 8 weeks: Group A Twenty Multiple Sclerosis patients received inspiratory muscle training using IMT device in addition to conventional chest physiotherapy , Group B Twenty Multiple Sclerosis patients received conventional chest physiotherapy only. Respiratory muscle functions& Fatigue severity were assessed for both groups before and after treatment. Results: There were significant increases in the pulmonary functions (PImax, FVC, FEV1, MVV, PEF),Diaphragmatic excursion(DE), Fatigue severity (FS), and pulmonary dysfunction index(PDI) by 40.33%,23.41%, 27.94% ,31.43, 35.18%,49.76% , 13.98%, 35.16% respectively in group (A) after treatment program while in group (B) there were significant increases in PImax , DE, FS and PDI only by 17.37%, 6.87% , 5.04% ,12.76% respectively. Conclusion: Inspiratory Muscle Training (IMT) provided a significant improvement in respiratory muscle functions due to increasing the respiratory muscle strength, efficiency and endurance, So IMT should be considered in rehabilitation program of multiple sclerotic patients

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