Respiratory Medicine
Volume 103, Issue 12 , Pages 1822-1827 , December 2009

A simple and portable breathing circuit designed for ventilatory muscle endurance training (VMET)

  • Dahlia Y. Balaban

      Affiliations

    • Department of Anesthesiology University Health Network, Toronto, Canada, Department of Physiology, University of Toronto, and Thornhill Research Inc., 70 Peter Street, 2nd Floor Toronto, ON, Canada M5V 2G5
    • ,
  • Rosemary Regan

      Affiliations

    • Department of Anesthesiology University Health Network, Toronto, Canada, Department of Physiology, University of Toronto, and Thornhill Research Inc., 70 Peter Street, 2nd Floor Toronto, ON, Canada M5V 2G5
    • ,
  • Alexandra Mardimae

      Affiliations

    • Department of Anesthesiology University Health Network, Toronto, Canada, Department of Physiology, University of Toronto, and Thornhill Research Inc., 70 Peter Street, 2nd Floor Toronto, ON, Canada M5V 2G5
    • ,
  • Marat Slessarev

      Affiliations

    • Department of Anesthesiology University Health Network, Toronto, Canada, Department of Physiology, University of Toronto, and Thornhill Research Inc., 70 Peter Street, 2nd Floor Toronto, ON, Canada M5V 2G5
    • ,
  • Jay S. Han

      Affiliations

    • Department of Anesthesiology University Health Network, Toronto, Canada, Department of Physiology, University of Toronto, and Thornhill Research Inc., 70 Peter Street, 2nd Floor Toronto, ON, Canada M5V 2G5
    • ,
  • Greg D. Wells

      Affiliations

    • Department of Anesthesiology University Health Network, Toronto, Canada, Department of Physiology, University of Toronto, and Thornhill Research Inc., 70 Peter Street, 2nd Floor Toronto, ON, Canada M5V 2G5
    • ,
  • James Duffin

      Affiliations

    • Department of Anesthesiology University Health Network, Toronto, Canada, Department of Physiology, University of Toronto, and Thornhill Research Inc., 70 Peter Street, 2nd Floor Toronto, ON, Canada M5V 2G5
    • ,
  • Steve Iscoe

      Affiliations

    • Department of Physiology, Queen's University, 18 Stuart Street, Botterell Hall, Kingston, Ontario, Canada K7L 3N6
    • ,
  • Joseph A. Fisher

      Affiliations

    • Department of Anesthesiology University Health Network, Toronto, Canada, Department of Physiology, University of Toronto, and Thornhill Research Inc., 70 Peter Street, 2nd Floor Toronto, ON, Canada M5V 2G5
    • Corresponding Author InformationCorresponding author. Tel.: +1 416 710 6908; fax: +1 416 597 1330.
    • ,
  • David Preiss

      Affiliations

    • Department of Anesthesiology University Health Network, Toronto, Canada, Department of Physiology, University of Toronto, and Thornhill Research Inc., 70 Peter Street, 2nd Floor Toronto, ON, Canada M5V 2G5

Received 2 January 2009 ,Accepted 19 July 2009.

References 

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  2. Leddy JJ, Limprasertkul A, Patel S, Modlich F, Buyea C, Pendergast DR, et al. Isocapnic hyperpnea training improves performance in competitive male runners. Eur J Appl Physiol. 2007;99:665–676
  3. Lindholm P, Wylegala J, Pendergast DR, Lundgren CE. Resistive respiratory muscle training improves and maintains endurance swimming performance in divers. Undersea Hyperb Med. 2007;34:169–180
  4. Stuessi C, Spengler CM, Knopfli-Lenzin C, Markov G, Boutellier U. Respiratory muscle endurance training in humans increases cycling endurance without affecting blood gas concentrations. Eur J Appl Physiol. 2001;84:582–586
  5. Koppers RJ, Vos PJ, Folgering HT. Tube breathing as a new potential method to perform respiratory muscle training: safety in healthy volunteers. Respir Med. 2006;100:714–720
  6. Boutellier U. Respiratory muscle fitness and exercise endurance in healthy humans. Med Sci Sports Exerc. 1998;30:1169–1172
  7. Mueller G, Perret C, Spengler CM. Optimal intensity for respiratory muscle endurance training in patients with spinal cord injury. J Rehabil Med. 2006;38:381–386
  8. Mueller G, Perret C, Hopman MT. Effects of respiratory muscle endurance training on wheelchair racing performance in athletes with paraplegia: a pilot study. Clin J Sport Med. 2008;18:85–88
  9. Belman MJ, Gaesser GA. Ventilatory muscle training in the elderly. J Appl Physiol. 1988;64:899–905
  10. Budweiser S, Moertl M, Jorres RA, Windisch W, Heinemann F, Pfeifer M. Respiratory muscle training in restrictive thoracic disease: a randomized controlled trial. Arch Phys Med Rehabil. 2006;87:1559–1565
  11. Keens TG, Krastins IR, Wannamaker EM, Levison H, Crozier DN, Bryan AC. Ventilatory muscle endurance training in normal subjects and patients with cystic fibrosis. Am Rev Respir Dis. 1977;116:853–860
  12. Rassler B, Hallebach G, Kalischewski P, Baumann I, Schauer J, Spengler CM. The effect of respiratory muscle endurance training in patients with myasthenia gravis. Neuromuscul Disord. 2007;17:385–391
  13. Van Houtte S, Vanlandewijck Y, Kiekens C, Spengler CM, Gosselink R. Patients with acute spinal cord injury benefit from normocapnic hyperpnoea training. J Rehabil Med. 2008;40:119–125
  14. Ries AL, Moser KM. Comparison of isocapnic hyperventilation and walking exercise training at home in pulmonary rehabilitation. Chest. 1986;90:285–289
  15. Scherer TA, Spengler CM, Owassapian D, Imhof E, Boutellier U. Respiratory muscle endurance training in chronic obstructive pulmonary disease: impact on exercise capacity, dyspnea, and quality of life. Am J Respir Crit Care Med. 2000;162:1709–1714
  16. Koppers RJ, Vos PJ, Boot CR, Folgering HT. Exercise performance improves in patients with COPD due to respiratory muscle endurance training. Chest. 2006;129:886–892
  17. Somogyi RB, Vesely AE, Preiss D, Prisman E, Volgyesi G, Azami T, et al. Precise control of end-tidal carbon dioxide levels using sequential rebreathing circuits. Anaesth Intensive Care. 2005;33:726–732
  18. Sommer LZ, Silverman J, Dickstein J, Fink A, Robicsek A, Sommer D, et al. Simple passive system to keep PCO2 constant despite increased minute ventilation. Am J Respir Crit Care Med. 1996;153:A786
  19. Banzett RB, Garcia RT, Moosavi SH. Simple contrivance “clamps” end-tidal PCO2 and PO2 despite rapid changes in ventilation. J Appl Physiol. 2000;88:1597–1600
  20. Slessarev M, Han J, Mardimae A, Prisman E, Preiss D, Volgyesi G, et al. Prospective targeting and control of end-tidal CO2 and O2 concentrations. J Physiol. 2007;581:1207–1219
  21. Bradley ME, Leith DE. Ventilatory muscle training and the oxygen cost of sustained hyperpnea. J Appl Physiol. 1978;45:885–892

PII: S0954-6111(09)00245-5

doi: 10.1016/j.rmed.2009.07.012

Respiratory Medicine
Volume 103, Issue 12 , Pages 1822-1827 , December 2009

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