Skip to main content
Top
Published in: Lung 4/2016

01-08-2016

Inspiratory Muscle Training in Late-Onset Pompe Disease: The Effects on Pulmonary Function Tests, Quality of Life, and Sleep Quality

Authors: Goksen Kuran Aslan, Burcu Ersoz Huseyinsinoglu, Piraye Oflazer, Nilgun Gurses, Esen Kiyan

Published in: Lung | Issue 4/2016

Login to get access

Abstract

Introduction

Late-onset Pompe disease (LOPD) is characterized by progressive skeletal and respiratory muscle weakness. Little is known about the effect of inspiratory muscle training (IMT) on pulmonary function in subjects with LOPD. The aim of the present study was to investigate the effect of an 8-week IMT program on pulmonary function tests, quality of life, and sleep quality in eight patients with LOPD who were receiving enzyme replacement therapy (ERT).

Methods

Before and after the IMT program, spirometric measurements in sitting and supine positions, and measurements of maximum inspiratory and expiratory pressures, peak cough flow, quality of life (assessed using the Nottingham Health Profile), and sleep quality (assessed using the Pittsburgh sleep quality index) were performed.

Results

A significant increase in maximum inspiratory pressure (cmH2O and % predicted) (median [interquartile range]: 30.0 cmH2O [21.5–48] versus 39 cmH2O [31.2–56.5] and 38.3 % [28.1–48.4] versus 50.5 % [37.7–54.9]) was observed after training (p = 0.01). There were no significant changes in the other pulmonary function measurements. With the exception of the social isolation subscore (p = 0.02), quality of life subscores did not change after IMT (p > 0.05). Sleep quality subscores and total scores were similar before and after IMT.

Conclusion

These results suggest that IMT has a positive effect on maximum inspiratory pressure in subjects with LOPD who are under ERT.
Literature
6.
go back to reference Vianello A, Semplicini C, Paladini L et al (2013) Enzyme replacement therapy improves respiratory outcomes in patients with late-onset type II glycogenosis and high ventilator dependency. Lung 191(5):537–544. doi:10.1007/s00408-013-9489-x CrossRefPubMed Vianello A, Semplicini C, Paladini L et al (2013) Enzyme replacement therapy improves respiratory outcomes in patients with late-onset type II glycogenosis and high ventilator dependency. Lung 191(5):537–544. doi:10.​1007/​s00408-013-9489-x CrossRefPubMed
11.
go back to reference Mellies U, Ragette R, Schwake C et al (2001) Sleep-disordered breathing and respiratory failure in acid maltase deficiency. Neurology 57(7):1290–1295CrossRefPubMed Mellies U, Ragette R, Schwake C et al (2001) Sleep-disordered breathing and respiratory failure in acid maltase deficiency. Neurology 57(7):1290–1295CrossRefPubMed
12.
go back to reference Margolis ML, Howlett P, Goldberg R et al (1994) Obstructive sleep apnea syndrome in acid maltase deficiency. Chest 105(3):947–949CrossRefPubMed Margolis ML, Howlett P, Goldberg R et al (1994) Obstructive sleep apnea syndrome in acid maltase deficiency. Chest 105(3):947–949CrossRefPubMed
15.
go back to reference Hagemans ML, Janssens AC, Winkel LP et al (2004) Late-onset Pompe disease primarily affects quality of life in physical health domains. Neurology 63(9):1688–1692CrossRefPubMed Hagemans ML, Janssens AC, Winkel LP et al (2004) Late-onset Pompe disease primarily affects quality of life in physical health domains. Neurology 63(9):1688–1692CrossRefPubMed
18.
20.
go back to reference Holden MK, Gill KM, Magliozzi MR et al (1984) Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness. Phys Ther 64(1):35–40PubMed Holden MK, Gill KM, Magliozzi MR et al (1984) Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness. Phys Ther 64(1):35–40PubMed
25.
go back to reference Allen SM, Hunt B, Green M (1985) Fall in vital capacity with posture. Br J Dis Chest 79(3):267–271CrossRefPubMed Allen SM, Hunt B, Green M (1985) Fall in vital capacity with posture. Br J Dis Chest 79(3):267–271CrossRefPubMed
28.
go back to reference Black LF, Hyatt RE (1969) Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis 99(5):696–702PubMed Black LF, Hyatt RE (1969) Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis 99(5):696–702PubMed
31.
go back to reference Hunt SM, McKenna SP, McEwen J et al (1981) The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med A 15(3 Pt 1):221–229PubMed Hunt SM, McKenna SP, McEwen J et al (1981) The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med A 15(3 Pt 1):221–229PubMed
32.
go back to reference Kucukdeveci AA, McKenna SP, Kutlay S et al (2000) The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 23(1):31–38CrossRefPubMed Kucukdeveci AA, McKenna SP, Kutlay S et al (2000) The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 23(1):31–38CrossRefPubMed
33.
go back to reference Buysse DJ, Reynolds CF, Monk TH et al (1989) The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213CrossRefPubMed Buysse DJ, Reynolds CF, Monk TH et al (1989) The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213CrossRefPubMed
34.
go back to reference Agargun MYKH, Anlar O (1996) Pittsburgh Uyku Kalitesi İndeksinin geçerliliği ve güvenilirliği. Türk Psikiyatri Dergisi 7:107–115 Agargun MYKH, Anlar O (1996) Pittsburgh Uyku Kalitesi İndeksinin geçerliliği ve güvenilirliği. Türk Psikiyatri Dergisi 7:107–115
35.
go back to reference Topin N, Matecki S, Le Bris S et al (2002) Dose-dependent effect of individualized respiratory muscle training in children with Duchenne muscular dystrophy. Neuromuscul Disord NMD 12(6):576–583CrossRefPubMed Topin N, Matecki S, Le Bris S et al (2002) Dose-dependent effect of individualized respiratory muscle training in children with Duchenne muscular dystrophy. Neuromuscul Disord NMD 12(6):576–583CrossRefPubMed
36.
go back to reference Koessler W, Wanke T, Winkler G et al (2001) 2 Years’ experience with inspiratory muscle training in patients with neuromuscular disorders. Chest 120(3):765–769CrossRefPubMed Koessler W, Wanke T, Winkler G et al (2001) 2 Years’ experience with inspiratory muscle training in patients with neuromuscular disorders. Chest 120(3):765–769CrossRefPubMed
38.
go back to reference Aslan GK, Gurses HN, Issever H et al (2013) Effects of respiratory muscle training on pulmonary functions in patients with slowly progressive neuromuscular disease: a randomized controlled trial. Clin Rehabil 28(6):573–581. doi:10.1177/0269215513512215 CrossRefPubMed Aslan GK, Gurses HN, Issever H et al (2013) Effects of respiratory muscle training on pulmonary functions in patients with slowly progressive neuromuscular disease: a randomized controlled trial. Clin Rehabil 28(6):573–581. doi:10.​1177/​0269215513512215​ CrossRefPubMed
39.
go back to reference Wanke T, Toifl K, Merkle M et al (1994) Inspiratory muscle training in patients with Duchenne muscular dystrophy. Chest 105(2):475–482CrossRefPubMed Wanke T, Toifl K, Merkle M et al (1994) Inspiratory muscle training in patients with Duchenne muscular dystrophy. Chest 105(2):475–482CrossRefPubMed
40.
41.
go back to reference Jones HN, Crisp KD, Moss T et al (2014) Effects of respiratory muscle training (RMT) in children with infantile-onset Pompe disease and respiratory muscle weakness. J Pediatr Rehabil Med 7(3):255–265. doi:10.3233/prm-140294 PubMed Jones HN, Crisp KD, Moss T et al (2014) Effects of respiratory muscle training (RMT) in children with infantile-onset Pompe disease and respiratory muscle weakness. J Pediatr Rehabil Med 7(3):255–265. doi:10.​3233/​prm-140294 PubMed
42.
go back to reference Gosselink R (2004) Breathing techniques in patients with chronic obstructive pulmonary disease (COPD). Chron Respir Dis 1(3):163–172CrossRefPubMed Gosselink R (2004) Breathing techniques in patients with chronic obstructive pulmonary disease (COPD). Chron Respir Dis 1(3):163–172CrossRefPubMed
43.
go back to reference Smith BK, Collins SW, Conlon TJ et al (2013) Phase I/II trial of adeno-associated virus-mediated alpha-glucosidase gene therapy to the diaphragm for chronic respiratory failure in Pompe disease: initial safety and ventilatory outcomes. Hum Gene Ther 24(6):630–640. doi:10.1089/hum.2012.250 CrossRefPubMedPubMedCentral Smith BK, Collins SW, Conlon TJ et al (2013) Phase I/II trial of adeno-associated virus-mediated alpha-glucosidase gene therapy to the diaphragm for chronic respiratory failure in Pompe disease: initial safety and ventilatory outcomes. Hum Gene Ther 24(6):630–640. doi:10.​1089/​hum.​2012.​250 CrossRefPubMedPubMedCentral
44.
go back to reference Boentert M, Karabul N, Wenninger S et al (2015) Sleep-related symptoms and sleep-disordered breathing in adult Pompe disease. Eur J Neurol 22 (2):369–376, e327. doi:10.1111/ene.12582 Boentert M, Karabul N, Wenninger S et al (2015) Sleep-related symptoms and sleep-disordered breathing in adult Pompe disease. Eur J Neurol 22 (2):369–376, e327. doi:10.​1111/​ene.​12582
Metadata
Title
Inspiratory Muscle Training in Late-Onset Pompe Disease: The Effects on Pulmonary Function Tests, Quality of Life, and Sleep Quality
Authors
Goksen Kuran Aslan
Burcu Ersoz Huseyinsinoglu
Piraye Oflazer
Nilgun Gurses
Esen Kiyan
Publication date
01-08-2016
Publisher
Springer US
Published in
Lung / Issue 4/2016
Print ISSN: 0341-2040
Electronic ISSN: 1432-1750
DOI
https://doi.org/10.1007/s00408-016-9881-4

Other articles of this Issue 4/2016

Lung 4/2016 Go to the issue