The Effects of Inspiratory Muscle Training in Lung Cancer Patients: A Scoping Review

Introduction: Lung cancer is the leading cause of cancer worldwide, with a high mortality rate. Chronic dyspnea promotes a pathologic cycle of decreased activity, which has been shown to limit exercise tolerance and deteriorate quality of life (QoL). Inspiratory muscle training (IMT) is a resistance...

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Main Authors: Yolanda Kadir, Rahmaningsih Mara Sabirin, Ammar Abdurrahman Hasyim, Roihan Mohamad Iqbal, Siswanto Siswanto
Format: Article
Language:English
Published: Universitas Airlangga 2025-01-01
Series:Jurnal Respirasi
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Online Access:https://e-journal.unair.ac.id/JR/article/view/60777
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author Yolanda Kadir
Rahmaningsih Mara Sabirin
Ammar Abdurrahman Hasyim
Roihan Mohamad Iqbal
Siswanto Siswanto
author_facet Yolanda Kadir
Rahmaningsih Mara Sabirin
Ammar Abdurrahman Hasyim
Roihan Mohamad Iqbal
Siswanto Siswanto
author_sort Yolanda Kadir
collection DOAJ
description Introduction: Lung cancer is the leading cause of cancer worldwide, with a high mortality rate. Chronic dyspnea promotes a pathologic cycle of decreased activity, which has been shown to limit exercise tolerance and deteriorate quality of life (QoL). Inspiratory muscle training (IMT) is a resistance-based exercise regimen that aims to improve the strength and endurance of the inspiratory muscles, thereby reducing respiratory symptoms. This study aimed to comprehensively review the possible beneficial effects of IMT on various aspects of lung cancer patients. Methods: The PubMed, Embase, and Cochrane databases were searched from inception to 20 May 2024. All clinical trials examining the impact of IMT on lung cancer patients, utilizing either quantitative or qualitative approaches, were included. The extracted data were then descriptively presented, focusing on the main themes to provide a comprehensive literature review. Results: This scoping review identified 9 unique studies comprising eight randomized-controlled trials and one retrospective cohort study with 460 lung cancer patients. An IMT regimen was proven to reduce sedentary behavior and significantly improve physical activity and health-related quality of life (HRQL). Furthermore, the IMT program reduced dyspnea, improving maximum inspiratory pressure (PImax) and 6-minute walking test (6MWT). It also provided the benefits of shorter postoperative stay and reduced patient distress concerning dyspnea. Conclusion: Inspiratory muscle training provides several benefits, including improvements in dyspnea indexes, exercise tolerance, and overall HRQL. Further studies are required to determine the optimal IMT regimen for this special population.
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spelling doaj-art-7241767cbc554e7b88a7797c2a8daf2e2025-08-20T02:45:43ZengUniversitas AirlanggaJurnal Respirasi2407-08312621-83722025-01-011117582https://doi.org/10.20473/jr.v11-I.1.2025.75-82The Effects of Inspiratory Muscle Training in Lung Cancer Patients: A Scoping ReviewYolanda Kadir0https://orcid.org/0009-0004-5905-6890Rahmaningsih Mara Sabirin1https://orcid.org/0000-0003-1063-3218Ammar Abdurrahman Hasyim2https://orcid.org/0000-0003-2799-1652Roihan Mohamad Iqbal3https://orcid.org/0000-0003-3330-5540Siswanto Siswanto4https://orcid.org/0000-0001-8427-994XEmergency Department, Charitas Hospital, Palembang, Indonesia.Department of Physiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.Laboratory of Vaccinology and Applied Immunology, Kanazawa University, School of Pharmacy, Ishikawa, Japan.Division of Pulmonology and Respiratory Medicine, Department of Internal Medicine, Universitas Gadjah Mada Academic Hospital, Yogyakarta, Indonesia.Division of Pulmonology and Respiratory Medicine, Department of Internal Medicine, Universitas Gadjah Mada Academic Hospital, Yogyakarta, Indonesia.Introduction: Lung cancer is the leading cause of cancer worldwide, with a high mortality rate. Chronic dyspnea promotes a pathologic cycle of decreased activity, which has been shown to limit exercise tolerance and deteriorate quality of life (QoL). Inspiratory muscle training (IMT) is a resistance-based exercise regimen that aims to improve the strength and endurance of the inspiratory muscles, thereby reducing respiratory symptoms. This study aimed to comprehensively review the possible beneficial effects of IMT on various aspects of lung cancer patients. Methods: The PubMed, Embase, and Cochrane databases were searched from inception to 20 May 2024. All clinical trials examining the impact of IMT on lung cancer patients, utilizing either quantitative or qualitative approaches, were included. The extracted data were then descriptively presented, focusing on the main themes to provide a comprehensive literature review. Results: This scoping review identified 9 unique studies comprising eight randomized-controlled trials and one retrospective cohort study with 460 lung cancer patients. An IMT regimen was proven to reduce sedentary behavior and significantly improve physical activity and health-related quality of life (HRQL). Furthermore, the IMT program reduced dyspnea, improving maximum inspiratory pressure (PImax) and 6-minute walking test (6MWT). It also provided the benefits of shorter postoperative stay and reduced patient distress concerning dyspnea. Conclusion: Inspiratory muscle training provides several benefits, including improvements in dyspnea indexes, exercise tolerance, and overall HRQL. Further studies are required to determine the optimal IMT regimen for this special population.https://e-journal.unair.ac.id/JR/article/view/60777cancerdyspneainspiratory muscle traininglung cancers
spellingShingle Yolanda Kadir
Rahmaningsih Mara Sabirin
Ammar Abdurrahman Hasyim
Roihan Mohamad Iqbal
Siswanto Siswanto
The Effects of Inspiratory Muscle Training in Lung Cancer Patients: A Scoping Review
Jurnal Respirasi
cancer
dyspnea
inspiratory muscle training
lung cancers
title The Effects of Inspiratory Muscle Training in Lung Cancer Patients: A Scoping Review
title_full The Effects of Inspiratory Muscle Training in Lung Cancer Patients: A Scoping Review
title_fullStr The Effects of Inspiratory Muscle Training in Lung Cancer Patients: A Scoping Review
title_full_unstemmed The Effects of Inspiratory Muscle Training in Lung Cancer Patients: A Scoping Review
title_short The Effects of Inspiratory Muscle Training in Lung Cancer Patients: A Scoping Review
title_sort effects of inspiratory muscle training in lung cancer patients a scoping review
topic cancer
dyspnea
inspiratory muscle training
lung cancers
url https://e-journal.unair.ac.id/JR/article/view/60777
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