The elderly population in Brazil has been growing exponentially according to data presented by the IBGE. It is estimated that by 2025 the population will have reached 32 million, placing the country sixth in the world in the population of elderly people. To assess the results of respiratory training associated with functional training on respiratory muscle strength, lung function, and functionality of the elderly. The sample was composed of 40 elderlies, divided into four groups, the experimental group with functional training, one experimental group with functional training associated with respiratory training, one experimental group with respiratory training, and the fourth group, the control group. After the initial and final evaluations, the variables measured were: The Breathing Test, Sit to Stand Test, the SF-36 Quality of Life Questionnaire, and Spirometry. Twenty appointments were conducted twice a week. There were significant differences for variables maximum inspiratory and expiratory pressure; more accentuated in the associated group when compared to the respiratory group; forced vital capacity and forced expiratory volume in the first second/forced vital capacity were meaningful in the associated group; peak expiratory flow means values increased after the intervention; in the six-minute walk test, we noticed a trend to increase values after the intervention. Functional training as well as associated respiratory muscle training provide the most beneficial changes compared only to functional and respiratory training. Therefore, this may be an effective clinical training method for patients’ elderly.
World Health Organization (2016) World Health Statistics 2016: Monitoring Health for the SDGs Sustainable Development Goals. World Health Organization, Geneva, 1:1-136. https://www.who.int/publications/i/item/9789241565264
(2016) World Population Ageing 2015: Highlights.
Oliveira, M., Santos, C.L.S., Oliveira, C.F. and Ribas, D.I.R. (2013) Efeitos da técnica expansiva e incentivador respiratório na força da musculatura respiratória em idosos institucionalizados. Fisioterapia em Movimento, 26, 133-140. https://doi.org/10.1590/S0103-51502013000100015
Faverio, P., Aliberti, S., Bellelli, G., et al. (2014) The Management of Community-Acquired Pneumonia in the Elderly. European Journal of Internal Medicine, 25, 312-319. https://doi.org/10.1016/j.ejim.2013.12.001
Vieira, S.C.A., et al. (2015) A força muscular associada ao processo de envelhecimento. Ciências Biológicas e Da Saúde, 3, 93-102.
Nepomuceno Júnior, B.R.V., Gómez, T.B. and Gomes Neto, M. (2016) Use of Powerbreathe® in Inspiratory Muscle Training for Athletes: Systematic Review. Fisioterapia Em Movimento, 29, 821-830. https://doi.org/10.1590/1980-5918.029.004.ao19
Liu, C., Shiroy, D.M., Jones, L.Y. and Clark, D.O. (2014) Systematic Review of Functional Training on Muscle Strength, Physical Functioning, and Activities of Daily Living in Older Adults. European Review of Aging and Physical Activity, 11, 95-106. https://doi.org/10.1007/s11556-014-0144-1
Smyth, R.J., Chapman, K.R. and Rebuck, A.S. (1984) Maximal Inspiratory and Expiratory Pressures in Adolescents. Normal Values. Chest, 86, 568-572. https://doi.org/10.1378/chest.86.4.568
ATS (2002) Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS Statement: Guidelines for the Six-Minute Walk Test. American Journal of Respiratory and Critical Care Medicine, 166, 111-117. https://doi.org/10.1164/ajrccm.166.1.at1102
Garcia-Rio, F., Calle, M., Burgos, F., et al. (2013) Espirometria. Archivos de Bronconeumologia, 49, 388-401. https://doi.org/10.1016/j.arbr.2013.07.007
de Alvarenga, G.M., Charkovski, S.A., dos Santos, L.K., et al. (2018) The Influence of Inspiratory Muscle Training Combined with the Pilates Method on Lung Function in Elderly Women: A Randomized Controlled Trial. Clinics, 73, e356. https://doi.org/10.6061/clinics/2018/e356
StatSoft Inc. (2001) STATISTICA (Data Analysis Software System), Version 6. http://www.statsoft.com
Marques De Sá, J.P. (2007) Applied Statistics Using SPSS, STATISTICA, MATLAB and R. Springer, Berlin. https://doi.org/10.1007/978-3-540-71972-4
RB S. (2002) Pressões respiratórias estáticas máximas. Jornal de Pneumologia, 28, S155-S165.
Slongo, M. and Morsch, A. (2015) Comportamento das pressões respiratórias máximas após um programa de fisioterapia respiratória em idosos institucionalizados. Revista FisiSenectus, 3, 39-49. https://doi.org/10.22298/rfs.2015.v3.n1.3017
Tiggemann, C.L., Dias, C.P., Noll, M., et al. (2013) Envelhecimento e treinamento de potência: Aspectos neuromusculares e funcionais. Revista da Educacao Fisica, 24, 295-304. https://doi.org/10.4025/reveducfis.v24i2.15725
Esteves, F., Santos, I., Valeriano, J., et al. (2016) Inspiratory Muscle Training in Healthy Individuals: Randomized Controlled Trial. 5-11.
Souza, H., Rocha, T., Pessoa, M., et al. (2014) Effects of Inspiratory Muscle Training in Elderly Women on Respiratory Muscle Strength, Diaphragm Thickness and Mobility. Journals of Gerontology—Series A Biological Sciences and Medical Sciences, 69, 1545-1553. https://doi.org/10.1093/gerona/glu182
Vasconcellos, J.A.C., Parreira, V.F., Britto, R.R., et al. (2007) Respiratory Pressures and Functional Capacity in Asymptomatic Elderly. Revista Fisioterapia em Movimento, 44, 93-100.
Campolina, A.G., Dini, P.S. and Ciconelli, R.M. (2011) Impacto da doença crônica na qualidade de vida de idosos da comunidade em são paulo (SP, Brasil). Ciencia e Saude Coletiva, 16, 2919-2925. https://doi.org/10.1590/S1413-81232011000600029
Fahlman, M.M., McNevin, N., Boardley, D., et al. (2011) Effects of Resistance Training on Functional Ability in Elderly Individuals. American Journal of Health Promotion, 25, 237-243. https://doi.org/10.4278/ajhp.081125-QUAN-292
Freitas, E. and Py, L. (2017) Tratado de Geriatria e Gerontologia. 3rd Edition, Guanabara Koogan, Rio de Janeiro.
Rabelo, H.T., Oliveira, R.J. and Bottaro, M. (2004) Effects of Resistance Training on Activities of Daily Living in Older Women. Biology of Sport, 21, 325-336.
Weiner, P., Magadle, R., Beckerman, M., et al. (2003) Comparison of Specific Expiratory, Inspiratory, and Combined Muscle Training Programs in COPD. Chest, 124, 1357-1364. https://doi.org/10.1378/chest.124.4.1357
Felício, D.C., Pereira, D.S., Queiroz, B.Z., et al. (2015) Isokinetic Performance of Knee Flexor and Extensor Muscles in Community-Dwelling Elderly Women. Fisioterapia em Movimento, 28, 555-562. https://doi.org/10.1590/0103-5150.028.003.AO14
Reychler, G., Delacroix, S., Dresse, D., et al. (2016) Randomized Controlled Trial of the Effect of Inspiratory Muscle Training and Incentive Spirometry on Respiratory Muscle Strength, Chest Wall Expansion, and Lung Function in Elderly Adults. Journal of the American Geriatrics Society, 64, 1128-1130. https://doi.org/10.1111/jgs.14097
Kaushal, M., Ali, M., Sharma, R. and Talwar, D. (2019) Effect of Respiratory Muscle Training and Pulmonary Rehabilitation on Exercise Capacity in Patients with Interstitial Lung Disease: A Prospective Quasi-Experimental Study. Eurasian Journal of Pulmonology, 21, 1128-1130. https://doi.org/10.4103/ejop.ejop_21_19
Lee, J. and Han, D. (2018) Association between Knee Extensor Strength and Pulmonary Function in the Female Elderly. Journal of Physical Therapy Science, 30, 234-237. https://doi.org/10.1589/jpts.30.234
Pellegrino, R., Viegi, G., Brusasco, V., et al. (2005) Interpretative Strategies for Lung Function Tests. European Respiratory Journal, 26, 948-968. https://doi.org/10.1183/09031936.05.00035205
Vestbo, J., Edwards, L.D., Scanlon, P.D., et al. (2011) Changes in Forced Expiratory Volume in 1 Second over Time in COPD. New England Journal of Medicine, 365, 1184-1192. https://doi.org/10.1056/NEJMoa1105482
Salazar-Martínez, E., Gatterer, H., Burtscher, M., et al. (2017) Influence of Inspiratory Muscle Training on Ventilatory Efficiency and Cycling Performance in Normoxia and Hypoxia. Frontiers in Physiology, 8, 133. https://doi.org/10.3389/fphys.2017.00133
Dominelli, P.B. and Sheel, A.W. (2012) Experimental Approaches to the Study of the Mechanics of Breathing during Exercise. Respiratory Physiology and Neurobiology, 180, 147-161. https://doi.org/10.1016/j.resp.2011.10.005
Fabbri, L.M., Hurd, S.S., Barnes, P., et al. (2003) Global Strategy for the Diagnosis, Management and Prevention of COPD: 2003 Update. European Respiratory Journal, 22, 1-2. https://doi.org/10.1183/09031936.03.00063703
Moreto Trindade, A., Lins Fagundes de Sousa, T. and Luís Pereira Albuquerque, A. (2015) The Interpretation of Spirometry on Pulmonary Care: Until Where Can We Go with the Use of Its Parameters? Pulmão RJ, 24, 3-7.
Tashkin, D.P., Li, N., Kleerup, E.C., et al. (2014) Acute Bronchodilator Responses Decline Progressively over 4 Years in Patients with Moderate to Very Severe COPD. Respiratory Research, 15, Article No. 102. https://doi.org/10.1186/s12931-014-0102-5
Ebner, S.A., Meikis, L., Morat, M., et al. (2021) Effects of Movement-Based Mind-Body Interventions on Physical Fitness in Healthy Older Adults: A Meta-Analytical Review. Gerontology, 67, 125-143. https://doi.org/10.1159/000512675
Grgic, J., Garofolini, A., Orazem, J., et al. (2020) Effects of Resistance Training on Muscle Size and Strength in Very Elderly Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Sports Medicine, 50, 1983-1999. https://doi.org/10.1007/s40279-020-01331-7
Shei, R.J., Paris, H.L., Sogard, A.S. and Mickleborough, T.D. (2022) Time to Move beyond a “One-Size Fits All” Approach to Inspiratory Muscle Training. Frontiers in Physiology, 12, Article ID: 766346. https://doi.org/10.3389/fphys.2021.766346
Hernández-álvarez, E.D., Guzmán-David, C.A., Ruiz-González, J.C., et al. (2018) Effect of a Respiratory Muscle Training Program on Lung Function, Respiratory Muscle Strength and Resting Oxygen Consumption in Sedentary Young People. Revista Facultad de Medicina, 66, 605-610. https://doi.org/10.15446/revfacmed.v66n4.60252
Fonseca, M.A., Cader, S.A., Dantas, E.H.M., et al. (2010) Programas de treinamento muscular respiratório: Impacto na autonomia funcional de idosos. Revista da Associação Médica Brasileira, 56, 642-648. https://doi.org/10.1590/S0104-42302010000600010