350 rub
Journal Technologies of Living Systems №2 for 2022 г.
Article in number:
Effect of additional respiratory resistance on exercise tolerance
Type of article: overview article
DOI: https://doi.org/10.18127/j20700997-202202-06
UDC: 616-092.6
Authors:

Yu.Yu. Byalovsky1, I.S. Rakitina2

1,2 Ryazan Statе Mеdical Univеrsity (Ryazan, Russia)

Abstract:

In recent years, the idea has been formed that training the respiratory muscles, and in particular the inspiratory muscles, can increase exercise tolerance and the performance of the muscular system. The most commonly used method of training the respiratory muscles is additional respiratory resistance (ARR).

Target – to highlight the main mechanisms of the training action of additional respiratory resistance to increase exercise tolerance.

The review shows that ARR training is an effective ergogenic tool for increasing exercise tolerance. ARR training has been found to improve effector performance in a wide variety of exercises, including running, cycling, swimming and rowing. It has been hypothesized that the physiological effects of ARR that may explain increased exercise tolerance include diaphragm hypertrophy, muscle fiber type switching, improved nerve control of the respiratory muscles, increased respiratory muscle savings, weakened metabolic reflex of the respiratory muscles, and a decrease in perceived dyspnea and emotional stress. The main mechanisms linking ARR training with improved physical performance are changes in ventilation efficiency, oxygen delivery, cytokine release, motor unit recruitment, and respiratory muscle energy.

The studies analyzed have expanded our understanding of the mechanisms underlying exercise tolerance and those associated with the training effect of ARR. It is anticipated that future research will focus on the development of protocols for the use of resistive breathing exercises for specific sports, and work will continue to better understand the mechanisms of increasing exercise tolerance associated with the training effects of ARR.

Pages: 57-69
For citation

Byalovsky Yu.Yu., Rakitina I.S. Effect of additional respiratory resistance on exercise tolerance. Technologies of Living Systems. 2022. V. 19. № 2. Р. 57-69. DOI: https://doi.org/10.18127/j20700997-202202-06 (In Russian)

References
  1. Aliverti A. The respiratory muscles during exercise. Breathe. 2016. V. 12. P. 165–168.
  2. Dempsey J.A., Amann M., Harms C.A., Wetter T.J. Respiratory system limitations to performance in the healthy athlete: some answers, more questions! Deutsche Zeitschrift fur Sportmedizin. 2012. V. 63. P. 157–162.
  3. Dempsey J.A., Romer L., Rodman J., Miller J., Smith C. Consequences of exercise-induced respiratory muscle work. Respir. Physiol. Neurobiol. 2006. V. 151. P. 242–250.
  4. Oueslati F., Berriri A., Boone J., Ahmaidi S. Respiratory muscle strength is decreased after maximal incremental exercise in trained runners and cyclists. Respir. Physiol. Neurobiol. 2018. V. 248. P. 25–30.
  5. Johnson B.D., Babcock M.A., Suman O.E., Dempsey J.A. Exercise-induced diaphragmatic fatigue in healthy humans. J. Physiol. 1993. V. 460. P. 385–405.
  6. Harms C.A., Babcock M.A., McClaran S.R., Pegelow D.F., Nickele G.A., Nelson W.B., Dempsey J.A. Respiratory muscle work compromises leg blood flow during maximal exercise. J. Appl. Physiol. 1997. V. 82. P. 1573–1583.
  7. Harms C.A., Wetter T.J., McClaran S.R., Pegelow D.F., Nickele G.A., Nelson W.B., Hanson P., Dempsey J.A. Effects of respiratory muscle work on cardiac output and its distribution during maximal exercise. J. Appl. Physiol. 1998. V. 85. P. 609–618.
  8. Caine М., McConnell A.K. Development and evaluation of a pressure threshold inspiratory muscle trainer for use in the context of sports performance. Sports Engineering. 2000. V. 3. P. 149–159.
  9. Chatham K., Baldwin J., Griffiths H., Summers L., Enright S. Inspiratory muscle training improves shuttle run performance in healthy subjects. Physiotherapy. 1999. V. 85. P. 676–683.
  10. HajGhanbari B., Yamabayashi C., Buna T.R., Coelho J.D., Freedman K.D., Morton T.A., Palmer S.A., Toy M.A., Walsh C., Sheel A.W., Reid W.D. Effects of respiratory muscle training on performance in athletes: a systematic review with meta-analyses. J. Strength. Cond. Res. 2013. V. 27. P. 1643–1663.
  11. Illi S.K., Held U., Frank I., Spengler C.M. Effect of respiratory muscle training on exercise performance in healthy individuals. Sports Med. 2012. V. 42. P. 707–724.
  12. Byalovsky Yu., Yu., Bulatetsky S.V. Fiziologicheskie mekhanizmy rezistivnogo dykhaniya cheloveka. M.: Ritm. 2018. 412 s. (in Russian).
  13. McConnell A.K. CrossTalk opposing view: Respiratory muscle training does improve exercise tolerance. J. Physiol. 2012. V. 590.
    P. 3397–3398.
  14. Patel M.S., Hart N., Polkey M.I. CrossTalk proposal: Training the respiratory muscles does not improve exercise tolerance. J. Physiol. 2012. V. 590. P. 3393–3395.
  15. Shei R.J., Paris H.L.R., Wilhite D.P., Chapman R.F., Mickleborough T.D. The role of inspiratory muscle training in the management of asthma and exercise-induced bronchoconstriction. Phys. Sportsmed. 2016. V. 44. P. 327–334.
  16. Huang C.H., Martin A.D., Davenport P.W. Effect of inspiratory muscle strength training on inspiratory motor drive and RREP early peak components. J. Appl. Physiol. 2003. V. 94. P. 462–468.
  17. Downey A.E., Chenoweth L.M., Townsend D.K., Ranum J.D., Ferguson C.S., Harms C.A. Effects of inspiratory muscle training on exercise responses in normoxia and hypoxia. Respir. Physiol. Neurobio. 2007. V. 156. P. 137–146.
  18. Enright S.J., Unnithan V.B., Heward C., Withnall L., Davies D.H. Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Phys. Ther. 2006. V. 86. P. 345–354.
  19. Witt J.D., Guenette J.A., Rupert J.L., McKenzie D.C., Sheel A.W. Inspiratory muscle training attenuates the human respiratory muscle metaboreflex. J. Physiol. 2007. V. 584. P. 1019–1028.
  20. Sheel A.W., Derchak P.A., Morgan B.J., Pegelow D.F., Jacques A.J., Dempsey J.A. Fatiguing inspiratory muscle work causes reflex reduction in resting leg blood flow in humans. J. Physiol. 2001. V. 537. P. 277–289.
  21. St Croix C.M., Morgan B.J., Wetter T.J., Dempsey J.A. Fatiguing inspiratory muscle work causes reflex sympathetic activation in humans. J. Physiol. 2000. V. 529. P. 493–504.
  22. McConnell A.K. Respiratory muscle training as an ergogenic aid. J Exerc Sci Fit. 2009. V. 7. S18–S27.
  23. Sheel A.W. Respiratory muscle training in healthy individuals. Sports Med. 2002. V. 32. P. 567–581.
  24. Turner L.A, Tecklenburg-Lund S.L., Chapman R.F., Stager J.M., Wilhite D.P., Mickleborough T.D. Inspiratory muscle training lowers the oxygen cost of voluntary hyperpnea. J. Appl. Physiol. 2012. V. 112. P. 127–134.
  25. Held H.E., Pendergast D.R. The effects of respiratory muscle training on respiratory mechanics and energy cost. Respir. Physiol. Neurobiol. 2014. V. 200. P. 7–17.
  26. Sales A.T., Fregonezi G.A., Ramsook A.H., Guenette J.A., Lima I.N., Reid W.D. Respiratory muscle endurance after training in athletes and non-athletes: A systematic review and metaanalysis. Phys. Ther. Sport. 2016. V. 17. P. 76-86.
  27. Menezes K.P., Nascimento L.R., Ada L., Polese J.C., Avelino P.R., Teixeira-Salmela L.F. Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review. J. Physiother. 2016. V. 62. P. 138-144.
  28. Smart N.A., Giallauria F., Dieberg G. Efficacy of inspiratory muscle training in chronic heart failure patients: A systematic review and meta-analysis. Int. J. Cardiol. 2013. V. 167. P. 1502-1507.
  29. Holm P., Sattler A., Fregosi R. Endurance training of respiratory muscles improves cycling performance in fit young cyclists. BMC Physiol. 2004. V. 4. P. 1-14.
  30. Johnson M., Sharpe G., Brown P. Inspiratory muscle training improves cycling time-trial performance and anaerobic work capacity but not critical power. Eur. J. Appl. Physiol. 2007. V. 101. P. 761-770.
  31. Romer L.M., McConnell A.K., Jones D.A. Inspiratory muscle fatigue in trained cyclists: effects of inspiratory muscle training. Med. Sci. Sports Exerc. 2002. V. 34. P. 785-792.
  32. Sonetti D.A., Wetter T.J., Pegelow D.F., Dempsey J.A. Effects of respiratory muscle training versus placebo on endurance exercise performance. Respir. Physiol. 2001. V. 127. P. 185-199.
  33. Kilding A., Brown S., McConnell A.К. Inspiratory muscle training improves 100 and 200 m swimming performance. Eur. J. Appl. Physiol. 2010. V. 108. P. 505-511.
  34. Leddy J.J., Limprasertkul A., Patel S., Modlich F., Buyea C., Pendergast D.R., Lundgren C.E. Isocapnic hyperpnea training improves performance in competitive male runners. Eur. J. Appl. Physiol. 2007. V. 99. P. 665-676.
  35. Riganas C.S., Vrabas I.S., Christoulas K., Mandroukas K. Specific inspiratory muscle training does not improve performance or VO2max levels in well trained rowers. J. Sports. Med. Phys. Fitness. 2008. V. 48. P. 285-292.
  36. Volianitis S., McConnell A.K., Koutedakis Y., McNaughton L., Backx K., Jones D.A. Inspiratory muscle training improves rowing performance. Med. Sci. Sports. Exerc. 2001. V. 33. P. 803-809.
  37. Fairbarn M.S., Coutts K.C., Pardy R.L., McKenzie D.C. Improved respiratory muscle endurance of highly trained cyclists and the effects on maximal exercise performance. Int. J. Sports. Med. 1991. V. 12. P. 66-70.
  38. McMahon M.E., Boutellier U., Smith R.M., Spengler C.M. Hyperpnea training attenuates peripheral chemosensitivity and improves cycling endurance. J. Exp. Biol. 2002. V. 205. P. 3937-3943.
  39. Morgan D.W., Kohrt W.M., Bates B.J., Skinner J.S. Effects of respiratory muscle endurance training on ventilatory and endurance performance of moderately trained cyclists. Int. J. Sports. Med. 1987. V. 08. P. 88-93.
  40. Mickleborough T.D., Nichols T., Lindley M.R., Chatham K., Ionescu A.A. Inspiratory flow resistive loading improves respiratory muscle function and endurance capacity in recreational runners. Scan. J. Med. Sci. Sports. 2010. V. 20. P. 458-468.
  41. Wylegala J., Pendergast D., Gosselin L., Warkander D., Lundgren C.G. Respiratory muscle training improves swimming endurance in divers. Eur. J. Appl. Physiol. 2007. V. 99. P. 393-404.
  42. Bailey S.J., Romer L.M., Kelly J., Wilkerson D.P., DiMenna F.J., Jones A.M. Inspiratory muscle training enhances pulmonary O2 uptake kinetics and high-intensity exercise tolerance in humans. J. Appl. Physiol. 2010. V. 109. P. 457-468.
  43. Brilla LR, Kauffman TH. Effect of inspiratory muscle training and core exercise training on core functional tests. J. Exerc. Physiol. 2014. V. 17. P. 12-20.
  44. Guy J.H., Edwards A.M., Deakin G.B. Inspiratory muscle training improves exercise tolerance in recreational soccer players without concomitant gain in soccer-specific fitness. J. Strength. Cond. Res. 2014. V. 28. P. 483-491.
  45. Cybulska A., Drobnik P. An assessment of the impact of special training of inspiratory muscles in a fitness classes programme on physical capacity of 20-25-year-old women. Baltic J. Health Physical Activity. 2015. V. 7. P. 37-47.
  46. Mishchenko V., Sawczyn S., Cybulska A., Pasek M. Special Training of Inspiratory Muscles in Fitness Activities and Exercise Capacity in Young Women. Hum. Mov. 2017. V. 46.
  47. Edwards A.M. Respiratory muscle training extends exercise tolerance without concomitant change to peak oxygen uptake: physiological, performance and perceptual responses derived from the same incremental exercise test. Respirology. 2013. V. 18. P. 1022-1027.
  48. Bernardi E., Melloni E., Mandolesi G., Uliari S., Grazzi G., Cogo A. Respiratory muscle endurance training improves breathing pattern in triathletes. Ann. Sports Med. Res. 2014. V. 1. P. 1003.
  49. Bell G.J., Game A., Jones R., Webster T., Forbes S.C., Syrotuik D. Inspiratory and expiratory respiratory muscle training as an adjunct to concurrent strength and endurance training provides no additional 2000 m performance benefits to rowers. Res. Sports Med. 2013. V. 21. P. 264-279.
  50. Ozmen T., Gunes G.Y., Ucar I., Dogan H., Gafuroglu T.U. Effect of respiratory muscle training on pulmonary function and aerobic endurance in soccer players. J. Sports Med. Phys. Fitness. 2017. V. 57. P. 507-513.
  51. Wu C.Y., Yang T.Y., Lo P.Y., GUo L.Y. Effects of respiratory muscle training on exercise performance in tennis players. Med. Sport. 2017. V. 70. P. 318-327.
  52. Archiza B., Andaku D.K., Caruso F.C., Bonjorno J.C., Oliveira C.R., Ricci P.A., Amaral A.C., Mattiello S.M., Libardi C.A., Phillips S.A., Arena R., Borghi-Silva A. Effects of inspiratory muscle training in professional women football players: a randomized sham-controlled trial. J. Sport Sci. 2018. V. 36. P. 771-780.
  53. Amann M., Pegelow D.F., Jacques A.J., Dempsey J.A. Inspiratory muscle work in acute hypoxia influences locomotor muscle fatigue and exercise performance of healthy humans. Am. J. Physiol – Reg. Integr. Comp. Physiol. 2007. V. 293. P. R2036-R2045.
  54. Romer L.M., Haverkamp H.C., Amann M., Lovering A.T., Pegelow D.F., Dempsey J.A. Effect of acute severe hypoxia on peripheral fatigue and endurance capacity in healthy humans. Am. J. Physiol. – Reg. Integr. Comp. Physiol. 2007. V. 292. P. R598-R606.
  55. Lomax M., Massey H.C., House J.R. Inspiratory muscle training effects on cycling during acute hypoxic exposure. Aerosp. Med. Hum. Perform. 2017. V. 88. P. 544-549.
  56. Heifer S., Quackenbush J., Fletcher M., Pendergast D.R. Respiratory Muscle Training and Exercise Endurance at Altitude. Aerosp. Med. Hum. Perform. 2016. V. 87. P. 704-711.
  57. Granados J., Gillum T.L., Castillo W., Christmas K.M., Kuennen M.R. “Functional” respiratory muscle training during endurance exercise causes modest hypoxemia but overall is well tolerated. J. Strength. Cond. Res. 2016. V. 30. P. 755-762.
  58. Hellyer N.J., Folsom I.A., Gaz D.V., Kakuk A.C., Mack J.L., Ver Mulm J.A. Respiratory muscle activity during simultaneous stationary cycling and inspiratory muscle training. J. Strength. Cond. Res. 2015. V. 29. P. 3517-3522.
  59. Porcari J.P., Probst L., Forrester K., Doberstein S., Foster C., Cress M.L., Schmidt K. Effect of wearing the elevation training mask on aerobic capacity, lung function, and hematological variables. J. Sports. Sci. Med. 2016. V. 15. P. 379-386.
  60. Tong T.K., McConnell A.K., Lin H., Nie J., Zhang H., Wang J. “Functional” inspiratory and core muscle training enhances running performance and economy. J. Strength. Cond. Res. 2016. V. 30. P. 2942-2951.
  61. McEntire S.J., Smith J.R., Ferguson C.S., Brown K.R., Kurti S.P., Harms C.A. The effect of exercise training with an additional inspiratory load on inspiratory muscle fatigue and time-trial performance. Respir. Physiol. Neurobiol. 2016. V. 230. P. 54-59.
  62. Mickleborough T., Stager J., Chatham K., Lindley M., Ionescu A. Pulmonary adaptations to swim and inspiratory muscle training. Eur. J. Appl. Physiol. 2008. V. 103. P. 635-646.
  63. Lomax M., Kapus J., Brown P.I., Faghy M. Impact of weekly swimming training distance on the ergogenicity of inspiratory muscle training in well trained youth swimmers. J. Strength. Cond. Res. Publish Ahead of Print, Post-Acceptance November 21. 2017.
  64. Kapus J. Effects of inspiratory muscle training on inspiratory muscle strength and sprint swimming performance in young female and male swimmers. Kinesiologia Slovenica. 2013. V. 19. P. 53-61.
  65. Lemaitre F., Coquart J.B., Chavallard F., Castres I., Mucci P., Costalat G., Chollet D. Effect of Additional Respiratory Muscle Endurance Training in Young Well-Trained Swimmers. J. Sports. Sci. Med. 2013. V. 12. P. 630-638.
  66. VasRkova J., Neumannova K., Svozil Z. The effect of respiratory muscle training on fin-swimmers’ performance. J. Sports. Sci. Med. 2017. V. 16. P. 521-526.
  67. Shei R.J. Respiratory muscle training and aquatic sports performance. J. Sports. Sci. Med. 2018. V. 17. P. 161-162.
  68. Turner L.A., Tecklenburg-Lund S.L., Chapman R.F., Shei R.J., Wilhite D.P., Mickleborough T.D. The effect of inspiratory muscle training on respiratory and limb locomotor muscle deoxygenation during exercise with resistive inspiratory loading. Int. J. Sports. Med. 2016. V. 37. P. 598-606.
  69. Salazar-Martmez E., Gatterer H., Burtscher M., Naranjo Orellana J., Santalla A. Influence of inspiratory muscle training on ventilatory efficiency and cycling performance in normoxia and hypoxia. Front. Physiol. 2017. V. 8. P. 133.
  70. Segizbaeva M.O., Timofeev N.N., Donina Z.A., Kur’yanovich E.N., Aleksandrova N.P. Effects of Inspiratory Muscle Training on Resistance to Fatigue of Respiratory Muscles During Exhaustive Exercise. In: Pokorski M, editorBody Metab Exerc. Cham: Springer International Publishing. 2015. P. 35-43.
  71. Raux M., Demoule A., Redolfi S., Morelot-Panzini C., Similowski T. Reduced phrenic motoneuron recruitment during sustained inspiratory threshold loading compared to single-breath loading: A twitch interpolation study. Front Physiol. 2016. V. 7. P. 537.
  72. Raux M., Tyvaert L., Ferreira M., Kindler F., Bardinet E., Karachi C., Morelot-Panzini C., Gotman J., Pike G.B., Koski L, Similowski T. Functional magnetic resonance imaging suggests automatization of the cortical response to inspiratory threshold loading in humans. Respir. Physiol. Neurobiol. 2013. V. 189. P. 571-580.
  73. Ramsook A.H., Molgat-Seon Y., Schaeffer M.R., Wilkie S.S., Camp P.G., Reid W.D., Romer L.M., Guenette J.A. Effects of inspiratory muscle training on respiratory muscle electromyography and dyspnea during exercise in healthy men. J. Appl. Physiol. 2017. V. 122. P. 1267-1275.
  74. Walterspacher S., Pietsch F, Walker DJ, Rocker K, Kabitz H.J. Activation of respiratory muscles during respiratory muscle training. Respir. Physiol. Neurobiol. 2018. V. 247. P. 126-132.
  75. Noakes T.D. Fatigue is a brain-derived emotion that regulates the exercise behavior to ensure the protection of whole body homeostasis. Front. Physiol. 2012. V. 3. P. 1-13.
  76. Cafarelli E. Peripheral contributions to the perception of effort. Med. Sci. Sports. Exerc. 1982. V. 14. P. 382-389.
  77. Ramsook A.H., Koo R., Molgat-Seon Y., Dominelli P.B., Syed N., Ryerson C.J., Sheel A.W., Guenette J.A. Diaphragm recruitment increases during a bout of targeted inspiratory muscle training. Med. Sci. Sports. Exerc. 2016. V. 48. P. 1179-1186.
  78. Mills D.E., Johnson M.A., McPhilimey M.J., Williams N.C., Gonzalez J.T., Barnett Y.A., Sharpe G.R. The effects of inspiratory muscle training on plasma interleukin-6 concentration during cycling exercise and a volitional mimic of the exercise hyperpnea. J. Appl. Physiol. 2013. V. 115. P. 1163-1172.
  79. Mills D.E., Johnson M.A., McPhilimey M.J., Williams N.C., Gonzalez J.T., Bamett Y.A., Sharpe G.R. Influence of oxidative stress, diaphragm fatigue, and inspiratory muscle training on the plasma cytokine response to maximum sustainable voluntary ventilation. J. Appl. Physiol. 2014. V. 116. P. 970–979.
Date of receipt: 10.01.2022
Approved after review: 24.02.2022
Accepted for publication: 09.03.2022