Respiratory Muscle Training: theory and practice is the world’s first book to provide an "everything-you-need-to-know" guide to respiratory muscle training (RMT). Authored by an internationally-acclaimed expert, it is an evidence-based resource, built upon current scientific knowledge, as well as experience at the cutting-edge of respiratory training in a wide range of settings. The aim of the book is to give readers: 1) an introduction to respiratory physiology and exercise physiology, as well as training theory; 2) an understanding of how disease affects the respiratory muscles and the mechanics of breathing; 3) an insight into the disease-specific, evidence-based benefits of RMT; 4) advice on the application of RMT as a standalone treatment, and as part of a rehabilitation programme; and finally, 5) guidance on the application of functional training techniques to RMT. The book is divided into two parts – theory and practice. Part I provides readers with access to the theoretical building blocks that support practice. It explores the evidence base for RMT as well as the different methods of training respiratory muscles and their respective efficacy. Part II guides the reader through the practical implementation of the most widely validated form of RMT, namely inspiratory muscle resistance training. Finally, over 150 "Functional" RMT exercises are described, which incorporate a stability and/or postural challenge – and address specific movements that provoke dyspnoea. Respiratory Muscle Training: theory and practice is supported by a dedicated website (www.physiobreathe.com), which provides access to the latest information on RMT, as well as video clips of all exercises described in the book. Purchasers will also receive a three-month free trial of the Physiotec software platform (via www.physiotec.ca), which allows clinicians to create bespoke training programmes (including video clips) that can be printed or emailed to patients. Introductory overviews of respiratory and exercise physiology, as well as training theory Comprehensive, up-to-date review of respiratory muscle function, breathing mechanics and RMT Analysis of the interaction between disease and respiratory mechanics, as well as their independent and combined influence upon exercise tolerance Analysis of the rationale and application of RMT to over 20 clinical conditions, e.g., COPD, heart failure, obesity, mechanical ventilation Evidence-based guidance on the implementation of inspiratory muscle resistance training Over 150 functional exercises that incorporate a breathing challenge www.physiobreathe.com - access up-to-date information, video clips of exercises and a three-month free trial of Physiotec’s RMT exercise module (via www.physiotec.ca)

Respiratory Muscle Strength Training is a clinical guide, intended to provide clinicians with the background information they need to understand respiratory muscle strength training (RMST). With a variety of case studies provided by well-known authors and clinicians, this text acts as a guidebook to the RMST protocol and provides practical information for use in the field of healthcare. In addition to real-world case studies, Respiratory Muscle Strength Training includes a chapter devoted to Frequently Asked Questions, a representative sample of the devices commonly used for respiratory training, and instructions for using them in patient care.

This book provides up-to-date knowledge on all aspects of the multidisciplinary approach to pulmonary rehabilitation that is essential in order to achieve optimal results. It will be an ideal resource especially for pulmonologists in training, but will also be of value for physiotherapists, other health care professionals, and technicians. Detailed information is presented on the diverse program components in pulmonary rehabilitation, with clear explanation of the roles of the nutritionist, psychologist, occupational therapist, respiratory nurse, and physical activity coach. Guidance is provided on identification of candidates for pulmonary rehabilitation and on all aspects of assessment, including exercise capacity, muscle function, and physical activity. Patient-centered, economic, and other outcomes are examined, with separate discussion of combined outcome assessment. Furthermore, due consideration is given to organizational aspects of pulmonary rehabilitation and to rehabilitation in specific scenarios, e.g., thoracic oncology and surgery, transplantation, and the ICU. The authors are internationally recognized experts selected for their expertise in the topics they discuss.

This book provides an innovative and comprehensive overview of the relationship between lung and exercise, both in healthy, active subjects and in subjects with chronic respiratory diseases. It investigates in detail the central role of the lungs during exercise and illustrates the impact of respiratory impairment due to both acute and chronic lung diseases on performance. Further, the book presents the latest evidence-based findings, which confirm that exercise is an effective and safe form of prevention and rehabilitation in respiratory diseases. The first section describes the changes in the respiratory system during exercise and the contribution of respiration to exercise, while readers will learn how to perform a respiratory assessment in the second section. The third section addresses a broad range of chronic respiratory diseases and the (in)ability of those affected to play sports and perform exercise, thus providing a basis for individual assessments. The last two sections focus on respiratory training, rehabilitation and the relationship between respiration and the environment, e.g. in high-altitude and underwater sports. The book will appeal to a wide readership, including pulmonologists, sport medicine physicians, physiotherapists and trainers, as well as instructors and students in exercise science.

Breathe Strong, Perform Better explains how anyone, from everyday exercisers to elite athletes, can use breathing training to increase power and comfort, improve performance, accelerate recovery, and reduce injury risk. With easy-to-use programs and sport-specific workouts, this is your guide to achieving efficient breathing and peak fitness.

The only text to cover lung function assessment from first principles including methodology, reference values and interpretation New for this edition: - More illustrations to convey concepts clearly to the busy physician - Text completely re-written in a contemporary style: includes user-friendly equations and more diagrams - New material covering the latest advances in the treatment of lung function, including more on sleep-related disorders, a stronger clinical and practical bias and more on new techniques and equipment - Uses the standard Vancouver referencing system What the experts say: "I have always considered Dr Cotes' book the most authoritative book published on lung function. It is also the most comprehensive." —Dr Robert Crapo, Pulmonary Division, LDS Hospital, Salt Lake City, USA "I think I can fairly speak on behalf of staff in lung function departments the length and breadth of the country - that a sixth edition of Cotes would be gratefully received." —Dr Brendan Cooper, Clinical Respiratory Scientist, Nottingham City Hospital

Study results suggested that respiratory muscle training improves (a) pulmonary function, (b) respiratory muscle function, and (c) exercise performance more than exercise (swimming) training alone. Ventilation is a complex event that is achieved through an interaction between the lungs, the rib cage, and the respiratory muscles. Ventilation is critical to the body's ability to exercise. The purpose of this study, therefore, was to evaluate the effect of respiratory muscle training on the strength and endurance of the respiratory muscles, and to determine whether respiratory muscle training has an impact on whole body exercise performance. Participants included 20 female and 14 male competitive swimmers (mean age 15.6 +/- 1.3 y). The results showed that the respiratory muscle training group demonstrated significant improvement in dynamic pulmonary function (forced inspiratory and expiratory volumes in 1 second, vital capacity, and 15-second maximal voluntary ventilation) and inspiratory and expiratory muscle critical power. There was a subtle transfer of the effect of respiratory muscle training to swimming performance, specifically to improvements in swimming and breathing economy, the heart rate-lactate relationship, and critical velocity. Significant differences occurred in the adaptation patterns between male and female participants. The research required the development of a new method for evaluating the power-endurance characteristics of the respiratory muscles---the respiratory muscle critical power test. A method for evaluating swimming performance characteristics (Pyne et al., 2000) was modified for this study. Modifications included continuous heart rate monitoring throughout the test, applying swimming economy and breathing economy analysis to the results, and evaluating the heart rate-lactate relationship.

A New York Times Bestseller A Washington Post Notable Nonfiction Book of 2020 Named a Best Book of 2020 by NPR “A fascinating scientific, cultural, spiritual and evolutionary history of the way humans breathe—and how we’ve all been doing it wrong for a long, long time.” —Elizabeth Gilbert, author of Big Magic and Eat Pray Love No matter what you eat, how much you exercise, how skinny or young or wise you are, none of it matters if you’re not breathing properly. There is nothing more essential to our health and well-being than breathing: take air in, let it out, repeat twenty-five thousand times a day. Yet, as a species, humans have lost the ability to breathe correctly, with grave consequences. Journalist James Nestor travels the world to figure out what went wrong and how to fix it. The answers aren’t found in pulmonology labs, as we might expect, but in the muddy digs of ancient burial sites, secret Soviet facilities, New Jersey choir schools, and the smoggy streets of São Paulo. Nestor tracks down men and women exploring the hidden science behind ancient breathing practices like Pranayama, Sudarshan Kriya, and Tummo and teams up with pulmonary tinkerers to scientifically test long-held beliefs about how we breathe. Modern research is showing us that making even slight adjustments to the way we inhale and exhale can jump-start athletic performance; rejuvenate internal organs; halt snoring, asthma, and autoimmune disease; and even straighten scoliotic spines. None of this should be possible, and yet it is. Drawing on thousands of years of medical texts and recent cutting-edge studies in pulmonology, psychology, biochemistry, and human physiology, Breath turns the conventional wisdom of what we thought we knew about our most basic biological function on its head. You will never breathe the same again.

The Anti-G Straining Manoeuvre (AGSM) is a countermeasure employed by fighter pilots in order to combat the decline in head-level blood pressure instigated by high +Gz-loading during tactical flight. The AGSM is a 4-second cycle of forced inhalation, isometric contraction of the arms, legs and trunk muscles together with a Valsalva Manoeuvre, followed by forced exhalation. The repeated tensing between forced breaths acts to increase intrathoracic pressure and venous return, augmenting head-level blood pressure. A pilot's ability to maintain an effective AGSM decreases over prolonged +Gz-exposure due to breathlessness and fatigue that is proposed to originate in the respiratory musculature. Thus, the present study implemented respiratory muscle training (RMT), a modality shown to increase respiratory muscle strength and endurance, as a possible intervention to help decrease AGSM-induced fatigue. Participants (n = 14: 26.9 +/- 5.3 yrs) trained with a commercially available respiratory muscle trainer (PowerlungRTM) for 6-weeks, 4-times per week, 20 minutes per session. Every two-weeks, respiratory muscle (RM) strength and endurance were measured through Pulmonary Function Tests while performance was evaluated through measures of peak respiratory pressure, peak blood pressure and tidal volumes achieved during a loaded, AGSM breathing test. Training significantly improved RM strength measured in maximal expiratory and inspiratory pressures (+10.1%, p