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Alison McConnell PhD FACSM FBASES - Respiratory Muscle Training: Theory and Practice, 1e

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Respiratory Muscle Training: theory and practice is the worlds 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 Physiotecs RMT exercise module (via www.physiotec.ca)

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Respiratory Muscle Training
Theory and Practice

Alison McConnell, PhD, FACSM, FBASES

Professor of Applied Physiology, Centre for Sports Medicine and Human Performance, Brunel University, UK

Foreword by Rik Gosselink

Respiratory Muscle Training Theory and Practice 1e - image 1

Table of Contents
Copyright

Respiratory Muscle Training Theory and Practice 1e - image 2

2013 Elsevier Ltd. All rights reserved.

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

ISBN 978-0-7020-5020-6

British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library

Library of Congress Cataloging in Publication Data

A catalog record for this book is available from the Library of Congress

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

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Printed in China

Acknowledgements

There are so many people who have contributed directly and indirectly to this book. These include the academic colleagues and PhD students with whom I have worked over the years, as well as the many scientists whose research has provided the insights that have shaped my thinking you are too numerous to mention individually, but you know who you are, and you have all made some contribution to the development of the ideas that have led to this book.

I have expressed my gratitude to two particularly influential individuals previously, and my appreciation of their contributions is no less heartfelt for being repeated here. In 1996, Professor Mike Caine and Claire Hodson joined me on my perilous journey to create an innovative product that people could use to train their breathing. Without Mike and Claire's faith and talent, the POWERbreathe might never have seen the light of day, let alone commercial success. The insights on which this book are founded were made possible by the collective contribution that all three of us made to the creation of POWERbreathe thank you both (again).

I am also extremely grateful to Research Into Ageing (now part of Age UK), and its former Director, Elizabeth Mills. In 1990, the charity funded my original research on breathlessness in older people; that first step on my long journey could not have been made without the leap of faith required to give a junior lecturer her first research grant.

In terms of the creation of this book, I owe a special debt of gratitude to four individuals who provided invaluable feedback on my draft chapters. They are Professor Rik Gosselink, Cath O'Connor, Emma Hamilton and Dr Bernie Bissett. I'd also like to thank Drs Pete Brown and Graham Sharpe for debating the mechanisms underlying changes in blood lactate concentration after respiratory muscle training with me. Thank you all for your time, your insights, and for enabling me to keep to my submission timetable!

Writing any book is a time consuming journey requiring an obsessive focus that is difficult to achieve amidst one's normal daily routine. I am therefore grateful to Brunel University and to my colleagues for allowing me the time and thinking space to complete this journey.

I am also very grateful to my long-suffering photography model, Michle Bonmati, who withstood two days of filming during a heat wave in Quebec. I am also enormously grateful to Physiotec (www.physiotec.ca), and in particular to Pierre Labont, Jessica Babin and Alexandra Ttreault Ayotte for their assistance with the photography, and to POWERbreathe International Ltd. (www.powerbreathe.com) for donating the inspiratory muscle trainer, as well as for assisting with the production of the book jacket image. The principals at POWERbreathe also deserve a special mention Harry and Anne Brar thanks for your continued support, and for investing so much of yourselves in the slow, but steady process of making respiratory muscle training a mainstream clinical treatment.

This is my second book, but my first for a clinical audience, so thanks are due to the expert team at Elsevier for making it an excellent experience. In particular, I'd like to thank the individuals with whom I've worked directly Rita Demetriou-Swanwick, Carole McMurray and Shereen Jameel.

I'm also grateful and honoured that Professor Rik Gosselink agreed to write the Foreword to Respiratory Muscle Training: Theory and Practice. Rik is a scientist whom I've admired for many years. Recently, I've finally had the pleasure and privilege of collaborating with him on a research project - as we say in Britain, Rik, you're a gentleman and a scholar.

Last, but by no means least, I want to thank my partner Mel, who has yet again endured the obsession, bordering on mania, that accompanies my bouts of writing. Life can now return to some semblance of normality until the next time.

Dedication

To my late father-in-law, Dr David Varvel, who was a truly exceptional human being. This is the book I dearly wish you could have seen David

Foreword

Rik Gosselink

The lungs do not move naturally of their own motion, but they follow the motion of the thorax and the diaphragm. The lungs are not expanded because they are filled with air, but they are filled with air because they expand.

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