Efek Threshold Inspiratory Muscle Training Terhadap Kadar Tnf-Α Pada Pasien Gagal Jantung Kronik Di Rsud Dr Soetomo Surabaya
Daftar Isi:
- Material and Methods: Twenty people included the inclusion criteria, divided into 2 groups, cardiopulmonary group and cardiopulmonary group plus threshold IMT for 4 weeks. Inspiratory muscle training is done twice per day, 30 reps per time, five days a week. Resistance are raised every week. Running exercise is done as a part of PSRJ, carried out three times a week, intensity of 40-60% Heart Rate Reserve (increased gradually) on a treadmill for 30 minutes. Lung capacity was measured using a Spirobank® II device before treatment and at the end of the fourth week. Results: After four weeks of exercise in the Cardiopulmonary Rehabilitation plus IMT threshold group had no significant increase in TNF-α (p= 0,220). Conclusion: This study shows that a combined cardiopulmonary rehabilitation and inspiratory muscles exercise program is decrease can decrease TNF-α although not significant compare to patients who only given conventional cardiopulmonary rehabilitation. This IMT program still can be added to the conventional program for its better effect to decrease TNF-α and other pro inflammation cytokines to prevent further heart failure complication