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The muscles of respiration, from the diaphragm and the intercostals to the assisting musculature, need to be trained like any other muscles to increase resistance to fatigue and maximize performance. Respiratory Muscle Training (RMT) is a training method developed to condition the muscles of respiration specifically.
An incentive spirometer is a handheld medical device used to help patients improve the functioning of their lungs. By training patients to take slow and deep breaths, this simplified spirometer facilitates lung expansion and strengthening. Patients inhale through a mouthpiece, which causes a piston inside the device to rise.
Intermittent hypoxic therapy, also known as intermittent hypoxic training (IHT), is a technique aimed at improving human performance by way of adaptation to reduced oxygen. An IHT session consists of an interval of several minutes breathing hypoxic (low oxygen) air, alternated with intervals breathing ambient (normoxic) or hyperoxic air.
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In neuromuscular diseases close attention should be paid to the involvement of both the inspiratory and the expiratory muscles. In patients with multiple sclerosis for example, abdominal (and hence expiratory) muscle weakness is a hallmark of the disease, and is related to clinical problems such as mucus retention.