Analyze Diet
Equine veterinary journal2022; 55(2); 306-314; doi: 10.1111/evj.13606

Training the equine respiratory muscles: Inspiratory muscle strength.

Abstract: Little is known about the response of the equine respiratory muscles to training. Objective: To measure an index of inspiratory muscle strength (IMSi) before and after a period of conventional exercise training (phase 1) and inspiratory muscle training (IMT), comparing high-load (treatment) and low-load (control) groups (phase 2). Methods: Prospective randomised controlled trial. Methods: Phase 1: Twenty National Hunt Thoroughbred racehorses performed an inspiratory muscle strength test (IMST) twice on two occasions; when unfit at timepoint A (July), and when race fit at timepoint B (October). Phase 2: Thirty-five Thoroughbred racehorses at race fitness were randomly assigned into a high-load (treatment, n = 20) or low-load (control, n = 15) IMT group. The high-load group followed an IMT protocol that gradually increased the inspiratory pressure applied every 4 days. The low-load group underwent sham IMT with a low training load. The IMT was performed 5 days/week for 10 weeks. The IMST was performed twice on two occasions, timepoint B (October) and timepoint C (January). Conventional exercise training and racing continued during the study period. The peak IMSi values obtained from the different groups at timepoints A, B and C were compared using a Wilcoxon Signed Rank Test. Results: Phase 1: There was a significant increase in IMSi from timepoint A: 22.5 cmH O (21-25) to timepoint B: 26 cmH O (24-30) (p = 0.015). Phase 2: From timepoint B to C there was a significant increase in IMSi for the high-load group 34 cmH O (28-36) (p = 0.001) but not the low-load group 26 cmH O (24-30) (p = 0.929). The peak IMSi at timepoint C was significantly higher for the high-load than low-load group (p = 0.019). Conclusions: Single centre study with only National Hunt horses undergoing race-training included. Conclusions: In horses undergoing race training there is a significant increase in IMSi in response to conventional exercise training and high-load IMT.
Publication Date: 2022-07-07 PubMed ID: 35711132PubMed Central: PMC10084158DOI: 10.1111/evj.13606Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Randomized Controlled Trial
  • Veterinary
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research article discusses a study focused on the impact of training on the inspiratory respiratory muscles of racehorses. The conclusions indicate that active race training can significantly improve the Inspiratory Muscle Strength Index (IMSi) in horses, especially when high-load inspiratory muscle training (IMT) is included.

Objective and Methodology

  • The study aimed to examine the effect of conventional exercise training and IMT on IMSi in horses. This was to understand if and how equine respiratory muscles react to different types of training.
  • The research was carried out in two phases and followed a prospective randomised controlled trial format.
  • In phase 1: Twenty National Hunt Thoroughbred racehorses had their IMSi measured twice; once when unfit (timepoint A) and once when race fit (timepoint B) after experiencing regular training.
  • In phase 2: Thirty-five race-fit Thoroughbred racehorses were split into two groups. The high-load (treatment) group followed an IMT protocol that gradually increased the inspiratory pressure applied every 4 days, while the low-load (control) group underwent sham IMT with a reduced training load. The study continued for 10 weeks, with IMSi measurements taken at the beginning (timepoint B) and end (timepoint C).
  • During both phases, conventional exercise training and racing continued as per normal.

Results

  • Phase 1 resulted in a significant increase in IMSi from timepoint A to timepoint B, demonstrating that conventional exercise training improves IMSi.
  • During phase 2, the high-load group showed a significant increase in IMSi from timepoint B to C, but the low-load group did not experience such improvements.
  • The peak IMSi at timepoint C was significantly higher for the high-load group than the low-load group, indicating that high-load IMT contributes more to IMSi improvement than low-load IMT.

Conclusions

  • The study found that race training significantly boosts IMSi in horses, which confirms that the equine respiratory muscles respond positively to exercise.
  • Furthermore, the research revealed that the high-load IMT method effectively enhances IMSi, highlighting the importance of periodic high-load training on horses’ respiratory performance.
  • The study is limited in that it only involved National Hunt horses undergoing race training at one facility, which may affect the applicability of the findings other breeds and training styles.

Cite This Article

APA
Fitzharris LE, Hezzell MJ, McConnell AK, Allen KJ. (2022). Training the equine respiratory muscles: Inspiratory muscle strength. Equine Vet J, 55(2), 306-314. https://doi.org/10.1111/evj.13606

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 55
Issue: 2
Pages: 306-314

Researcher Affiliations

Fitzharris, Laura E
  • Bristol Veterinary School, University of Bristol, Langford, Bristol, UK.
Hezzell, Melanie J
  • Bristol Veterinary School, University of Bristol, Langford, Bristol, UK.
McConnell, Alison K
  • Independent Consultant, Bournemouth, Dorset, UK.
Allen, Kate J
  • Bristol Veterinary School, University of Bristol, Langford, Bristol, UK.

MeSH Terms

  • Horses
  • Animals
  • Breathing Exercises / methods
  • Breathing Exercises / veterinary
  • Prospective Studies
  • Inhalation / physiology
  • Respiratory Muscles / physiology
  • Muscle Strength / physiology

Grant Funding

  • CS022 / Horserace Betting Levy Board

Conflict of Interest Statement

None of the authors has any financial or personal relationship that could inappropriately influence the bias of the content of the paper. Alison K. McConnell has previously developed two commercial devices for IMT in human subjects but no longer has any financial interest in either product; she has also authored two books on the topic.

References

This article includes 27 references
  1. Fitzharris LE, Hezzell MJ, McConnell AK, Allen KJ. Training the equine respiratory muscles: Ultrasonographic measurement of muscle size.. Equine Vet J 2023 Mar;55(2):295-305.
    pmc: PMC10084327pubmed: 35575148doi: 10.1111/evj.13598google scholar: lookup
  2. Brown PI, Venables HK, Liu H, de-Witt JT, Brown MR, Faghy MA. Ventilatory muscle strength, diaphragm thickness and pulmonary function in world-class powerlifters.. Eur J Appl Physiol 2013 Nov;113(11):2849-55.
    pubmed: 24052191doi: 10.1007/s00421-013-2726-4google scholar: lookup
  3. McConnell AK. Respiratory muscle training: theory and practice.. Oxford: Reed Elsevier; 2013.
  4. Illi SK, Held U, Frank I, Spengler CM. Effect of respiratory muscle training on exercise performance in healthy individuals: a systematic review and meta-analysis.. Sports Med 2012 Aug 1;42(8):707-24.
    pubmed: 22765281doi: 10.1007/bf03262290google scholar: lookup
  5. Witt JD, Guenette JA, Rupert JL, McKenzie DC, Sheel AW. Inspiratory muscle training attenuates the human respiratory muscle metaboreflex.. J Physiol 2007 Nov 1;584(Pt 3):1019-28.
  6. Brown PI, Sharpe GR, Johnson MA. Inspiratory muscle training abolishes the blood lactate increase associated with volitional hyperpnoea superimposed on exercise and accelerates lactate and oxygen uptake kinetics at the onset of exercise.. Eur J Appl Physiol 2012 Jun;112(6):2117-29.
    pubmed: 21964908doi: 10.1007/s00421-011-2185-8google scholar: lookup
  7. Romer LM, McConnell AK, Jones DA. Effects of inspiratory muscle training upon recovery time during high intensity, repetitive sprint activity.. Int J Sports Med 2002 Jul;23(5):353-60.
    pubmed: 12165887doi: 10.1055/s-2002-33143google scholar: lookup
  8. Enright SJ, Unnithan VB, Heward C, Withnall L, Davies DH. Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy.. Phys Ther 2006 Mar;86(3):345-54.
    pubmed: 16506871
  9. Orrey SM, Unger M, Hanekom S. Correlation between diaphragm strength, endurance and muscular cross‐sectional area.. Eur Resp J 2014;44:4897.
  10. Cardenas LZ, Santana PV, Caruso P, Ribeiro de Carvalho CR, Pereira de Albuquerque AL. Diaphragmatic Ultrasound Correlates with Inspiratory Muscle Strength and Pulmonary Function in Healthy Subjects.. Ultrasound Med Biol 2018 Apr;44(4):786-793.
  11. Chalmers HJ, Cheetham J, Yeager AE, Ducharme NG. Ultrasonography of the equine larynx.. Vet Radiol Ultrasound 2006 Sep-Oct;47(5):476-81.
  12. Garrett KS, Woodie JB, Embertson RM. Association of treadmill upper airway endoscopic evaluation with results of ultrasonography and resting upper airway endoscopic evaluation.. Equine Vet J 2011 May;43(3):365-71.
  13. Fitzharris LE, Meehan LJ, Hezzell MJ, Allen KJ. The equine diaphragm: A novel technique for repeatable ultrasound measurement.. Vet Radiol Ultrasound 2020 Nov;61(6):705-717.
    pubmed: 32808365doi: 10.1111/vru.12903google scholar: lookup
  14. Morello SL, Ducharme NG, Hackett RP, Warnick LD, Mitchell LM, Soderholm LV. Activity of selected rostral and caudal hyoid muscles in clinically normal horses during strenuous exercise.. Am J Vet Res 2008 May;69(5):682-9.
    pubmed: 18447802doi: 10.2460/ajvr.69.5.682google scholar: lookup
  15. Cercone M, Olsen E, Perkins JD, Cheetham J, Mitchell LM, Ducharme NG. Investigation into pathophysiology of naturally occurring palatal instability and intermittent dorsal displacement of the soft palate (DDSP) in racehorses: Thyro-hyoid muscles fatigue during exercise.. PLoS One 2019;14(10):e0224524.
  16. Allen KJ, Fitzharris LE, McConnell AK. Inspiratory muscle training and testing: Rationale, development and feasibility.. Equine Vet J 2020 Jul;52(4):620-626.
    pubmed: 31799695doi: 10.1111/evj.13217google scholar: lookup
  17. Katz LM, Stallard J, Holtby A, Hill EW, Allen K, Sweeney J. Inspiratory muscle training in young, race-fit Thoroughbred racehorses during a period of detraining.. PLoS One 2020;15(4):e0225559.
  18. Fitzharris LE. Investigating the response of the equine respiratory muscles to training.. Ph.D. Thesis, University of Bristol, 2021.
  19. Wilson RG, Thornton JR, Inglis S, Ainscow J. Skeletal muscle adaptations in racehorses following high intensity interval training.. Equine Exerc Physiol 1987;2:367–75.
  20. Rivero JL. A scientific background for skeletal muscle conditioning in equine practice.. J Vet Med A Physiol Pathol Clin Med 2007 Aug;54(6):321-32.
  21. Romer LM, McConnell AK. Specificity and reversibility of inspiratory muscle training.. Med Sci Sports Exerc 2003 Feb;35(2):237-44.
  22. Fitzharris LE, Franklin SH, McConnell AK, Hezzell MJ, Allen KJ. Inspiratory muscle training for the treatment of dynamic upper airway collapse in racehorses: A preliminary investigation.. Vet J 2021 Sep;275:105708.
    pubmed: 34147643doi: 10.1016/j.tvjl.2021.105708google scholar: lookup
  23. von Borstel UK, Pasing S, Gauly M. Towards a more objective assessment of equine personality using behavioural and physiological observation from performance test training.. Appl Animal Behav Sci 2011;135:277–85.
  24. Romer LM, Polkey MI. Exercise-induced respiratory muscle fatigue: implications for performance.. J Appl Physiol (1985) 2008 Mar;104(3):879-88.
  25. Franklin SH, Van Erck-Westergren E, Bayly WM. Respiratory responses to exercise in the horse.. Equine Vet J 2012 Nov;44(6):726-32.
  26. Mellor DJ, Beausoleil NJ. Equine Welfare during Exercise: An Evaluation of Breathing, Breathlessness and Bridles.. Animals (Basel) 2017 May 26;7(6).
    pmc: PMC5483604pubmed: 28587125doi: 10.3390/ani7060041google scholar: lookup
  27. Sandnes A, Andersen T, Clemm HH, Hilland M, Vollsæter M, Heimdal JH, Eide GE, Halvorsen T, Røksund OD. Exercise-induced laryngeal obstruction in athletes treated with inspiratory muscle training.. BMJ Open Sport Exerc Med 2019;5(1):e000436.
    pmc: PMC6350751pubmed: 30792880doi: 10.1136/bmjsem-2018-000436google scholar: lookup

Citations

This article has been cited 1 times.
  1. Yan L, Wang X, Du K, Liang Y. Effect of inspiratory muscle training on hypoxemia in obese patients undergoing painless gastroscopy: protocol for a single-center, double-blind, randomized controlled trial. Front Med (Lausanne) 2023;10:1269486.
    doi: 10.3389/fmed.2023.1269486pubmed: 37790126google scholar: lookup