Evidence map›Paper›PMID 42201137›Full record

ArticleMuscles (Basel, Switzerland)2026

Effects of Resistance Respiratory Training on Respiratory Muscle Strength in Healthy Active Individuals.

Antonela Karmen Ivišić, Dario Vrdoljak, Nikola Foretić, Vladimir Pavlinović, Ivan Drviš

Abstract read
In one paragraph

Article in Muscles (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Antonela Karmen IvišićFaculty of Kinesiology, University of Split, 21000 Split, Croatia.
Dario VrdoljakFaculty of Kinesiology, University of Split, 21000 Split, Croatia.ORCID 0000-0002-1259-6230
Nikola ForetićFaculty of Kinesiology, University of Split, 21000 Split, Croatia.ORCID 0000-0002-9160-0217
Vladimir PavlinovićFaculty of Kinesiology, University of Split, 21000 Split, Croatia.ORCID 0000-0002-1031-5343
Ivan DrvišFaculty of Kinesiology, University of Zagreb, 10110 Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory muscle strength (RMS) is a critical factor influencing athletic performance, particularly in high-intensity or prolonged activities. RMS encompasses inspiratory (IMs) and expiratory muscles (EMs), which differ in anatomical structure, fiber composition, and responsiveness to training.

methodsThis pilot interventional within-subject study investigated the effects of two resistive respiratory muscle training (RMT) protocols on RMS and small airway function in eight physically active adults (two females, six males). Maximal inspiratory (MIP) and expiratory pressures (MEP), along with pulmonary function tests (PFTs), were measured using the Airofit PRO™ device and spirometry before and after two consecutive 7-day training protocols, with a 2-day break between interventions. The workload was progressively increased by lengthening the duration of forced inhalation and exhalation, while keeping the air resistance constant.

resultsResults demonstrated significant improvements in MEP across both protocols and after a 10-day washout period (

conclusionsThese outcomes suggest differential responsiveness of respiratory muscles to RMT; EMs, characterized by a higher proportion of fast-twitch type II fibers and a predominantly passive role in normal breathing, respond rapidly to short-duration, high-intensity forced expiration training through neuromuscular adaptations. Conversely, IMs, dominated by slow-twitch type I fibers, require longer-duration, higher-load training to elicit meaningful adaptations, explaining the limited changes in MIP. Small airway function appeared minimally trainable due to structural and physiological constraints, with short-term improvements likely reflecting effort-dependent factors rather than lasting adaptations. Finally, RMT can selectively enhance EM performance through appropriately designed short-duration, high-intensity interventions, while IMs may necessitate prolonged or higher-load stimuli. The findings highlight the importance of targeted training strategies, individualized to muscle fiber composition and functional demands, to optimize respiratory performance. Future research should investigate longer interventions, larger diverse cohorts, and precise measurement methods to further elucidate RMT's effects on both respiratory muscles and small airway function.

Indexed as

Airofitexhalationexpiratory pressureforced breathinginspiratory pressure

Identifiers

PMID42201137
PMCPMC13214909

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.