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Warm-up of the Inspiratory Musculature and Its Impact in Swimming Performance

2026년 5월 12일 업데이트: Agustin Velazquez Córdoba, Universidad Rey Juan Carlos

Warm-up of the Inspiratory Musculature and Its Impact on Physiological Parameters and Swimming Performance: Exploration of Intensities Based on Maximal Inspiratory Pressure

Objective To evaluate the acute effect of four inspiratory warm-up intensities (15%, 40%, 60%, and 80% of maximal inspiratory pressure [MIP]) on 100 m freestyle performance, and to analyze their impact on heart rate, blood lactate concentration, perceived exertion, and dyspnea in trained swimmers.

Methods A randomized, crossover, double-blind experimental study was conducted. Participants were swimmers aged ≥18 years, with no respiratory or musculoskeletal pathology.

Each participant completed, in sessions separated by at least three days, an inspiratory muscle warm-up consisting of 30 breaths against resistive loads set at 15%, 40%, 60%, and 80% of their MIP, previously determined using standardized procedures.

Following each intervention, participants performed a maximal 100 m freestyle test. The following variables were recorded:

Swimming time Heart rate (during and post-exercise) Post-exercise capillary blood lactate concentration Rating of perceived exertion (Borg scale) Dyspnea (Dyspnea-12)

Conclusions This study will help identify the optimal inspiratory warm-up intensity to enhance swimming performance.

연구 개요

상태

아직 모집하지 않음

정황

개입 / 치료

상세 설명

Inspiratory warm-up

An intervention performed prior to exercise consisting of breathing against resistance to activate the inspiratory muscles (mainly the diaphragm and accessory respiratory muscles) with the aim of enhancing their performance during subsequent effort.

Maximal Inspiratory Pressure (MIP)

The maximum pressure that an individual can generate during a forceful inspiration against an occluded airway. It is an indicator of inspiratory muscle strength and is used to prescribe training intensity.

Relative intensities (15%, 40%, 60%, 80% of MIP)

Percentages of MIP representing different levels of respiratory workload. They allow graded inspiratory resistance to investigate dose-response effects on performance.

Inspiratory Muscle Training (IMT)

A specific training method targeting the inspiratory muscles through controlled resistive breathing loads, aimed at improving strength, endurance, and ventilatory efficiency.

Crossover design

An experimental design in which each participant completes all experimental conditions, acting as their own control, thereby reducing inter-subject variability.

Double-blind design

A methodological approach in which neither participants nor evaluators are aware of the assigned condition, minimizing bias in performance and outcome assessment.

Swimming performance

A functional outcome measured primarily through time to complete a fixed distance, in this case 100 meters freestyle.

Cardiovascular response

The physiological response of the cardiovascular system to exercise, typically assessed through heart rate and post-exercise recovery dynamics.

Blood lactate concentration

A marker of metabolic stress during high-intensity exercise, reflecting the contribution of anaerobic glycolysis to energy production.

Perceived exertion

A subjective assessment of exercise intensity, commonly measured using standardized scales such as the Borg scale.

Respiratory discomfort (dyspnea)

A subjective sensation of breathing difficulty associated with exertion, reflecting ventilatory demand and exercise tolerance.

연구 유형

중재적

등록 (추정된)

52

단계

  • 해당 없음

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 성인
  • 고령자

건강한 자원 봉사자를 받아들입니다

설명

Inclusion criteria:

  • Participants of both sexes, aged over 18 years.
  • Minimum swimming training frequency of at least two sessions per week, with a minimum duration of 30 minutes per session, consistently maintained over the last three months.

Exclusion criteria:

  • Current or previous diagnosis of respiratory diseases.
  • Musculoskeletal injuries limiting the ability to perform a 100-meter swimming test.
  • Participation in inspiratory muscle training programs within the last six months.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 크로스오버 할당
  • 마스킹: 더블

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: IMT: 15%
The study will apply four respiratory warm-up intensities (15%, 40%, 60%, and 80% of maximal inspiratory pressure) to compare their acute effects on these variables. This graded loading approach will allow identification of the optimal dose capable of maximizing diaphragmatic neuromuscular activation without inducing early fatigue, leveraging the post-activation potentiation phenomenon to improve respiratory efficiency and swimming performance.
It is a crossover study in which the different exercise intensities are investigated.
실험적: IMT:40%
The study will apply four respiratory warm-up intensities (15%, 40%, 60%, and 80% of maximal inspiratory pressure) to compare their acute effects on these variables. This graded loading approach will allow identification of the optimal dose capable of maximizing diaphragmatic neuromuscular activation without inducing early fatigue, leveraging the post-activation potentiation phenomenon to improve respiratory efficiency and swimming performance.
It is a crossover study in which the different exercise intensities are investigated.
실험적: IMT: 60%
The study will apply four respiratory warm-up intensities (15%, 40%, 60%, and 80% of maximal inspiratory pressure) to compare their acute effects on these variables. This graded loading approach will allow identification of the optimal dose capable of maximizing diaphragmatic neuromuscular activation without inducing early fatigue, leveraging the post-activation potentiation phenomenon to improve respiratory efficiency and swimming performance.
It is a crossover study in which the different exercise intensities are investigated.
실험적: IMT: 80%
The study will apply four respiratory warm-up intensities (15%, 40%, 60%, and 80% of maximal inspiratory pressure) to compare their acute effects on these variables. This graded loading approach will allow identification of the optimal dose capable of maximizing diaphragmatic neuromuscular activation without inducing early fatigue, leveraging the post-activation potentiation phenomenon to improve respiratory efficiency and swimming performance.
It is a crossover study in which the different exercise intensities are investigated.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
swimming time (100 meters)
기간: This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
After the respiratory interventions, participants will perform a maximal 100-meter freestyle swimming test under supervision. The total time will be recorded using a digital stopwatch, starting with the starting signal and ending when the swimmer touches the wall upon completing the distance.
This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.

2차 결과 측정

결과 측정
측정값 설명
기간
Maximal Inspiratory Pressure and Maximal Expiratory Pressure
기간: This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Maximal Inspiratory Pressure (PIM/MIP) and Maximal Expiratory Pressure (PEM/MEP) are indicators of global respiratory muscle strength. PIM reflects the maximal negative pressure generated during a forced inspiratory effort against an occluded airway, mainly assessing diaphragmatic and external intercostal muscle function, whereas PEM reflects the maximal positive pressure produced during a forced expiratory effort, mainly involving abdominal and internal intercostal muscles. Both variables are expressed in centimeters of water (cmH₂O) and are widely used to quantify inspiratory and expiratory muscle performance, as well as to evaluate respiratory muscle fatigue and training adaptations in clinical and sports settings.
This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Lactate
기간: This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Immediately after the test, blood lactate will be measured using a Lactate Pro 2 portable analyzer, from a capillary blood sample obtained from the fingertip.
This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Perceived exertion.
기간: This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Perceived exertion will be assessed using the Borg scale (6-20), previously explained to ensure proper understanding, and will be recorded immediately after exercise through a direct interview.
This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Dysnea
기간: This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.

The Dyspnea-12 (D-12) scale is a multidimensional questionnaire used to assess the severity and qualitative perception of dyspnea (breathlessness). It evaluates both the physical and emotional components associated with breathing discomfort.

The questionnaire consists of 12 items:

My breath does not go in all the way My breathing requires more work I feel short of breath I have difficulty catching my breath I cannot get enough air My breathing is uncomfortable My breathing is exhausting My breathing makes me feel depressed My breathing makes me feel miserable My breathing is distressing My breathing makes me agitated My breathing is irritating

Each item is scored using a 4-point Likert scale:

0 = None

  1. = Mild
  2. = Moderate
  3. = Severe

Therefore, the total score ranges from 0 to 36 points.

Interpretation:

A low score indicates little or no perceived dyspnea. A moderate score reflects clinically relevant breathing discomfort. A high score indicates severe dyspnea with an important

This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Heart rate.
기간: This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Heart rate will be continuously monitored during the test and for up to five minutes post-exercise using a Polar H10 chest strap, placed on the anterior thoracic region just below the xiphoid process. The device will be calibrated before each session, and data will be analyzed using Polar Flow software to obtain parameters such as mean heart rate, maximum heart rate, which are key indicators of autonomic and cardiovascular response to exercise.
This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Recovery time
기간: This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Recovery time will be defined as the period required for heart rate to decrease following the cessation of exercise. This parameter reflects autonomic nervous system recovery, particularly parasympathetic reactivation after physical exertion. Heart rate recovery will be analyzed during the first five minutes post-exercise using data collected from the Polar H10 device. Faster recovery times are generally associated with better cardiovascular fitness and autonomic regulation, whereas delayed recovery may indicate increased physiological stress or fatigue.
This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Heart rate variability
기간: This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Heart rate variability (HRV) refers to the variation in the time intervals between consecutive heartbeats (R-R intervals). HRV is considered a non-invasive marker of autonomic nervous system activity and reflects the balance between sympathetic and parasympathetic modulation. HRV data obtained from the Polar H10 sensor will be analyzed using Polar Flow software, and parameters such as RMSSD and SDNN may be extracted. Higher HRV values are typically associated with better autonomic adaptability and recovery capacity, while lower values may reflect fatigue, stress, or reduced physiological adaptability.
This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Forced Vital Capacity and Forced Expiratory Volume in 1 second
기간: This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.
Forced Vital Capacity (FVC/CVF) and Forced Expiratory Volume in 1 second (FEV₁) are spirometric measures used to assess ventilatory capacity and pulmonary function. FVC represents the total volume of air that can be forcibly exhaled after a maximal inspiration, expressed in liters (L), while FEV₁ represents the volume exhaled during the first second of that maneuver, also expressed in liters. The FEV₁/FVC ratio is commonly used to identify ventilatory limitations, particularly obstructive patterns. Together, these variables provide key information on airway function, expiratory flow limitation, and overall pulmonary performance.
This measurement will be carried out from the randomization process until 8 weeks after the start of the inspiratory training program.

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (추정된)

2026년 9월 1일

기본 완료 (추정된)

2027년 1월 1일

연구 완료 (추정된)

2027년 1월 1일

연구 등록 날짜

최초 제출

2026년 4월 19일

QC 기준을 충족하는 최초 제출

2026년 5월 12일

처음 게시됨 (실제)

2026년 5월 19일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 5월 19일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 5월 12일

마지막으로 확인됨

2026년 2월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • 100220261562026
  • Sponsor-Investigator (기타 식별자: Agustín Velázquez Córdoba)

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

미정

IPD 계획 설명

At present, no definitive decision has been made regarding the sharing of individual participant data. On the one hand, making anonymized data available could enhance scientific transparency, reproducibility of results, and the development of new research lines based on the collected data.

However, several relevant aspects are also considered, such as the protection of participant confidentiality, strict compliance with applicable data protection regulations (GDPR), and the need to ensure appropriate and controlled use of the information. Additionally, the potential limitations related to sample size and the specific context of the study are taken into account.

If data sharing is ultimately implemented, it would be provided exclusively in anonymized format, upon justified request, following appropriate project evaluation and, where applicable, through formal data use agreements.

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이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

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