A new review article, published in the International Journal of Orthopaedic and Trauma Nursing, explores the potential for integrating Inspiratory Muscle Training (IMT) into enhanced recovery pathways in orthopaedic surgery. The paper is led by Dr Francesco Ferraro, a former PhD student of Professor Tom Wainwright, and is the latest example of ORI’s continued collaboration with emerging academic leaders.

The article presents a comprehensive theoretical framework for the targeted use of IMT in at-risk orthopaedic patients—such as those with COPD, obesity, obstructive sleep apnea, frailty, or smoking history. Drawing on evidence from other surgical fields, the authors argue that IMT could reduce pulmonary complications, improve functional mobility, and shorten hospital stays in orthopaedic populations.

“This work builds on Francesco’s PhD research into IMT in older adults,” said Professor Wainwright. “It’s exciting to see him now leading work that pushes forward our understanding of how low-cost, targeted interventions like IMT could enhance outcomes for joint replacement patients.”

The paper includes proposed screening strategies, a preliminary IMT protocol, and calls for future research to validate IMT’s integration into orthopaedic ERAS protocols. It aligns with Bournemouth University’s strategic priorities around research-led innovation in health and wellbeing, and showcases ORI’s role in mentoring and developing the next generation of clinical academics.

Read the full article: https://doi.org/10.1016/j.ijotn.2025.101193