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Inspiratory muscle training compared with other rehabilitation interventions in adults with chronic obstructive pulmonary disease: a systematic literature review and meta-analysis.

Abstract

The purpose of this systematic review was to determine the effect of inspiratory muscle training (IMT) (alone or combined with exercise and/or pulmonary rehabilitation) compared to other rehabilitation interventions such as: exercise, education, other breathing techniques or exercise and/or pulmonary rehabilitation among adults with chronic obstructive pulmonary disease (COPD). A systematic review of the literature on IMT and COPD was conducted according to the Cochrane Collaboration protocol. Inclusion criteria for the review included randomized controlled trials, published in English, comparing IMT or combined IMT and exercise/pulmonary rehabilitation with other rehabilitation interventions such as general exercise, education, other breathing techniques or exercise/pulmonary rehabilitation among adults with COPD. 274 articles were retrieved, and 16 met the inclusion criteria. Seven meta-analyses were performed that compared targeted or threshold IMT to exercise (n = 3) or to education (n = 4). Results showed significant improvements in inspiratory muscle strength and endurance, and in the dyspnea scale on a quality of life measure, for participants in the IMT versus education group. In other instances where meta-analyses could not be performed, a qualitative review was performed. IMT results in improved inspiratory muscle strength and endurance compared to education. Further trials are required to investigate the effect of IMT (or combined IMT) compared to other rehabilitation inventions for outcomes such as dyspnea, exercise tolerance, and quality of life.

Links

Authors+Show Affiliations

,

School of Rehabilitation Science, IAHS-Room 403, McMaster University, 1400 Main Street West, Hamilton, Ontario, Canada. crowej@mcmaster.ca

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Source

COPD 2:3 2005 Sep pg 319-29

MeSH

Adult
Breathing Exercises
Dyspnea
Exercise Tolerance
Humans
Pulmonary Disease, Chronic Obstructive
Quality of Life
Respiratory Muscles

Pub Type(s)

Comparative Study
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

17146997

Citation

Crowe, Jean, et al. "Inspiratory Muscle Training Compared With Other Rehabilitation Interventions in Adults With Chronic Obstructive Pulmonary Disease: a Systematic Literature Review and Meta-analysis." COPD, vol. 2, no. 3, 2005, pp. 319-29.
Crowe J, Reid WD, Geddes EL, et al. Inspiratory muscle training compared with other rehabilitation interventions in adults with chronic obstructive pulmonary disease: a systematic literature review and meta-analysis. COPD. 2005;2(3):319-29.
Crowe, J., Reid, W. D., Geddes, E. L., O'Brien, K., & Brooks, D. (2005). Inspiratory muscle training compared with other rehabilitation interventions in adults with chronic obstructive pulmonary disease: a systematic literature review and meta-analysis. COPD, 2(3), pp. 319-29.
Crowe J, et al. Inspiratory Muscle Training Compared With Other Rehabilitation Interventions in Adults With Chronic Obstructive Pulmonary Disease: a Systematic Literature Review and Meta-analysis. COPD. 2005;2(3):319-29. PubMed PMID: 17146997.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inspiratory muscle training compared with other rehabilitation interventions in adults with chronic obstructive pulmonary disease: a systematic literature review and meta-analysis. AU - Crowe,Jean, AU - Reid,W Darlene, AU - Geddes,E Lynne, AU - O'Brien,Kelly, AU - Brooks,Dina, PY - 2006/12/7/pubmed PY - 2007/1/6/medline PY - 2006/12/7/entrez SP - 319 EP - 29 JF - COPD JO - COPD VL - 2 IS - 3 N2 - The purpose of this systematic review was to determine the effect of inspiratory muscle training (IMT) (alone or combined with exercise and/or pulmonary rehabilitation) compared to other rehabilitation interventions such as: exercise, education, other breathing techniques or exercise and/or pulmonary rehabilitation among adults with chronic obstructive pulmonary disease (COPD). A systematic review of the literature on IMT and COPD was conducted according to the Cochrane Collaboration protocol. Inclusion criteria for the review included randomized controlled trials, published in English, comparing IMT or combined IMT and exercise/pulmonary rehabilitation with other rehabilitation interventions such as general exercise, education, other breathing techniques or exercise/pulmonary rehabilitation among adults with COPD. 274 articles were retrieved, and 16 met the inclusion criteria. Seven meta-analyses were performed that compared targeted or threshold IMT to exercise (n = 3) or to education (n = 4). Results showed significant improvements in inspiratory muscle strength and endurance, and in the dyspnea scale on a quality of life measure, for participants in the IMT versus education group. In other instances where meta-analyses could not be performed, a qualitative review was performed. IMT results in improved inspiratory muscle strength and endurance compared to education. Further trials are required to investigate the effect of IMT (or combined IMT) compared to other rehabilitation inventions for outcomes such as dyspnea, exercise tolerance, and quality of life. SN - 1541-2555 UR - https://www.unboundmedicine.com/medline/citation/17146997/Inspiratory_muscle_training_compared_with_other_rehabilitation_interventions_in_adults_with_chronic_obstructive_pulmonary_disease:_a_systematic_literature_review_and_meta_analysis_ L2 - http://www.diseaseinfosearch.org/result/6084 DB - PRIME DP - Unbound Medicine ER -