Tags

Type your tag names separated by a space and hit enter

Inspiratory muscle training compared with other rehabilitation interventions in chronic obstructive pulmonary disease: a systematic review update.
J Cardiopulm Rehabil Prev 2008 Mar-Apr; 28(2):128-41JC

Abstract

PURPOSE

To determine the effect of inspiratory muscle training (IMT) (alone or combined with exercise and/or pulmonary rehabilitation) and compare with other rehabilitation interventions among adults with chronic obstructive pulmonary disease (COPD).

METHODS

We conducted a systematic review, using Cochrane Collaboration protocol. We included randomized controlled trials, published in English, comparing IMT or combined IMT and exercise/pulmonary rehabilitation with other rehabilitation interventions among adults with COPD. Abstracts were reviewed independently by 2 investigators to determine study eligibility up to December 2005. Data were abstracted and methodological quality of included studies was assessed.

RESULTS

A total of 156 additional articles were retrieved. Two new studies met the inclusion criteria and were included with 16 studies in the original review. Results highlight updated subgroup analyses comparing (1) IMT versus exercise and (2) combined IMT and exercise versus exercise alone. Fourteen meta-analyses were performed for outcomes of inspiratory muscle strength, exercise tolerance, and quality of life. Results showed significant improvements in maximum inspiratory pressure and maximum exercise tidal volume favoring combined IMT and exercise compared with exercise alone.

CONCLUSIONS

Performing a combination of IMT plus exercise may lead to significant improvements in inspiratory muscle strength and one outcome of exercise tolerance for individuals with COPD.

Authors+Show Affiliations

Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada. kelly.obrien@utoronto.caNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

18360190

Citation

O'Brien, Kelly, et al. "Inspiratory Muscle Training Compared With Other Rehabilitation Interventions in Chronic Obstructive Pulmonary Disease: a Systematic Review Update." Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 28, no. 2, 2008, pp. 128-41.
O'Brien K, Geddes EL, Reid WD, et al. Inspiratory muscle training compared with other rehabilitation interventions in chronic obstructive pulmonary disease: a systematic review update. J Cardiopulm Rehabil Prev. 2008;28(2):128-41.
O'Brien, K., Geddes, E. L., Reid, W. D., Brooks, D., & Crowe, J. (2008). Inspiratory muscle training compared with other rehabilitation interventions in chronic obstructive pulmonary disease: a systematic review update. Journal of Cardiopulmonary Rehabilitation and Prevention, 28(2), pp. 128-41. doi:10.1097/01.HCR.0000314208.40170.00.
O'Brien K, et al. Inspiratory Muscle Training Compared With Other Rehabilitation Interventions in Chronic Obstructive Pulmonary Disease: a Systematic Review Update. J Cardiopulm Rehabil Prev. 2008;28(2):128-41. PubMed PMID: 18360190.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inspiratory muscle training compared with other rehabilitation interventions in chronic obstructive pulmonary disease: a systematic review update. AU - O'Brien,Kelly, AU - Geddes,E Lynne, AU - Reid,W Darlene, AU - Brooks,Dina, AU - Crowe,Jean, PY - 2008/3/25/pubmed PY - 2008/7/2/medline PY - 2008/3/25/entrez SP - 128 EP - 41 JF - Journal of cardiopulmonary rehabilitation and prevention JO - J Cardiopulm Rehabil Prev VL - 28 IS - 2 N2 - PURPOSE: To determine the effect of inspiratory muscle training (IMT) (alone or combined with exercise and/or pulmonary rehabilitation) and compare with other rehabilitation interventions among adults with chronic obstructive pulmonary disease (COPD). METHODS: We conducted a systematic review, using Cochrane Collaboration protocol. We included randomized controlled trials, published in English, comparing IMT or combined IMT and exercise/pulmonary rehabilitation with other rehabilitation interventions among adults with COPD. Abstracts were reviewed independently by 2 investigators to determine study eligibility up to December 2005. Data were abstracted and methodological quality of included studies was assessed. RESULTS: A total of 156 additional articles were retrieved. Two new studies met the inclusion criteria and were included with 16 studies in the original review. Results highlight updated subgroup analyses comparing (1) IMT versus exercise and (2) combined IMT and exercise versus exercise alone. Fourteen meta-analyses were performed for outcomes of inspiratory muscle strength, exercise tolerance, and quality of life. Results showed significant improvements in maximum inspiratory pressure and maximum exercise tidal volume favoring combined IMT and exercise compared with exercise alone. CONCLUSIONS: Performing a combination of IMT plus exercise may lead to significant improvements in inspiratory muscle strength and one outcome of exercise tolerance for individuals with COPD. SN - 1932-7501 UR - https://www.unboundmedicine.com/medline/citation/18360190/Inspiratory_muscle_training_compared_with_other_rehabilitation_interventions_in_chronic_obstructive_pulmonary_disease:_a_systematic_review_update_ L2 - http://Insights.ovid.com/pubmed?pmid=18360190 DB - PRIME DP - Unbound Medicine ER -