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Effects of Respiratory Muscle Training on Respiratory Function, Respiratory Muscle Strength, and Exercise Tolerance in Patients Poststroke: A Systematic Review With Meta-Analysis.
Arch Phys Med Rehabil 2016; 97(11):1994-2001AP

Abstract

OBJECTIVE

To examine the effects of respiratory muscle training on respiratory function, respiratory muscle strength, and exercise tolerance in patients poststroke.

DATA SOURCES

We searched MEDLINE, Cochrane Library, Embase, SciELO, Physiotherapy Evidence Database (PEDro), and CINAHL (from the earliest date available to November 2015) for trials.

STUDY SELECTION

Randomized controlled trials (RCTs) that examined the effects of respiratory muscle training versus nonrespiratory muscle training in patients poststroke. Two reviewers selected studies independently.

DATA EXTRACTION

Extracted data from the published RCTs. Study quality was evaluated using the PEDro Scale. Weighted mean differences (WMDs), standard mean differences (SMDs), and 95% confidence intervals (CIs) were calculated.

DATA SYNTHESIS

Eight studies met the study criteria. Respiratory muscle training improved maximal inspiratory pressure WMDs (7.5; 95% CI, 2.7-12.4), forced vital capacity SMDs (2.0; 95% CI, 0.6-3.4), forced expiratory volume at 1 second SMDs (1.2; 95% CI, 0.6-1.9), and exercise tolerance SMDs (0.7; 95% CI, 0.2-1.2). No serious adverse events were reported.

CONCLUSIONS

Respiratory muscle training should be considered an effective method of improving respiratory function, inspiratory muscle strength, and exercise tolerance in patients poststroke. Further research is needed to determine optimum dosages and duration of effect.

Authors+Show Affiliations

Department of Physical Therapy, Federal University of Bahia, Salvador, Bahia, Brazil; Postgraduate Program in Medicine and Health - UFBA, Salvador, Bahia, Brazil; The GREAT Group (Study Group on Physical Activity), Aracaju, Sergipe, Brazil. Electronic address: mansueto.neto@ufba.br.Department of Physical Therapy, Federal University of Bahia, Salvador, Bahia, Brazil; Postgraduate Program in Medicine and Health - UFBA, Salvador, Bahia, Brazil.Department of Physical Therapy, Federal University of Bahia, Salvador, Bahia, Brazil.The GREAT Group (Study Group on Physical Activity), Aracaju, Sergipe, Brazil; Department of Physical Therapy, Federal University of Sergipe, Aracaju, Sergipe, Brazil.Department of Physical Therapy, Federal University of Bahia, Salvador, Bahia, Brazil.Department of Physical Therapy, Federal University of Bahia, Salvador, Bahia, Brazil.

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

27216224

Citation

Gomes-Neto, Mansueto, et al. "Effects of Respiratory Muscle Training On Respiratory Function, Respiratory Muscle Strength, and Exercise Tolerance in Patients Poststroke: a Systematic Review With Meta-Analysis." Archives of Physical Medicine and Rehabilitation, vol. 97, no. 11, 2016, pp. 1994-2001.
Gomes-Neto M, Saquetto MB, Silva CM, et al. Effects of Respiratory Muscle Training on Respiratory Function, Respiratory Muscle Strength, and Exercise Tolerance in Patients Poststroke: A Systematic Review With Meta-Analysis. Arch Phys Med Rehabil. 2016;97(11):1994-2001.
Gomes-Neto, M., Saquetto, M. B., Silva, C. M., Carvalho, V. O., Ribeiro, N., & Conceição, C. S. (2016). Effects of Respiratory Muscle Training on Respiratory Function, Respiratory Muscle Strength, and Exercise Tolerance in Patients Poststroke: A Systematic Review With Meta-Analysis. Archives of Physical Medicine and Rehabilitation, 97(11), pp. 1994-2001. doi:10.1016/j.apmr.2016.04.018.
Gomes-Neto M, et al. Effects of Respiratory Muscle Training On Respiratory Function, Respiratory Muscle Strength, and Exercise Tolerance in Patients Poststroke: a Systematic Review With Meta-Analysis. Arch Phys Med Rehabil. 2016;97(11):1994-2001. PubMed PMID: 27216224.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of Respiratory Muscle Training on Respiratory Function, Respiratory Muscle Strength, and Exercise Tolerance in Patients Poststroke: A Systematic Review With Meta-Analysis. AU - Gomes-Neto,Mansueto, AU - Saquetto,Micheli Bernardone, AU - Silva,Cassio Magalhães, AU - Carvalho,Vitor Oliveira, AU - Ribeiro,Nildo, AU - Conceição,Cristiano Sena, Y1 - 2016/05/20/ PY - 2016/03/02/received PY - 2016/04/25/revised PY - 2016/04/27/accepted PY - 2016/10/27/pubmed PY - 2017/6/14/medline PY - 2016/5/25/entrez KW - Exercise KW - Rehabilitation KW - Stroke SP - 1994 EP - 2001 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 97 IS - 11 N2 - OBJECTIVE: To examine the effects of respiratory muscle training on respiratory function, respiratory muscle strength, and exercise tolerance in patients poststroke. DATA SOURCES: We searched MEDLINE, Cochrane Library, Embase, SciELO, Physiotherapy Evidence Database (PEDro), and CINAHL (from the earliest date available to November 2015) for trials. STUDY SELECTION: Randomized controlled trials (RCTs) that examined the effects of respiratory muscle training versus nonrespiratory muscle training in patients poststroke. Two reviewers selected studies independently. DATA EXTRACTION: Extracted data from the published RCTs. Study quality was evaluated using the PEDro Scale. Weighted mean differences (WMDs), standard mean differences (SMDs), and 95% confidence intervals (CIs) were calculated. DATA SYNTHESIS: Eight studies met the study criteria. Respiratory muscle training improved maximal inspiratory pressure WMDs (7.5; 95% CI, 2.7-12.4), forced vital capacity SMDs (2.0; 95% CI, 0.6-3.4), forced expiratory volume at 1 second SMDs (1.2; 95% CI, 0.6-1.9), and exercise tolerance SMDs (0.7; 95% CI, 0.2-1.2). No serious adverse events were reported. CONCLUSIONS: Respiratory muscle training should be considered an effective method of improving respiratory function, inspiratory muscle strength, and exercise tolerance in patients poststroke. Further research is needed to determine optimum dosages and duration of effect. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/27216224/Effects_of_Respiratory_Muscle_Training_on_Respiratory_Function_Respiratory_Muscle_Strength_and_Exercise_Tolerance_in_Patients_Poststroke:_A_Systematic_Review_With_Meta_Analysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(16)30164-2 DB - PRIME DP - Unbound Medicine ER -