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Effects of inspiratory muscle training in COPD patients: A systematic review and meta-analysis.
Clin Respir J 2018; 12(7):2178-2188CR

Abstract

OBJECTIVES

In chronic obstructive pulmonary disease (COPD), quality of life and exercise capacity are altered in relationship to dyspnea. Benefits of inspiratory muscle training (IMT) on quality of life, dyspnea, and exercise capacity were demonstrated, but when it is associated to pulmonary rehabilitation (PR), its efficacy on dyspnea is not demonstrated. The aim of this systematic review with meta-analysis was to verify the effect of IMT using threshold devices in COPD patients on dyspnea, quality of life, exercise capacity, and inspiratory muscles strength, and the added effect on dyspnea of IMT associated with PR (vs. PR alone).

STUDY SELECTION

This systematic review and meta-analysis was conducted on the databases from PubMed, Science direct, Cochrane library, Web of science, and Pascal. Following key words were used: inspiratory, respiratory, ventilatory, muscle, and training. The searching period extended to December 2017. Two reviewers independently assessed studies quality.

RESULTS

Forty-three studies were included in the systematic review and thirty-seven studies in the meta-analysis. Overall treatment group consisted of six hundred forty two patients. Dyspnea (Baseline Dyspnea Index) is decreased after IMT. Quality of life (Saint George's Respiratory Questionnaire), exercise capacity (6 min walk test) and Maximal inspiratory pressure were increased after IMT. During PR, no added effect of IMT on dyspnea was found.

CONCLUSION

IMT using threshold devices improves inspiratory muscle strength, exercise capacity and quality of life, decreases dyspnea. However, there is no added effect of IMT on dyspnea during PR (compared with PR alone).

Authors+Show Affiliations

Pulmonary Rehabilitation Unit, Morlaix Hospital Centre, European University of Occidental Brittany, Brest, France.Department of Anesthesiology and Perioperative Medicine, Universitair Ziekenhuis Brussel, Brussels, Belgium.Department of Internal Medicine and Chest Diseases, EA3878 (G.E.T.B.O.), CIC INSERM 0502, University Hospital of Brest, European University of Occidental Brittany, Brest, France.Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL & Dermatologie, Université Catholique de Louvain, Brussels, Belgium. Service de Pneumologie, Cliniques Universitaires Saint-Luc, Brussels, Belgium. Cliniques Universitaires Saint-Luc, De Médecine Physique Et Réadaptation Service, Brussels, Belgium.

Pub Type(s)

Journal Article
Meta-Analysis
Systematic Review

Language

eng

PubMed ID

29665262

Citation

Beaumont, Marc, et al. "Effects of Inspiratory Muscle Training in COPD Patients: a Systematic Review and Meta-analysis." The Clinical Respiratory Journal, vol. 12, no. 7, 2018, pp. 2178-2188.
Beaumont M, Forget P, Couturaud F, et al. Effects of inspiratory muscle training in COPD patients: A systematic review and meta-analysis. Clin Respir J. 2018;12(7):2178-2188.
Beaumont, M., Forget, P., Couturaud, F., & Reychler, G. (2018). Effects of inspiratory muscle training in COPD patients: A systematic review and meta-analysis. The Clinical Respiratory Journal, 12(7), pp. 2178-2188. doi:10.1111/crj.12905.
Beaumont M, et al. Effects of Inspiratory Muscle Training in COPD Patients: a Systematic Review and Meta-analysis. Clin Respir J. 2018;12(7):2178-2188. PubMed PMID: 29665262.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of inspiratory muscle training in COPD patients: A systematic review and meta-analysis. AU - Beaumont,Marc, AU - Forget,Patrice, AU - Couturaud,Francis, AU - Reychler,Gregory, Y1 - 2018/05/23/ PY - 2017/09/29/received PY - 2018/02/13/revised PY - 2018/04/04/accepted PY - 2018/4/18/pubmed PY - 2018/4/18/medline PY - 2018/4/18/entrez KW - breathing exercises KW - chronic obstructive KW - dyspnea KW - exercise tolerance KW - physical exercises KW - pulmonary disease KW - quality of life KW - resistance training SP - 2178 EP - 2188 JF - The clinical respiratory journal JO - Clin Respir J VL - 12 IS - 7 N2 - OBJECTIVES: In chronic obstructive pulmonary disease (COPD), quality of life and exercise capacity are altered in relationship to dyspnea. Benefits of inspiratory muscle training (IMT) on quality of life, dyspnea, and exercise capacity were demonstrated, but when it is associated to pulmonary rehabilitation (PR), its efficacy on dyspnea is not demonstrated. The aim of this systematic review with meta-analysis was to verify the effect of IMT using threshold devices in COPD patients on dyspnea, quality of life, exercise capacity, and inspiratory muscles strength, and the added effect on dyspnea of IMT associated with PR (vs. PR alone). STUDY SELECTION: This systematic review and meta-analysis was conducted on the databases from PubMed, Science direct, Cochrane library, Web of science, and Pascal. Following key words were used: inspiratory, respiratory, ventilatory, muscle, and training. The searching period extended to December 2017. Two reviewers independently assessed studies quality. RESULTS: Forty-three studies were included in the systematic review and thirty-seven studies in the meta-analysis. Overall treatment group consisted of six hundred forty two patients. Dyspnea (Baseline Dyspnea Index) is decreased after IMT. Quality of life (Saint George's Respiratory Questionnaire), exercise capacity (6 min walk test) and Maximal inspiratory pressure were increased after IMT. During PR, no added effect of IMT on dyspnea was found. CONCLUSION: IMT using threshold devices improves inspiratory muscle strength, exercise capacity and quality of life, decreases dyspnea. However, there is no added effect of IMT on dyspnea during PR (compared with PR alone). SN - 1752-699X UR - https://www.unboundmedicine.com/medline/citation/29665262/Effects_of_inspiratory_muscle_training_in_COPD_patients:_A_systematic_review_and_meta_analysis_ L2 - https://doi.org/10.1111/crj.12905 DB - PRIME DP - Unbound Medicine ER -