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Effectiveness of Respiratory Muscle Training for Pulmonary Function and Walking Ability in Patients with Stroke: A Systematic Review with Meta-Analysis

Background: Neurological dysfunction due to stroke affects not only the extremities and trunk muscles but also the respiratory muscles. Aim: to synthesise the evidence available about the effectiveness of respiratory muscle training (RMT) to improve respiratory function parameters and functional cap...

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Autores principales: Pozuelo-Carrascosa, Diana P., Carmona-Torres, Juan Manuel, Laredo-Aguilera, José Alberto, Latorre-Román, Pedro Ángel, Párraga-Montilla, Juan Antonio, Cobo-Cuenca, Ana Isabel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432552/
https://www.ncbi.nlm.nih.gov/pubmed/32722338
http://dx.doi.org/10.3390/ijerph17155356
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author Pozuelo-Carrascosa, Diana P.
Carmona-Torres, Juan Manuel
Laredo-Aguilera, José Alberto
Latorre-Román, Pedro Ángel
Párraga-Montilla, Juan Antonio
Cobo-Cuenca, Ana Isabel
author_facet Pozuelo-Carrascosa, Diana P.
Carmona-Torres, Juan Manuel
Laredo-Aguilera, José Alberto
Latorre-Román, Pedro Ángel
Párraga-Montilla, Juan Antonio
Cobo-Cuenca, Ana Isabel
author_sort Pozuelo-Carrascosa, Diana P.
collection PubMed
description Background: Neurological dysfunction due to stroke affects not only the extremities and trunk muscles but also the respiratory muscles. Aim: to synthesise the evidence available about the effectiveness of respiratory muscle training (RMT) to improve respiratory function parameters and functional capacity in poststroke patients. Methods: a systematic electronic search was performed in the MEDLINE, EMBASE, SPORTDiscus, PEDro and Web of Science databases, from inception to May 2020. Study selection and data extraction: randomised controlled trials (RCTs) that examined the effects of RMT versus non-RMT or sham RMT in poststroke patients. We extracted data about respiratory function, respiratory muscle strength and functional capacity (walking ability, dyspnea, balance, activities of daily life), characteristics of studies and features of RMT interventions (a type of RMT exercise, frequency, intensity and duration). Two reviewers performed study selection and data extraction independently. Results: nineteen RCTs met the study criteria. RMT improved the first second forced expiratory volume (FEV1), forced vital capacity (FVC), peak expiratory flow (PEF), maximal expiratory pressure (MEP), maximal inspiratory pressure (MIP) and walking ability (6 min walking test), but not Barthel index, Berg balance scale, and dyspnea. Conclusions: RMT interventions are effective to improve respiratory function and walking ability in poststroke patients.
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spelling pubmed-74325522020-08-24 Effectiveness of Respiratory Muscle Training for Pulmonary Function and Walking Ability in Patients with Stroke: A Systematic Review with Meta-Analysis Pozuelo-Carrascosa, Diana P. Carmona-Torres, Juan Manuel Laredo-Aguilera, José Alberto Latorre-Román, Pedro Ángel Párraga-Montilla, Juan Antonio Cobo-Cuenca, Ana Isabel Int J Environ Res Public Health Review Background: Neurological dysfunction due to stroke affects not only the extremities and trunk muscles but also the respiratory muscles. Aim: to synthesise the evidence available about the effectiveness of respiratory muscle training (RMT) to improve respiratory function parameters and functional capacity in poststroke patients. Methods: a systematic electronic search was performed in the MEDLINE, EMBASE, SPORTDiscus, PEDro and Web of Science databases, from inception to May 2020. Study selection and data extraction: randomised controlled trials (RCTs) that examined the effects of RMT versus non-RMT or sham RMT in poststroke patients. We extracted data about respiratory function, respiratory muscle strength and functional capacity (walking ability, dyspnea, balance, activities of daily life), characteristics of studies and features of RMT interventions (a type of RMT exercise, frequency, intensity and duration). Two reviewers performed study selection and data extraction independently. Results: nineteen RCTs met the study criteria. RMT improved the first second forced expiratory volume (FEV1), forced vital capacity (FVC), peak expiratory flow (PEF), maximal expiratory pressure (MEP), maximal inspiratory pressure (MIP) and walking ability (6 min walking test), but not Barthel index, Berg balance scale, and dyspnea. Conclusions: RMT interventions are effective to improve respiratory function and walking ability in poststroke patients. MDPI 2020-07-24 2020-08 /pmc/articles/PMC7432552/ /pubmed/32722338 http://dx.doi.org/10.3390/ijerph17155356 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Pozuelo-Carrascosa, Diana P.
Carmona-Torres, Juan Manuel
Laredo-Aguilera, José Alberto
Latorre-Román, Pedro Ángel
Párraga-Montilla, Juan Antonio
Cobo-Cuenca, Ana Isabel
Effectiveness of Respiratory Muscle Training for Pulmonary Function and Walking Ability in Patients with Stroke: A Systematic Review with Meta-Analysis
title Effectiveness of Respiratory Muscle Training for Pulmonary Function and Walking Ability in Patients with Stroke: A Systematic Review with Meta-Analysis
title_full Effectiveness of Respiratory Muscle Training for Pulmonary Function and Walking Ability in Patients with Stroke: A Systematic Review with Meta-Analysis
title_fullStr Effectiveness of Respiratory Muscle Training for Pulmonary Function and Walking Ability in Patients with Stroke: A Systematic Review with Meta-Analysis
title_full_unstemmed Effectiveness of Respiratory Muscle Training for Pulmonary Function and Walking Ability in Patients with Stroke: A Systematic Review with Meta-Analysis
title_short Effectiveness of Respiratory Muscle Training for Pulmonary Function and Walking Ability in Patients with Stroke: A Systematic Review with Meta-Analysis
title_sort effectiveness of respiratory muscle training for pulmonary function and walking ability in patients with stroke: a systematic review with meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432552/
https://www.ncbi.nlm.nih.gov/pubmed/32722338
http://dx.doi.org/10.3390/ijerph17155356
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