Effect of the Respiratory Muscle Training on Lung Function and Respiratory Muscle Strength in Patients with Moderate Myasthenia Gravis: A Meta-Analysis and Systematic Review

Background: Respiratory muscle dysfunction is an important health problem with high morbidity and mortality and associated costs in patients with bronchiectasis (BC). The aim of this study was to analyse the effects of therapeutic respiratory muscle training (RMT) interventions on improving sputum clearance, ventilator function, muscle strength and functional capacity in BC. Methods: Systematic review and meta-analysis were conducted following PRISMA guidelines. Two independent investigators searched using several electronic databases. The methodological quality of nine studies was assessed using the PEDro scale. Study selection/eligibility criteria: The following were included: randomised controlled trials, randomised crossover trials and pilot studies of patients with BC that used the intervention as RMT (inspiratory/expiratory) and evaluations of respiratory muscle strength (maximal expiratory pressure/maximal inspiratory pressure). This systematic review was registered in PROSPERO (CRD42017075101). Nine studies were included, five of which obtained an A recommendation grade, three with B, and one with C. Study quality was poor to good (mean PEDro Score of 6.375 out of 10). Studies had small sample sizes (8–98). Results show improvements on PImax in favour of therapeutic respiratory muscle training intervention (MD = 6.08; 95% CI = 1.38, 10.77; p < 0.01; I2 = 92%). However, high heterogeneity was identified on meta-analysis.

Download Full-text

Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review

Journal of Physiotherapy ◽

10.1016/j.jphys.2016.05.014 ◽

2016 ◽

Vol 62 (3) ◽

pp. 138-144 ◽

Cited By ~ 36

Author(s):

Kênia KP Menezes ◽

Lucas R Nascimento ◽

Louise Ada ◽

Janaine C Polese ◽

Patrick R Avelino ◽

...

Keyword(s):

Systematic Review ◽

Muscle Strength ◽

Respiratory Muscle ◽

Respiratory Muscle Training ◽

Respiratory Muscle Strength ◽

Muscle Training ◽

Respiratory Complications

Download Full-text

Respiratory muscle training in non-athletes and athletes with spinal cord injury: A systematic review of the effects on pulmonary function, respiratory muscle strength and endurance, and cardiorespiratory fitness based on the FITT principle of exercise prescription

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-181452 ◽

2019 ◽

pp. 1-13 ◽

Cited By ~ 1

Author(s):

Júlia Ribeiro Lemos ◽

Felipe Amorim da Cunha ◽

Agnaldo José Lopes ◽

Fernando Silva Guimarães ◽

Fabrício Vieira do Amaral Vasconcellos ◽

...

Keyword(s):

Systematic Review ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Muscle Strength ◽

Respiratory Muscle ◽

Exercise Prescription ◽

Respiratory Muscle Training ◽

Respiratory Muscle Strength ◽

Muscle Training ◽

Cord Injury

Download Full-text

Effect of a respiratory muscle training program on lung function, respiratory muscle strength and resting oxygen consumption in sedentary young people

Revista de la Facultad de Medicina ◽

10.15446/revfacmed.v66n4.60252 ◽

2018 ◽

Vol 66 (4) ◽

pp. 605-610

Author(s):

Edgar Debray Hernández-Álvarez ◽

Cristian Arvey Guzmán-David ◽

Juan Carlos Ruiz-González ◽

Ana María Ortega-Hernández ◽

Deisy Carolina Ortiz-González

Keyword(s):

Physical Activity ◽

Oxygen Consumption ◽

Muscle Strength ◽

Lung Function ◽

Training Program ◽

Respiratory Muscle ◽

Inspiratory Pressure ◽

Respiratory Muscle Training ◽

Respiratory Muscle Strength ◽

Muscle Training

Introduction: Physical inactivity is a risk factor for developing noncommnunicable diseases, as well as respiratory and cardiovascular disorders. To counter this, different types of interventions have been proposed, including respiratory muscle training (RMT).Objective: To determine the effect of a respiratory muscle training program on respiratory muscle strength, lung function and resting oxygen consumption in sedentary subjects.Materials and methods: Pretest-posttest experimental study conducted in sedentary students. Lifestyle and the level of physical activity was determined using the International Physical Activity Questionnaire (IPAQ) and the FANTASTIC questionnaire, while respiratory muscle strength was established by means of expiratory and inspiratory pressure using a Dwyer Series 477 meter, and lung function and oxygen consumption was determined by spirometry and indirect calorimetry whit Vmax Encore 29C® calorimeter. Respiratory muscle training was performed for eight weeks with Threshold IMT system. R software, version 3.1.2, was used for statistical analysis.Results: Clinically and statistically significant improvements were found in maximal inspiratory pressure (MIP) (pre: 81.23±22.00/post: 96.44±24.54 cmH2O; p<0.001); maximal expiratory pressure (MEP) (pre: 94.84±21.63/post: 107.39±29.15 cmH2O; p<0.05); pulmonary function FEV1 [(pre: 3.33±0.88/post: 3.54±0.90L) (p<0.05)]; and FEV1/FVC ratio [(pre: 87.78±7.67/post: 93.20±6.02% (p<0.01)].Conclusion: The respiratory muscle training protocol implemented for eight weeks using the Threshold IMT system improved strength and FEV1. There were no significant changes in oxygen consumption.

Download Full-text