Article

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS