Effectiveness of Inspiratory Muscle Training on Respiratory Muscle Strength in Patients Undergoing Cardiac Surgeries: A Systematic Review With Meta-Analysis

被引：20

作者：

Dsouza, Fiona Verdine ^{[1
]}

Amaravadi, Sampath Kumar ^{[1
,2
]}

Samuel, Stephen Rajan ^{[1
]}

Raghavan, Harish ^{[3
]}

Ravishankar, Nagaraja ^{[4
]}

机构：

[1] Manipal Acad Higher Educ, Kasturba Med Coll, Dept Physiotherapy, Manipal, Karnataka, India

[2] Gulf Med Univ, Coll Hlth Sci, Dept Physiotherapy, Ajman 4184, U Arab Emirates

[3] Kasturba Med Hosp, Dept Cardiothorac Surg, Mangalore, Karnataka, India

[4] Univ Delhi, Vallabhbhai Patel Chest Inst, Dept Biostat, New Delhi, India

来源：

ANNALS OF REHABILITATION MEDICINE-ARM | 2021年 / 45卷 / 04期

关键词：

Cardiac rehabilitation; Respiratory muscle training; Cardiac surgical procedures; Exercise tolerance; PULMONARY-FUNCTION; BYPASS;

D O I：

10.5535/arm.21027

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

To determine the effect of inspiratory muscle training (IMT) on pulmonary function, respiratory muscle strength (RMS), and functional capacity in patients undergoing cardiac surgery. The PubMed, PEDro, CINAHL, Web of Science, CENTRAL, and EMBASE databases were searched from inception to June 2020. Randomized controlled trials (RCTs) that evaluated patients who underwent cardiac surgery were included in this review. Meta-analysis performed using a random-effects model showed that the mean difference in forced vital capacity, forced expiratory volume in 1 second, 6-minute walk distance, and RMS was 3.47% (95% confidence interval [CI], 0.57 to 6.36), 5.80% (95% CI, 2.03 to 9.56), 78.05 m (95% CI, 60.92 to 95.18), and 4.8 cmH(2)O (95% CI, -4.00 to 13.4), respectively. There is strong evidence that IMT improves inspiratory muscle strength, pulmonary function, and functional capacity, and reduces the length of hospital stay in patients undergoing cardiac surgery.

引用

页码：264 / 273

页数：10

共 23 条

[1] Inspiratory Muscle Training After Heart Valve Replacement Surgery Improves Inspiratory Muscle Strength, Lung Function, and Functional Capacity A RANDOMIZED CONTROLLED TRIAL [J].

Cargnin, Camila ;

Karsten, Marlus ;

Vieira da Costa Guaragna, Joao Carlos ;

Dal Lago, Pedro .

JOURNAL OF CARDIOPULMONARY REHABILITATION AND PREVENTION, 2019, 39 (05) :E1-E7

[2] The effects of five days of intensive preoperative inspiratory muscle training on postoperative complications and outcome in patients having cardiac surgery: a randomized controlled trial [J].

Chen, Xiaoyu ;

Hou, Lin ;

Zhang, Yuanyuan ;

Liu, Xiangjing ;

Shao, Bohan ;

Yuan, Bo ;

Li, Jing ;

Li, Min ;

Cheng, Hong ;

Teng, Lei ;

Guo, Mingdi ;

Wang, Zhengqing ;

Chen, Tienan ;

Liu, Jianjun ;

Liu, Yaping ;

Liu, Zhigang ;

Liu, Xiaocheng ;

Guo, Qi .

CLINICAL REHABILITATION, 2019, 33 (05) :913-922

[3]

Baumgarten MCD, 2009, REV BRAS CIR CARDIOV, V24, P497

[4] Moderate-to-high intensity inspiratory muscle training improves the effects of combined training on exercise capacity in patients after coronary artery bypass graft surgery: A randomized clinical trial [J].

dos Santos, Tamires Daros ;

Pereira, Sergio Nunes ;

Cruz Portela, Luiz Osorio ;

Cardoso, Dannuey Machado ;

Dal Lago, Pedro ;

Guarda, Naiara dos Santos ;

Moresco, Rafael Noal ;

Pereira, Marisa Bastos ;

de Albuquerque, Isabella Martins .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2019, 279 :40-46

[5]

GBD 2016 Causes of Death Collaborators, 2017, Lancet, V390, P1151, DOI [DOI 10.1016/S0140-6736(17)32152-9, 10.1016/S0140-6736, DOI 10.1016/S0140-6736]

[6] Pre- and postoperative inspiratory muscle training in patients undergoing cardiac surgery: systematic review and meta-analysis [J].

Gomes Neto, Mansueto ;

Martinez, Bruno P. ;

Reis, Helena F. C. ;

Carvalho, Vitor O. .

CLINICAL REHABILITATION, 2017, 31 (04) :454-464

[7] Trends in Coronary Heart Disease Epidemiology in India [J].

Gupta, Rajeev ;

Mohan, Indu ;

Narula, Jagat .

ANNALS OF GLOBAL HEALTH, 2016, 82 (02) :307-315

[8]

Haeffener MP, 2008, AM HEART J, V156, P900

[9] Preoperative physical therapy for elective cardiac surgery patients [J].

Hulzebos, Erik H. J. ;

Smit, Yolba ;

Helders, Paul P. J. M. ;

van Meeteren, Nico L. U. .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2012, (11)

[10] Inspiratory Muscle Training and Functional Capacity in Patients Undergoing Cardiac Surgery [J].

Lisboa Cordeiro, Andre Luiz ;

de Melo, Thiago Araujo ;

Neves, Daniela ;

Luna, Julianne ;

Esquivel, Mateus Souza ;

Franca Guimaraes, Andre Raimundo ;

Borges, Daniel Lago ;

Petto, Jefferson .

BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, 2016, 31 (02) :140-144

← 1 2 3 →