Inspiratory muscle training in adults with chronic obstructive pulmonary disease: A systematic review

被引:64
作者
Geddes, EL
Reid, WD
Crowe, J
O'Brien, K
Brooks, D
机构
[1] McMaster Univ, Sch Rehabil Sci, IAHS, Hamilton, ON L8S 1C7, Canada
[2] Univ British Columbia, Sch Rehabil Sci, Div Phys Therapy, Vancouver, BC V6T 2B5, Canada
[3] Univ Toronto, Dept Phys Therapy, Toronto, ON M5G 1V7, Canada
基金
加拿大健康研究院;
关键词
respiratory muscles; inspiratory muscle training; breathing exercises; lung diseases; obstructive; chronic obstructive; pulmonary disease; pulmonary rehabilitation;
D O I
10.1016/j.rmed.2005.03.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The purpose of this study was to conduct a systematic review to determine the effect of inspiratory muscle training (IMT) on inspiratory muscle strength and endurance, exercise capacity, dyspnea and quality of life for adults with chronic obstructive pulmonary disease (COPD). A systematic review of the literature was conducted according the Cochrane Collaboration protocol using Medline and CINAHL. Nineteen of 274 extracted articles met the inclusion criteria and addressed comparisons of interest which included: IMT versus sham; IMT versus no intervention; low- versus high-intensity IMT, and two different modes of IMT. Thirteen meta-analyses were reported. Results indicate that targeted resistive or threshold IMT was associated with significant improvements in some outcomes of inspiratory muscle strength (Pl(max) (Cm H2O)) and endurance (Inspiratory Threshold Loading (kPa)), exercise capacity (Borg Scale for Respiratory Effort (modified Borg scale), Work Rate maximum (Watts)), and dyspnea (Transition Dyspnea Index), whereas IMT without a target or not using threshold training did not show improvement in these variables. There was no conclusive evidence regarding quality of life measures. IMT is effective for adults with COPD when using threshold or targeted devices that control or provide a target for training intensity. (c) 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1440 / 1458
页数:19
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