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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

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  • Diana P. Pozuelo-Carrascosa

    (Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45005 Toledo, Spain
    Multidisciplinary Research Group in Care (IMCU), University of Castilla-La Mancha, 45005 Toledo, Spain
    Social and Health Care Research Center (CESS), University of Castilla-La Mancha, 16071 Cuenca, Spain)

  • Juan Manuel Carmona-Torres

    (Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45005 Toledo, Spain
    Multidisciplinary Research Group in Care (IMCU), University of Castilla-La Mancha, 45005 Toledo, Spain
    Maimónides Biomedical Research Institute of Córdoba (IMIBIC), 14004 Córdoba, Spain)

  • José Alberto Laredo-Aguilera

    (Multidisciplinary Research Group in Care (IMCU), University of Castilla-La Mancha, 45005 Toledo, Spain
    Maimónides Biomedical Research Institute of Córdoba (IMIBIC), 14004 Córdoba, Spain
    Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, 45600 Toledo, Spain)

  • Pedro Ángel Latorre-Román

    (Department of Didactics of Music, Plastic and Corporal Expression, University of Jaén, 23071 Jaén, Spain)

  • Juan Antonio Párraga-Montilla

    (Department of Didactics of Music, Plastic and Corporal Expression, University of Jaén, 23071 Jaén, Spain)

  • Ana Isabel Cobo-Cuenca

    (Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45005 Toledo, Spain
    Multidisciplinary Research Group in Care (IMCU), University of Castilla-La Mancha, 45005 Toledo, Spain
    Maimónides Biomedical Research Institute of Córdoba (IMIBIC), 14004 Córdoba, Spain)

Abstract

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.

Suggested Citation

  • Diana P. Pozuelo-Carrascosa & Juan Manuel Carmona-Torres & José Alberto Laredo-Aguilera & Pedro Ángel Latorre-Román & Juan Antonio Párraga-Montilla & Ana Isabel Cobo-Cuenca, 2020. "Effectiveness of Respiratory Muscle Training for Pulmonary Function and Walking Ability in Patients with Stroke: A Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 17(15), pages 1-22, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:15:p:5356-:d:389624
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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