Inspiratory muscle training for children and adolescents with neuromuscular diseases: A systematic review

Human, Anri; Corten, Lieselotte; Jelsma, Jennifer; Morrow, Brenda

doi:10.1016/j.nmd.2017.03.009

Cited by 26 publications

(27 citation statements)

References 42 publications

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“…In addition, the majority of survey participants supported the use of respiratory muscle training during chronic management, despite limited evidence. Respiratory muscle training is not currently recommended as a standard therapy in children with NMD, but these devices are available and therefore larger, randomised controlled trials are recommended to determine their safety, feasibility and efficacy within a South African context (Finder et al 2004 ; Human et al 2017 ).…”

Section: Discussionmentioning

confidence: 99%

The role of physiotherapy in the respiratory management of children with neuromuscular diseases: A South African perspective

Human¹,

Corten²,

Morrow³

2020

South African Journal of Physiotherapy

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Background: Respiratory morbidity is common in children with neuromuscular diseases (NMD) owing to chronic hypoventilation and impaired cough. Optimal, cost-effective respiratory management requires implementation of clinical practice guidelines and a coordinated multidisciplinary team approach.Objectives: To explore South African physiotherapists’ knowledge, perception and implementation of respiratory clinical practice guidelines for non-ventilated children with NMD.Methods: An online survey was conducted amongst members of the South African Society of Physiotherapy’s Cardiopulmonary Rehabilitation (CPRG) and Paediatric special interest groups and purposive sampling of non-member South African physiotherapists with respiratory paediatrics expertise (N= 481).Results: Most respondents worked in private healthcare, with 1–10 years’ experience treating patients with NMD. For acute and chronic management, most participants recommended nebulisation and 24-h postural management for general respiratory care. Percussions, vibrations, positioning, adapted postural drainage, breathing exercises and manually assisted cough were favoured as airway clearance techniques. In addition, participants supported non-invasive ventilation, oscillatory devices and respiratory muscle training for chronic management.Conclusion: Respondents seemed aware of internationally-endorsed NMD clinical practice guidelines and recommendations, but traditional manual airway clearance techniques were favoured. This survey provided novel insight into the knowledge, perspectives and implementation of NMD clinical practice guidelines amongst South African physiotherapists.Clinical implications: There is an urgent need to increase the abilities of South African physiotherapists who manage children with NMD, as well as the establishment of specialised centres with the relevant equipment, ventilatory support and expertise in order to provide safe, cost-effective and individualised patient care.

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Section: Discussionmentioning

confidence: 99%

The role of physiotherapy in the respiratory management of children with neuromuscular diseases: A South African perspective

Human¹,

Corten²,

Morrow³

2020

South African Journal of Physiotherapy

Self Cite

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“…Enforced exercise was reported to exacerbate the muscle pathophysiology in some muscle disease [8], whereas there had been some reports demonstrating the beneficial effect of exercise for muscle disease. With regard to rehabilitation for muscular dystrophy, IMT has been also reported to be beneficial in patients with neuromuscular diseases [9]. Wanke et al [10] reported the effectiveness of IMT in patients with neuromuscular diseases such as Duchenne muscular dystrophy.…”

Section: Discussionmentioning

confidence: 99%

Inspiratory muscle training for advanced heart failure with lamin-related muscular dystrophy

Taya

Amiya

Hatano

et al. 2019

Journal of Cardiology Cases

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Background Some cases of advanced heart failure with dilated cardiomyopathy (DCM) are complicated by neuromuscular diseases, such as muscular dystrophy. The prognosis in DCM with muscular dystrophy is worse than that of DCM alone [1]. Lamin mutations are associated with significant arrhythmia and cardiomyopathy burden, and mutation of the lamin A/C gene is associated with variable skeletal muscle involvement [2]. Therefore, the prognosis in a patient with DCM is worse if the patient also has a lamin gene mutation.

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“…In a recent systematic review, the authors discuss that the majority of the training programs aim to improve inspiratory muscle strength. However, they do not mention specific measures to improve endurance, and, when endurance is assessed, various techniques are used (19). MVV assessments provide more accurate information on respiratory muscle performance, and it can also be used as a method for respiratory muscle endurance training and improve the treatment of this population in the clinical setting (20).…”

Section: Discussionmentioning

confidence: 99%

Decreased respiratory performance of children and adolescents with myelomeningocele who use a wheelchair – preliminary data

Martins

Gastaldi

Davoli

et al. 2019

Braz J Med Biol Res

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Myelomeningocele (MMC) is a neural tube defect that often causes spinal cord injury at the thoracolumbar region, as well as sensory and motor paralysis in the lower limbs. This leads to continuous use of a wheelchair and, consequently, a sedentary lifestyle, predisposition to muscle weakness, cardiovascular and respiratory disorders, obesity, and structural alterations in the spine. We assessed the respiratory function and shoulder strength of MMC participants who were wheelchair-users and had no respiratory complaints and compared them to healthy children and adolescents. MMC (n=10) and healthy (n=25) participants of both genders with a mean age of 12.45 years (SD=2.1) were assessed for weight, height, respiratory performance, and isometric peak for shoulder flexors, extensors, abductors, and adductors, using an isokinetic dynamometer. Medullary lesion, functional levels, and abnormal curvatures of the spine were assessed for MMC participants. The level of spinal cord injury for the majority of the MMC participants was high lumbar and they had scoliosis. MMC showed lower values for forced vital capacity, forced expiratory volume at the first second, forced expiratory flow (25–75%), maximal voluntary ventilation, and isometric peak for shoulder flexors and adductors compared to healthy participants. This indicated a decreased vital capacity, respiratory muscle endurance, and shoulder muscle strength.

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Inspiratory muscle training for children and adolescents with neuromuscular diseases: A systematic review

Cited by 26 publications

References 42 publications

The role of physiotherapy in the respiratory management of children with neuromuscular diseases: A South African perspective

The role of physiotherapy in the respiratory management of children with neuromuscular diseases: A South African perspective

Inspiratory muscle training for advanced heart failure with lamin-related muscular dystrophy

Decreased respiratory performance of children and adolescents with myelomeningocele who use a wheelchair – preliminary data

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