Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review

Menezes, Kênia Kiefer Parreiras de; Nascimento, Lucas Rodrigues; Ada, Louise; Polese, Janaíne Cunha; Avelino, Patrick Roberto; Teixeira-Salmela, Luci Fuscaldi

doi:10.1016/j.jphys.2016.05.014

Cited by 103 publications

(112 citation statements)

References 35 publications

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“…The values of MIP and MEP of all the evaluated patients did not reach the predicted indices described in the Brazilian literature according to age. Given this fact, it can be suspected that the impairment of respiratory muscles may be related to the occurrence of a stroke [26,27].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Respiratory Muscular Strength Compared to Predicted Values in Patients with Stroke

Ramos

Silva

Buchaim

et al. 2020

IJERPH

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The purpose of this study was to evaluate the inspiratory and expiratory muscle strength of individuals affected by stroke and to compare it with the predicted values in the literature considering their corresponding age. Respiratory muscle strength was evaluated in 22 elderly people who had sequels of stroke, four with right hemiparesis, 16 with left hemiparesis and two with bilateral, of ages ranging from 34 to 82 years. The collected data were submitted to statistical analysis using a Mann-Whitney test to evaluate if there was a significant difference in the average data collected when compared with a mean of the predicted data in the literature. Fourteen men and eight women were evaluated, who obtained mean values of 71.85 cmH 2 O and 57.75 cmH 2 O, respectively, for a maximal inspiratory pressure (MIP), and when compared to the predicted values for men and women, 105.41 cmH 2 O (p-value 0.0019) and 80.57 cmH 2 O (p-value 0.00464) were significantly lower. For a maximal expiratory pressure (MEP), the mean value obtained for men was 62.28 cmH 2 O and 49.5 cmH 2 O for women, whereas the predicted values in the literature were 114.79 cmH 2 O (p-value < 0.0001) and 78, 46 cmH 2 O (p-value 0.0059), respectively. In the statistical analysis, it was possible to notice that the studied population did not reach the predicted age indexes and that there was a significant difference between the median columns. In conclusion, there is a weakness in the respiratory muscles of hemiparetic men and women due to stroke.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Respiratory Muscular Strength Compared to Predicted Values in Patients with Stroke

Ramos

Silva

Buchaim

et al. 2020

IJERPH

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“…According to Inzelberg et al (), after 12 weeks of daily training, with a 60% loading of their MIP, adjusted monthly, individuals with PD of the IMT group presented increased inspiratory muscle strength and resistance, with a significant decrease in the perception of dyspnoea, without improvement of lung function. IMT also shows benefits in other neurological populations, as in the study by Menezes et al (), who emphasize in their systematic review the respiratory muscle training in poststroke individuals, resulting in increased MIP and MEP, reducing respiratory complications. Macpherson et al (), in another systematic review, demonstrated that IMT improved respiratory muscle strength and FVC in individuals with ALS.…”

Section: Discussionmentioning

confidence: 94%

“…Inzelberg et al (2005) observed improvement in inspiratory muscle strength and endurance and improvement in the perception of dyspnoea in individuals with PD after IMT. There are some studies in the literature evaluating IMT in populations with other neurological diseases, such as ischaemic stroke (Menezes et al, 2016), amyotrophic lateral sclerosis (ALS; Ferreira, Costa, Plentz, Coronel, & Sbruzzi, 2016;Macpherson, Bassile, & Clare, 2016) and multiple sclerosis (MS; Ferreira et al, 2016;Fry, Pfalzer, Chokshi, Wagner, & Jackson, 2007;Klefbeck & Nedjad, 2003), which showed improvement in muscular strength and respiratory function. However, in addition to these, other benefits can be verified in other diseases, such as heart failure (Caruso et al, 2016;Mello et al, 2012) and chronic obstructive pulmonary disease (Basso-Vanelli et al, 2016), in which IMT was able to improve thoracic mobility, increase functional capacity, besides autonomic and peripheral controls, and quality of life.…”

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confidence: 99%

Effects of inspiratory muscle training on respiratory muscle strength, lung function, functional capacity and cardiac autonomic function in Parkinson's disease: Randomized controlled clinical trial protocol

Ferro

Basso-Vanelli

Mello

et al. 2019

Physiotherapy Res Intl

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Background Individuals with Parkinson's disease (PD), in addition to motor impairment, may evolve with respiratory and autonomic nervous system disorders. Currently, there are few studies with emphasis on muscle and pulmonary dysfunction and that verify the benefits of inspiratory muscle training (IMT) in this population. Aim The aim of this study was to evaluate whether IMT is effective for the improvement of respiratory muscle strength, lung function, thoracic mobility, functional capacity and cardiac autonomic function in PD. Methods A randomized and controlled trial will be conducted with 26 participants with idiopathic PD, with aged between 50 and 65 years, in the Stages I to III by the Modified Hoehn and Yahr Scale. Respiratory muscle strength will be performed by manovacuometry and lung function by spirometry. Functional capacity will be evaluated by the 6‐min walk test and autonomic cardiac function by heart rate variability. In addition, thoracic mobility measurement will also be performed. After the evaluations, these participants will be randomly assigned to two groups: the IMT group with Powerbreathe®, which will perform the eight series of 2 min each, with 1 min of rest between them, totaling 30 min, at 60% of the maximum inspiratory pressure and the control group, who will perform the same training protocol but with the load maintained at 9 cmH2O. All participants will be submitted to the same motor training protocol. Conclusion It is expected that IMT increases the inspiratory muscle strength, contributing to the improved expiratory muscle strength, lung function, thoracic mobility, functional capacity and cardiac autonomic function in individuals with mild to moderate PD.

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“…Sin embargo, se han planteado medidas preventivas no medicamentosas como la aplicación de programas de fisioterapia que han tenido efecto preventivo, estos programas incluyen desde la movilización leve de la parrilla costal hasta ejercicios de la musculatura respiratoria (26,32).…”

Section: Perspectivas Sobre La Neumonía Intrahospitalaria Asociada Alunclassified

Función diafragmática y neumonía intrahospitalaria en pacientes con hemiplejía por desorden vásculo cerebral isquémico

Mallqui¹

2017

Ágora

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El Desorden Vásculo Cerebral (DVC) es una patología neurológica cuya secuela motriz más común es la hemiplejía que afecta principalmente a la postura y tono muscular, afectándose también los músculos respiratorios. Se comprobó que la función diafragmática esta alterada en su capacidad respiratoria y contráctil. Lo que disminuye la limpieza mucociliar y aumenta el riesgo de neumonía aspirativa. En este trabajo se revisa el estado actual de los conocimientos sobre neumonía intrahospitalaria y función diafragmática en el paciente post DVC.

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Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review

Abstract: PROSPERO (CRD42015020683). [Menezes KKP, Nascimento LR, Ada L, Polese JC, Avelino PR, Teixeira-Salmela LF (2016) Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review.Journal of Physiotherapy62: 138-144].

Cited by 103 publications

References 35 publications

Evaluation of Respiratory Muscular Strength Compared to Predicted Values in Patients with Stroke

Evaluation of Respiratory Muscular Strength Compared to Predicted Values in Patients with Stroke

Effects of inspiratory muscle training on respiratory muscle strength, lung function, functional capacity and cardiac autonomic function in Parkinson's disease: Randomized controlled clinical trial protocol

Función diafragmática y neumonía intrahospitalaria en pacientes con hemiplejía por desorden vásculo cerebral isquémico

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