Respiratory training improved ventilatory function and respiratory muscle strength in patients with multiple sclerosis and lateral amyotrophic sclerosis: systematic review and meta-analysis

Ferreira, Gustavo Dias; Costa, Ana Cecília C.; Plentz, Rodrigo Della Méa; Coronel, Christian Corrêa; Sbruzzi, Graciele

doi:10.1016/j.physio.2016.01.002

Cited by 46 publications

(33 citation statements)

References 32 publications

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“…In the study by Fry et al (), individuals with MS showed a significant improvement in MIP, FEV1, FVC, and FEF (forced expiratory flow) after IMT intervention, but there were no differences for MEP; thus, IMT increased significantly inspiratory muscle strength and resulted in a generalized improvement in the lung function. Ferreira et al (), in a systematic review with a meta‐analysis of randomized clinical trials, found that RMT improved ventilatory function, increasing FEV1, and respiratory muscle strength, increasing MIP and MEP in individuals with MS and ALS, although there was no change in the clinical condition, FVC and 6MWT.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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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Section: Discussionmentioning

confidence: 99%

mentioning

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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“…Two systematic reviews included studies lasting from 12 weeks to 32 months and investigating respiratory training in individuals living with MND, including: respiratory training muscle and yoga breathing technique. In one study, duration per session was 10 minutes, while other studies reported 10 to 15 repetitions per sessions, two to five times a day, every day (29,59).…”

Section: Respiratory Trainingmentioning

confidence: 99%

“…In most reviews, authors warranted further research for more definitive answers on intervention effectiveness. However, in Charcot-Marie-Tooth disease and cerebellar ataxias, there was low to moderate evidence of efficacy of structured exercise (41,42,47,48) whilst, in MND, structured exercise was recommended for inclusion in rehabilitation and management of these diseases (29,36).…”

Section: Physical Activity Interventionsmentioning

confidence: 99%

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Physical activity and exercise interventions for people with rare neurological disorders: a scoping review of systematic reviews

Buscemi

Boaz²,

Dawes

et al. 2019

Preprint

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Background: People living with rare neurological conditions (RNCs) often face common physical, cognitive and psychological challenges that lead to reduced physical activity and associated deconditioning. Physical activity interventions are routinely utilised to address disease specific limitations with the intention of promoting participation in people with RNCs. This scoping review aimed to synthesise the body of evidence for such interventions as they are applied across a wide range of RNCs. Methods: We undertook a scoping review of systematic reviews of any type of physical activity and exercise interventions for adults with neuromuscular diseases, motor neurone disease, Huntington’s disease, progressive supranuclear palsy, multiple system atrophy, inherited ataxias and hereditary spastic paraplegia. The reviews were included if they reported at least one outcome that aimed to increase physical activity level at either the body structure/function, activity and/or participation levels. Results: Sixty-two articles were full-text screened of which 27 were included. Most studies involved interventions in people with neuromuscular diseases. No reviews of interventions in hereditary spastic paraparesis were identified. The majority of reviews included studies of structured exercise using outcome measures at the level of body function and functional activity. Interventions were grouped as: i) combined interventions; ii) muscle strength training; iii) respiratory training; iv) aerobic training. Frequency, intensity, time and type of structured exercise utilised varied considerably across studies. Most studies were methodologically limited by small sample sizes, variation in exercise dose and training duration.Conclusions: To date, primary attention has been given to structured exercise interventions, which have demonstrated to have a low to uncertain level of evidence. Novel approaches to implementing common interventions and modalities are needed to increase accessibility and engagement in physical activity irrespective of disease type. Further exploration is warranted to achieve consensus on outcome measures that reflect areas of importance and relevance to people with RNCs.

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Respiratory muscle training for multiple sclerosis

Rietberg

Veerbeek

Gosselink

et al. 2017

Cochrane Database of Systematic Reviews

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Respiratory training improved ventilatory function and respiratory muscle strength in patients with multiple sclerosis and lateral amyotrophic sclerosis: systematic review and meta-analysis

Cited by 46 publications

References 32 publications

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

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

Physical activity and exercise interventions for people with rare neurological disorders: a scoping review of systematic reviews

Respiratory muscle training for multiple sclerosis

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