Effectiveness of Respiratory Muscle Training for Pulmonary Function and Walking Ability in Patients with Stroke: A Systematic Review with Meta-Analysis

Diana P. Pozuelo-Carrascosa, Juan Manuel Carmona-Torres, José Alberto Laredo-Aguilera, Pedro Ángel Latorre-Román, Juan Antonio Párraga-Montilla and Ana Isabel Cobo-Cuenca
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Diana P. Pozuelo-Carrascosa: Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45005 Toledo, Spain
Juan Manuel Carmona-Torres: Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45005 Toledo, Spain
José Alberto Laredo-Aguilera: Multidisciplinary Research Group in Care (IMCU), University of Castilla-La Mancha, 45005 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

IJERPH, 2020, vol. 17, issue 15, 1-22

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.

Keywords: stroke; respiratory muscle training; meta-analysis; walking ability; pulmonary function (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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