Effects of respiratory muscle training on post-stroke rehabilitation:A systematic review and meta-analysis  

作　　者：Yong-Tao Liu Xiao-Xin Liu Yi-Qing Liu Lei Zhang Lin-Jing Zhang Jian-Hua Wang Yan Shi Qing-Fan Xie 

机构地区：[1]Department of Rehabilitation,Xingtai People's Hospital,Xingtai 054001,Hebei Province,China [2]Ophthalmologist Clinic,Xingtai People's Hospital,Xingtai 054001,Hebei Province,China [3]Department of Cardiology,Xingtai People's Hospital,Xingtai 054001,Hebei Province,China [4]Department of Ultrasound,Xingtai People's Hospital,Xingtai 054001,Hebei Province,China

出　　处：《World Journal of Clinical Cases》2024年第20期4289-4300,共12页世界临床病例杂志

基　　金：Scientific Research Project of Hebei Administration of Traditional Chinese Medicine,No.2022307.

摘　　要：BACKGROUND Stroke often results in significant respiratory dysfunction in patients.Respiratory muscle training(RMT)has been proposed as a rehabilitative intervention to address these challenges,but its effectiveness compared to routine training remains debated.This systematic review and meta-analysis aim to evaluate the effects of RMT on exercise tolerance,muscle strength,and pulmonary function in post-stroke patients.AIM To systematically assess the efficacy of RMT in improving exercise tolerance,respiratory muscle strength,and pulmonary function in patients recovering from a stroke,and to evaluate whether RMT offers a significant advantage over routine training modalities in enhancing these critical health outcomes in the post-stroke population.METHODS Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines,a comprehensive search across PubMed,Embase,Web of Science,and the Cochrane Library was conducted on October 19,2023,without temporal restrictions.Studies were selected based on the predefined inclusion and exclusion criteria focusing on various forms of RMT,control groups,and outcome measures[including forced expiratory volume in the first second(FEV1),forced vital capacity(FVC),maximal voluntary ventilation(MVV),peak expiratory flow(PEF),maximal inspiratory pressure(MIP),maximal expiratory pressure(MEP),and 6-min walking test(6MWT)].Only randomized controlled trials(RCTs)were included.Data extraction and quality assessment were conducted independently by two reviewers using the Cochrane Collaboration's risk of bias tool.Statistical analyses,including those using the fixed-effect and random-effects models,sensitivity analysis,and publication bias assessment,were performed using Review Manager software.RESULTS A total of 15 RCTs were included.Results indicated significant improvements in MIP(12.51 cmH2O increase),MEP(6.24 cmH2O increase),and various pulmonary function parameters(including FEV1,FVC,MVV,and PEF).A substantial increase in 6MWT distance(22.26 meters)was also n

关 键 词：Respiratory muscle training Stroke rehabilitation Pulmonary function Exercise tolerance META-ANALYSIS 

分 类 号：R655.3[医药卫生—外科学]