Inspiratory muscle training on quality of life in individuals with spinal cord injury: A systematic review and meta-analysis.

Autor: de Araújo Morais L; Science and Technology in Health Program (PPGCTS), University of Brasília, Brasília, Brazil. leticiadearaujo@hotmail.com., Cipriano G Jr; Science and Technology in Health Program (PPGCTS), University of Brasília, Brasília, Brazil.; Rehabilitation Sciences Graduate Program (PPGCR), University of Brasília, Brasília, Brasil.; Graduate Program in Human Movement and Rehabilitation of Evangelical (PPGMHR), UniEVANGÉLICA, Anápolis, Brazil., Martins WR; Rehabilitation Sciences Graduate Program (PPGCR), University of Brasília, Brasília, Brasil., Chiappa GR; Graduate Program in Human Movement and Rehabilitation of Evangelical (PPGMHR), UniEVANGÉLICA, Anápolis, Brazil., Formiga MF; Master's Program in Physical Therapy and Functioning, Department of Physical Therapy, School of Medicine, Federal University of Ceará, Fortaleza, Brazil., Cipriano GFB; Science and Technology in Health Program (PPGCTS), University of Brasília, Brasília, Brazil.; Rehabilitation Sciences Graduate Program (PPGCR), University of Brasília, Brasília, Brasil.
Jazyk: angličtina
Zdroj: Spinal cord [Spinal Cord] 2023 Jul; Vol. 61 (7), pp. 359-367. Date of Electronic Publication: 2023 Jul 01.
DOI: 10.1038/s41393-023-00906-1
Abstrakt: Study Design: Systematic review and meta-analysis.
Objectives: The objective was to summarize the effectiveness of Inspiratory Muscle Training (IMT) on the quality of life in individuals with Spinal Cord Injury (SCI).
Methods: An online systematic literature search was conducted in the following databases: PubMed/MEDLINE, PubMed CENTRAL, EMBASE, ISI Web of Science, SciELO, CINAHL/SPORTDiscus, and PsycINFO. Randomized and non-randomized clinical studies investigating the effectiveness of IMT in quality of life were included in the present study. The results used the mean difference and 95% confidence interval for maximal inspiratory pressure (MIP), forced expiratory volume in 1 s (FEV 1 ), maximal expiratory pressure (MEP), and the standardized mean differences for the quality of life and maximum ventilation volume.
Results: The search found 232 papers, and after the screening, four studies met the inclusion criteria and were included in the meta-analytical procedures (n = 150 participants). No changes were demonstrated in the quality of life domains (general health, physical function, mental health, vitality, social function, emotional problem, and pain) after IMT. The IMT provided a considerable effect over the MIP but not on FEV 1 and MEP. Conversely, it was not able to provide changes in any of the quality of life domains. None of the included studies evaluated the IMT effects on the expiratory muscle maximal expiratory pressure.
Conclusion: Evidence from studies shows that inspiratory muscle training improves the MIP; however, this effect does not seem to translate to any change in the quality of life or respiratory function outcomes in individuals with SCI.
(© 2023. The Author(s), under exclusive licence to International Spinal Cord Society.)
Databáze: MEDLINE
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