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작성일 2017-06-07 조회수 373
파일첨부 Inspiratory muscle training improves respiratory muscle strength, functional capacity and quality of life in patients with chronic kidney disease a systematic review.pdf
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(PB) Inspiratory muscle training improves respiratory muscle strength, functional capacity and qual
Question: Does inspiratory muscle training improve respiratory muscle strength, functional capacity,  lung function and quality of life of patients with chronic kidney disease? Does inspiratory muscle training  imp rove these outcomes more than breathing exercises? Design: Systematic review and meta-analysis of  ran domised trials. Participants: People with chronic kidney disease undergoing dialysis treatment.  Outcome measures: The primary outcomes were: maximal inspiratory pressure, maximal expiratory  pressure, and distance covered on the 6-minute walk test. The secondary outcomes were: forced vital  capacity, forced e xpiratory volume in the ?rst second (FEV1), and quality of life. Results: The search  identi?ed four eligible studies. The sample consisted of 110 participants. The inspiratory muscle training  used a Threshold1 or P owerBreathe1 device, with a load ranging from 30 to 60% of the maximal  inspiratory pressure and lasting from 6 weeks to 6 months. The studies showed moderate to high risk of  bias, and the quality of the evide nce was rated low or very low, due to the studies’ methodological  limitations. The meta-analysis showed that inspiratory muscle training signi?cantly improved maximal  inspiratory pressure (MD 23 cmH2O, 95% CI 16 to 29) and the 6-minute walk test distance (MD 80 m, 95% CI 41 to 119) when compared with controls. Signi?cant bene?ts in lung function and quality of life were  also identi?ed. When compared to breathing exercises, signi?cant bene?ts were identi?ed in maximal  expiratory pressure (MD 6 cmH2O, 95% CI 2 to 10) and FEV1 (MD 0.24 litres 95% CI 0.14 to 0.34), but not  maximal inspiratory pressure or forced vital capacity. Conclusion: In patients with chronic renal failure  on dialysis, inspiratory muscle training with a ?xed load signi?cantly improves respiratory muscle  stre ngth, functional capacity, lung function and quality of life. The evidence for these bene?ts may be  in?u enced by some sources of bias. Registration: PROSPERO (CRD 42015029986). [de Medeiros AIC,  Fuzari HKB, Rattesa C, Brand?o DC, de Melo Marinho P? (2017) Inspiratory muscle training improves  respir atory muscle strength, functional capacity and quality of life in patients with chronic kidney  disea se: a systematic review. Journal of Physiotherapy XX: XX-XX]
이전글 (Eccentron) Eccentric contractions require unique activation
다음글 (PB) Effect of inspiratory muscle training on respiratory capacity and walking ability with subacut