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작성일 2017-08-16 조회수 159
파일첨부 Inspiratory muscle training for children and adolescents with.pdf
제목
(PB)Inspiratory muscle training for children and adolescents with
Patients with neuromuscular diseases are at risk of morbidity and mortality due to respiratory compromise caused by respiratory muscle
weakness. A systematic review was performed using pre-specified search strategies to determine the safety of inspiratory muscle training (IMT)
and whether it has an impact on inspiratory muscle strength and endurance, exercise capacity, pulmonary function, dyspnoea and health-related
quality of life. Randomised, quasi-randomised, cross-over and clinical controlled trials were included if they assessed the use of an external IMT
device compared to no, sham/placebo, or alternative IMT treatment in children aged 5?18 years with neuromuscular diseases. Seven full-text
articles and two on-going trials (n = 168) were included. Most studies used threshold IMT devices over a medium to long-term period, and none
reported any adverse events. Studies differed regarding intensity, repetitions, frequency, rest intervals and duration of IMT. Six studies reported no
significant improvement in pulmonary function tests following IMT. Two comparable studies reported significant improvement in inspiratory
muscle endurance and four studies reported significantly greater improvement in inspiratory muscle strength in experimental groups. The latter was
confirmed in a meta-analysis of two comparable studies (overall effect p < 0.00001). Other outcome measures could not be pooled. There is
currently insufficient evidence to guide clinical IMT practice, owing to the limited number of included studies; small sample sizes; data
heterogeneity; and risk of bias amongst included studies. Large sample randomised controlled trials are needed to determine safety and efficacy
of IMT in paediatric and adolescent patients with neuromuscular diseases.
이전글 (wellengang, balance-trainer)전신 진동을 결합한 생체되먹임 자세조절 훈련이 급성기 뇌졸중 환자의 자세정렬과 다리 근활성도 및 대뇌겉질 활성화에 미치는 영향
다음글 [PrimusRS]Effects of strength and neuromuscular training