Efficacy of Interventions to Improve Respiratory Function After Stroke

Respiratory Care
Kênia Kp MenezesLuci F Teixeira-Salmela

Abstract

The aim of this study was to systematically review all current interventions that have been utilized to improve respiratory function and activity after stroke. Specific searches were conducted. The experimental intervention had to be planned, structured, repetitive, purposive, and delivered with the aim of improving respiratory function. Outcomes included respiratory strength (maximum inspiratory pressure [PImax], maximum expiratory pressure [PEmax]) and endurance, lung function (FVC, FEV1, and peak expiratory flow [PEF]), dyspnea, and activity. The quality of the randomized trials was assessed by the PEDro scale using scores from the Physiotherapy Evidence Database (www.pedro.org.au), and risk of bias was assessed in accordance with the Cochrane Handbook for Systematic Reviews of Interventions. The 17 included trials had a mean PEDro score of 5.7 (range 4-8) and involved 616 participants. Meta-analyses showed that respiratory muscle training significantly improved all outcomes of interest: PImax (weighted mean difference 11 cm H2O, 95% CI 7-15, I2 = 0%), PEmax (8 cm H2O, 95% CI 2-15, I2 = 65%), FVC (0.25 L, 95% CI 0.12-0.37, I2 = 29%), FEV1 (0.24 L, 95% CI 0.17-0.30, I2 = 0%), PEF (0.51 L/s, 95% CI 0.10-0.92, I2 = 0%), dyspnea...Continue Reading

Citations

Jan 17, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Kênia Kiefer Parreiras de MenezesLuci Fuscaldi Teixeira-Salmela
Nov 6, 2018·American Journal of Physical Medicine & Rehabilitation·Ana Lista-PazLuz González Doniz
Dec 7, 2019·The Journal of Spinal Cord Medicine·Anthony F DiMarcoKrzysztof E Kowalski
Jul 30, 2020·International Journal of Environmental Research and Public Health·Diana P Pozuelo-CarrascosaAna Isabel Cobo-Cuenca
Dec 4, 2019·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Fabrizio RaccaGiuseppe Vita
Jan 21, 2021·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Agnieszka LewkoMaciej Krawczyk
Dec 29, 2020·Laryngoscope Investigative Otolaryngology·Robert J Arnold, Nina Bausek
Oct 24, 2021·Annals of Physical and Rehabilitation Medicine·Raúl Fabero-GarridoIbai López-de-Uralde-Villanueva

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