RT Journal Article
SR Electronic
T1 Systematic Review of Inspiratory Muscle Training After Cerebrovascular Accident
JF Respiratory Care
FD American Association for Respiratory Care
SP 1652
OP 1659
DO 10.4187/respcare.03981
VO 60
IS 11
A1 Rocío Martín-Valero
A1 Maria De La Casa Almeida
A1 Maria Jesus Casuso-Holgado
A1 Alfonso Heredia-Madrazo
YR 2015
UL http://rc.rcjournal.com/content/60/11/1652.abstract
AB This systematic review examines levels of evidence and recommendation grades of various therapeutic interventions of inspiratory muscle training in people who have had a stroke. Benefits from different levels of force and resistance in respiratory muscles are shown in this population. This review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) directives and was completed in November 2014. The search limits were studies published in English between 2004 and 2014. Relevant studies were searched for in MEDLINE, PEDro, OAIster, Scopus, PsycINFO, Web of Knowledge, CINAHL, SPORTDiscus, DOAJ, Cochrane, Embase, Academic Search Complete, Fuente Académica, and MedicLatina. Initially, 20 articles were identified. After analyzing all primary documents, 14 studies were excluded. Only 6 studies were relevant to this review. Three different types of interventions were found (maximum inspiratory training, controlled training, and nonintervention) in 3 different groups. One specific study compared 3 inspiratory muscle training groups with a group of breathing exercises (diaphragmatic exercises with pursed lips) and a control group. Future long-term studies with larger sample sizes are needed. It is necessary to apply respiratory muscle training as a service of the national health system and to consider its inclusion in the conventional neurological program.