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Effects of inspiratory muscle training in COPD patients: A systematic review and meta‐analysis
Objectives In chronic obstructive pulmonary disease (COPD), quality of life and exercise capacity are altered in relationship to dyspnea. Benefits of inspiratory muscle training (IMT) on quality of life, dyspnea, and exercise capacity were demonstrated, but when it is associated to pulmonary rehabil...
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Published in: | The clinical respiratory journal 2018-07, Vol.12 (7), p.2178-2188 |
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creator | Beaumont, Marc Forget, Patrice Couturaud, Francis Reychler, Gregory |
description | Objectives
In chronic obstructive pulmonary disease (COPD), quality of life and exercise capacity are altered in relationship to dyspnea. Benefits of inspiratory muscle training (IMT) on quality of life, dyspnea, and exercise capacity were demonstrated, but when it is associated to pulmonary rehabilitation (PR), its efficacy on dyspnea is not demonstrated. The aim of this systematic review with meta‐analysis was to verify the effect of IMT using threshold devices in COPD patients on dyspnea, quality of life, exercise capacity, and inspiratory muscles strength, and the added effect on dyspnea of IMT associated with PR (vs. PR alone).
Study selection
This systematic review and meta‐analysis was conducted on the databases from PubMed, Science direct, Cochrane library, Web of science, and Pascal. Following key words were used: inspiratory, respiratory, ventilatory, muscle, and training. The searching period extended to December 2017. Two reviewers independently assessed studies quality.
Results
Forty‐three studies were included in the systematic review and thirty‐seven studies in the meta‐analysis. Overall treatment group consisted of six hundred forty two patients. Dyspnea (Baseline Dyspnea Index) is decreased after IMT. Quality of life (Saint George's Respiratory Questionnaire), exercise capacity (6 min walk test) and Maximal inspiratory pressure were increased after IMT. During PR, no added effect of IMT on dyspnea was found.
Conclusion
IMT using threshold devices improves inspiratory muscle strength, exercise capacity and quality of life, decreases dyspnea. However, there is no added effect of IMT on dyspnea during PR (compared with PR alone). |
doi_str_mv | 10.1111/crj.12905 |
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In chronic obstructive pulmonary disease (COPD), quality of life and exercise capacity are altered in relationship to dyspnea. Benefits of inspiratory muscle training (IMT) on quality of life, dyspnea, and exercise capacity were demonstrated, but when it is associated to pulmonary rehabilitation (PR), its efficacy on dyspnea is not demonstrated. The aim of this systematic review with meta‐analysis was to verify the effect of IMT using threshold devices in COPD patients on dyspnea, quality of life, exercise capacity, and inspiratory muscles strength, and the added effect on dyspnea of IMT associated with PR (vs. PR alone).
Study selection
This systematic review and meta‐analysis was conducted on the databases from PubMed, Science direct, Cochrane library, Web of science, and Pascal. Following key words were used: inspiratory, respiratory, ventilatory, muscle, and training. The searching period extended to December 2017. Two reviewers independently assessed studies quality.
Results
Forty‐three studies were included in the systematic review and thirty‐seven studies in the meta‐analysis. Overall treatment group consisted of six hundred forty two patients. Dyspnea (Baseline Dyspnea Index) is decreased after IMT. Quality of life (Saint George's Respiratory Questionnaire), exercise capacity (6 min walk test) and Maximal inspiratory pressure were increased after IMT. During PR, no added effect of IMT on dyspnea was found.
Conclusion
IMT using threshold devices improves inspiratory muscle strength, exercise capacity and quality of life, decreases dyspnea. However, there is no added effect of IMT on dyspnea during PR (compared with PR alone).</description><identifier>ISSN: 1752-6981</identifier><identifier>EISSN: 1752-699X</identifier><identifier>DOI: 10.1111/crj.12905</identifier><identifier>PMID: 29665262</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>breathing exercises ; Breathing Exercises - instrumentation ; Breathing Exercises - methods ; chronic obstructive ; Chronic obstructive pulmonary disease ; Dyspnea ; Dyspnea - physiopathology ; Dyspnea - therapy ; exercise tolerance ; Female ; Humans ; Male ; Meta-analysis ; physical exercises ; pulmonary disease ; Pulmonary Disease, Chronic Obstructive - radiotherapy ; Pulmonary Disease, Chronic Obstructive - therapy ; Quality of Life ; resistance training ; Respiratory Muscles - physiopathology ; Systematic review ; Walk Test</subject><ispartof>The clinical respiratory journal, 2018-07, Vol.12 (7), p.2178-2188</ispartof><rights>2018 John Wiley & Sons Ltd</rights><rights>2018 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4545-4007fdfdcb11c66f89eedea384d108f4f498b158776ec46d05fb27dcb4feea103</citedby><cites>FETCH-LOGICAL-c4545-4007fdfdcb11c66f89eedea384d108f4f498b158776ec46d05fb27dcb4feea103</cites><orcidid>0000-0003-2354-349X ; 0000-0002-7674-1150</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcrj.12905$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcrj.12905$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,11562,27924,27925,46052,46476</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fcrj.12905$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29665262$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beaumont, Marc</creatorcontrib><creatorcontrib>Forget, Patrice</creatorcontrib><creatorcontrib>Couturaud, Francis</creatorcontrib><creatorcontrib>Reychler, Gregory</creatorcontrib><title>Effects of inspiratory muscle training in COPD patients: A systematic review and meta‐analysis</title><title>The clinical respiratory journal</title><addtitle>Clin Respir J</addtitle><description>Objectives
In chronic obstructive pulmonary disease (COPD), quality of life and exercise capacity are altered in relationship to dyspnea. Benefits of inspiratory muscle training (IMT) on quality of life, dyspnea, and exercise capacity were demonstrated, but when it is associated to pulmonary rehabilitation (PR), its efficacy on dyspnea is not demonstrated. The aim of this systematic review with meta‐analysis was to verify the effect of IMT using threshold devices in COPD patients on dyspnea, quality of life, exercise capacity, and inspiratory muscles strength, and the added effect on dyspnea of IMT associated with PR (vs. PR alone).
Study selection
This systematic review and meta‐analysis was conducted on the databases from PubMed, Science direct, Cochrane library, Web of science, and Pascal. Following key words were used: inspiratory, respiratory, ventilatory, muscle, and training. The searching period extended to December 2017. Two reviewers independently assessed studies quality.
Results
Forty‐three studies were included in the systematic review and thirty‐seven studies in the meta‐analysis. Overall treatment group consisted of six hundred forty two patients. Dyspnea (Baseline Dyspnea Index) is decreased after IMT. Quality of life (Saint George's Respiratory Questionnaire), exercise capacity (6 min walk test) and Maximal inspiratory pressure were increased after IMT. During PR, no added effect of IMT on dyspnea was found.
Conclusion
IMT using threshold devices improves inspiratory muscle strength, exercise capacity and quality of life, decreases dyspnea. However, there is no added effect of IMT on dyspnea during PR (compared with PR alone).</description><subject>breathing exercises</subject><subject>Breathing Exercises - instrumentation</subject><subject>Breathing Exercises - methods</subject><subject>chronic obstructive</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Dyspnea</subject><subject>Dyspnea - physiopathology</subject><subject>Dyspnea - therapy</subject><subject>exercise tolerance</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Meta-analysis</subject><subject>physical exercises</subject><subject>pulmonary disease</subject><subject>Pulmonary Disease, Chronic Obstructive - radiotherapy</subject><subject>Pulmonary Disease, Chronic Obstructive - therapy</subject><subject>Quality of Life</subject><subject>resistance training</subject><subject>Respiratory Muscles - physiopathology</subject><subject>Systematic review</subject><subject>Walk Test</subject><issn>1752-6981</issn><issn>1752-699X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kM1KAzEQx4MotlYPvoAEvOihmqRJdtdbqd8UKqLgbU2zE0nZj5rsWvbmI_iMPonR1h4E5zLDzI8_ww-hfUpOaKhT7WYnlCVEbKAujQTryyR52lzPMe2gHe9nhIg4Goht1GGJlIJJ1kXPF8aArj2uDLaln1un6sq1uGi8zgHXTtnSli_hhkeTu3M8V7WFsvZneIh962sowkJjB28WFliVGS6gVp_vH6pUeeut30VbRuUe9la9hx4vLx5G1_3x5OpmNBz3NRdc9DkhkclMpqeUailNnABkoAYxzyiJDTc8iac0_B9J0FxmRJgpiwLODYCiZNBDR8vcuateG_B1WlivIc9VCVXjU0ZYRGTMg4EeOvyDzqrGhX-_qZiIREQsCdTxktKu8t6BSefOFsq1KSXpt_Y0aE9_tAf2YJXYTAvI1uSv5wCcLoGFzaH9Pykd3d8uI78A7eCNjw</recordid><startdate>201807</startdate><enddate>201807</enddate><creator>Beaumont, Marc</creator><creator>Forget, Patrice</creator><creator>Couturaud, Francis</creator><creator>Reychler, Gregory</creator><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2354-349X</orcidid><orcidid>https://orcid.org/0000-0002-7674-1150</orcidid></search><sort><creationdate>201807</creationdate><title>Effects of inspiratory muscle training in COPD patients: A systematic review and meta‐analysis</title><author>Beaumont, Marc ; Forget, Patrice ; Couturaud, Francis ; Reychler, Gregory</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4545-4007fdfdcb11c66f89eedea384d108f4f498b158776ec46d05fb27dcb4feea103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>breathing exercises</topic><topic>Breathing Exercises - instrumentation</topic><topic>Breathing Exercises - methods</topic><topic>chronic obstructive</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Dyspnea</topic><topic>Dyspnea - physiopathology</topic><topic>Dyspnea - therapy</topic><topic>exercise tolerance</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Meta-analysis</topic><topic>physical exercises</topic><topic>pulmonary disease</topic><topic>Pulmonary Disease, Chronic Obstructive - radiotherapy</topic><topic>Pulmonary Disease, Chronic Obstructive - therapy</topic><topic>Quality of Life</topic><topic>resistance training</topic><topic>Respiratory Muscles - physiopathology</topic><topic>Systematic review</topic><topic>Walk Test</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beaumont, Marc</creatorcontrib><creatorcontrib>Forget, Patrice</creatorcontrib><creatorcontrib>Couturaud, Francis</creatorcontrib><creatorcontrib>Reychler, Gregory</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The clinical respiratory journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Beaumont, Marc</au><au>Forget, Patrice</au><au>Couturaud, Francis</au><au>Reychler, Gregory</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of inspiratory muscle training in COPD patients: A systematic review and meta‐analysis</atitle><jtitle>The clinical respiratory journal</jtitle><addtitle>Clin Respir J</addtitle><date>2018-07</date><risdate>2018</risdate><volume>12</volume><issue>7</issue><spage>2178</spage><epage>2188</epage><pages>2178-2188</pages><issn>1752-6981</issn><eissn>1752-699X</eissn><abstract>Objectives
In chronic obstructive pulmonary disease (COPD), quality of life and exercise capacity are altered in relationship to dyspnea. Benefits of inspiratory muscle training (IMT) on quality of life, dyspnea, and exercise capacity were demonstrated, but when it is associated to pulmonary rehabilitation (PR), its efficacy on dyspnea is not demonstrated. The aim of this systematic review with meta‐analysis was to verify the effect of IMT using threshold devices in COPD patients on dyspnea, quality of life, exercise capacity, and inspiratory muscles strength, and the added effect on dyspnea of IMT associated with PR (vs. PR alone).
Study selection
This systematic review and meta‐analysis was conducted on the databases from PubMed, Science direct, Cochrane library, Web of science, and Pascal. Following key words were used: inspiratory, respiratory, ventilatory, muscle, and training. The searching period extended to December 2017. Two reviewers independently assessed studies quality.
Results
Forty‐three studies were included in the systematic review and thirty‐seven studies in the meta‐analysis. Overall treatment group consisted of six hundred forty two patients. Dyspnea (Baseline Dyspnea Index) is decreased after IMT. Quality of life (Saint George's Respiratory Questionnaire), exercise capacity (6 min walk test) and Maximal inspiratory pressure were increased after IMT. During PR, no added effect of IMT on dyspnea was found.
Conclusion
IMT using threshold devices improves inspiratory muscle strength, exercise capacity and quality of life, decreases dyspnea. However, there is no added effect of IMT on dyspnea during PR (compared with PR alone).</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>29665262</pmid><doi>10.1111/crj.12905</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-2354-349X</orcidid><orcidid>https://orcid.org/0000-0002-7674-1150</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | breathing exercises Breathing Exercises - instrumentation Breathing Exercises - methods chronic obstructive Chronic obstructive pulmonary disease Dyspnea Dyspnea - physiopathology Dyspnea - therapy exercise tolerance Female Humans Male Meta-analysis physical exercises pulmonary disease Pulmonary Disease, Chronic Obstructive - radiotherapy Pulmonary Disease, Chronic Obstructive - therapy Quality of Life resistance training Respiratory Muscles - physiopathology Systematic review Walk Test |
title | Effects of inspiratory muscle training in COPD patients: A systematic review and meta‐analysis |
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