Van Houtte Siska, Vanlandewijck Yves, Gosselink Rik
Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Tervuursevest 101, 3001 Leuven, Belgium.
Respir Med. 2006 Nov;100(11):1886-95. doi: 10.1016/j.rmed.2006.02.029. Epub 2006 Apr 12.
The purpose of this paper was to review the effectiveness of respiratory muscle training (RMT) on respiratory muscle strength and endurance, pulmonary function, quality of life, respiratory complications and exercise performance in persons with spinal cord injury. A MEDLINE (National Library of Medicine, Bethesda, MD, USA) database was used for selection of the literature (from 1980 to November 2004), and relevant references from peer-reviewed articles were retrieved as well. Studies investigating the effects of RMT (i.e. resistive breathing weight lifting or normocapnic hyperpnea) in persons with spinal cord injury were selected. Two independent reviewers investigated controlled studies for methodological quality by using a modification of the framework for methodological quality. Methodological quality ranged between 15 and 29 (maximal feasible score=40). Twenty-three papers were retrieved and six controlled trials were kept for further analysis. A meta-analysis and calculation of effect-size of each individual study and weighted summary effect-size was intended. However, unreported data and heterogeneity in outcome variables did not allow performing a meta-analysis. From the systematic review it is concluded that RMT tended to improve expiratory muscle strength, vital capacity and residual volume. Insufficient data was available to make conclusions concerning the effects on inspiratory muscle strength, respiratory muscle endurance, quality of life, exercise performance and respiratory complications.
本文旨在综述呼吸肌训练（RMT）对脊髓损伤患者呼吸肌力量与耐力、肺功能、生活质量、呼吸并发症及运动表现的有效性。使用MEDLINE（美国国立医学图书馆，马里兰州贝塞斯达）数据库筛选文献（1980年至2004年11月），并检索同行评审文章中的相关参考文献。选取了调查RMT（即阻力呼吸举重或等碳酸血症性深呼吸）对脊髓损伤患者影响的研究。两名独立评审员通过对方法学质量框架进行修改，调查对照研究的方法学质量。方法学质量在15至29分之间（最大可行分数=40分）。检索到23篇论文，保留6项对照试验进行进一步分析。本研究旨在进行荟萃分析，并计算每项个体研究的效应量及加权汇总效应量。然而，未报告的数据和结果变量的异质性使得无法进行荟萃分析。从系统评价得出的结论是，RMT倾向于改善呼气肌力量、肺活量和残气量。关于对吸气肌力量、呼吸肌耐力、生活质量、运动表现和呼吸并发症的影响，现有数据不足，无法得出结论。
