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吸气肌训练对脊髓损伤患者生活质量的影响:系统评价和荟萃分析。

Inspiratory muscle training on quality of life in individuals with spinal cord injury: A systematic review and meta-analysis.

机构信息

Science and Technology in Health Program (PPGCTS), University of Brasília, Brasília, Brazil.

Rehabilitation Sciences Graduate Program (PPGCR), University of Brasília, Brasília, Brasil.

出版信息

Spinal Cord. 2023 Jul;61(7):359-367. doi: 10.1038/s41393-023-00906-1. Epub 2023 Jul 1.


DOI:10.1038/s41393-023-00906-1
PMID:37393409
Abstract

STUDY DESIGN: Systematic review and meta-analysis. OBJECTIVES: The objective was to summarize the effectiveness of Inspiratory Muscle Training (IMT) on the quality of life in individuals with Spinal Cord Injury (SCI). METHODS: An online systematic literature search was conducted in the following databases: PubMed/MEDLINE, PubMed CENTRAL, EMBASE, ISI Web of Science, SciELO, CINAHL/SPORTDiscus, and PsycINFO. Randomized and non-randomized clinical studies investigating the effectiveness of IMT in quality of life were included in the present study. The results used the mean difference and 95% confidence interval for maximal inspiratory pressure (MIP), forced expiratory volume in 1 s (FEV), maximal expiratory pressure (MEP), and the standardized mean differences for the quality of life and maximum ventilation volume. RESULTS: The search found 232 papers, and after the screening, four studies met the inclusion criteria and were included in the meta-analytical procedures (n = 150 participants). No changes were demonstrated in the quality of life domains (general health, physical function, mental health, vitality, social function, emotional problem, and pain) after IMT. The IMT provided a considerable effect over the MIP but not on FEV and MEP. Conversely, it was not able to provide changes in any of the quality of life domains. None of the included studies evaluated the IMT effects on the expiratory muscle maximal expiratory pressure. CONCLUSION: Evidence from studies shows that inspiratory muscle training improves the MIP; however, this effect does not seem to translate to any change in the quality of life or respiratory function outcomes in individuals with SCI.

摘要

研究设计:系统评价和荟萃分析。 目的:总结吸气肌训练(IMT)对脊髓损伤(SCI)患者生活质量的有效性。 方法:在以下数据库中进行了在线系统文献检索:PubMed/MEDLINE、PubMed 中心、EMBASE、ISI Web of Science、SciELO、CINAHL/SPORTDiscus 和 PsycINFO。本研究纳入了调查 IMT 对生活质量有效性的随机和非随机临床试验。结果使用均数差值和 95%置信区间表示最大吸气压力(MIP)、1 秒用力呼气量(FEV)、最大呼气压力(MEP),以及生活质量和最大通气量的标准化均数差值。 结果:搜索共找到 232 篇论文,经过筛选,有 4 项研究符合纳入标准并纳入荟萃分析程序(n=150 名参与者)。IMT 后生活质量各领域(一般健康、身体机能、心理健康、活力、社会功能、情绪问题和疼痛)没有变化。IMT 对 MIP 有显著影响,但对 FEV 和 MEP 没有影响。相反,它也不能改变任何生活质量领域的情况。纳入的研究均未评估 IMT 对呼气肌最大呼气压力的影响。 结论:研究证据表明,吸气肌训练可改善 MIP;然而,这种效果似乎不会转化为 SCI 患者生活质量或呼吸功能的任何变化。

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引用本文的文献

[1]
Ultrasound monitoring respiratory muscle rehabilitation training can promote the recovery of diaphragmatic function in traumatic spinal cord injury (TSCI) patients.

Eur J Med Res. 2025-8-11

[2]
The Effects of Inspiratory Muscle Training in Individuals With Cervical Spinal Cord Injuries: A Systematic Review and Meta-Analysis.

Ann Rehabil Med. 2025-6

[3]
Breathless Strength: Ultrasonographic Insights into Expiratory Muscle Dysfunction in Spinal Cord Injury.

Medicina (Kaunas). 2025-5-15

本文引用的文献

[1]
Psychosocial Consequences of Spinal Cord Injury: A Narrative Review.

J Pers Med. 2022-7-20

[2]
Impact of respiratory muscle training on respiratory muscle strength, respiratory function and quality of life in individuals with tetraplegia: a randomised clinical trial.

Thorax. 2020-1-14

[3]
Quality of Life in Patients with Spinal Cord Injury Attending Selected Rehabilitation Centers of Nepal.

J Nepal Health Res Counc. 2019-11-13

[4]
Respiratory muscle training in individuals with spinal cord injury: effect of training intensity and -volume on improvements in respiratory muscle strength.

Spinal Cord. 2019-1-30

[5]
Home-Based Exercise Enhances Health-Related Quality of Life in Persons With Spinal Cord Injury: A Randomized Controlled Trial.

Arch Phys Med Rehabil. 2018-6-11

[6]
Effect of inspiratory muscle training (IMT) on aerobic capacity, respiratory muscle strength and rate of perceived exertion in paraplegics.

J Spinal Cord Med. 2020-1

[7]
Resistive inspiratory muscle training in people with spinal cord injury during inpatient rehabilitation: a randomized controlled trial.

Phys Ther. 2014-12

[8]
Effects of concurrent respiratory resistance training on health-related quality of life in wheelchair rugby athletes: a pilot study.

Top Spinal Cord Inj Rehabil. 2012

[9]
Comparison of respiratory muscle training methods in individuals with motor and sensory complete tetraplegia: a randomized controlled trial.

J Rehabil Med. 2013-3

[10]
Fatigue and tiredness in people with spinal cord injury.

J Psychosom Res. 2012-7-25

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