Sheraz Suman, Ferraro Francesco Vincenzo, Siddiqui Furqan Ahmed, Tariq Hina, Anthony Faghy Mark, Malik Arshad Nawaz
Faculty of Rehabilitation & Allied Health Sciences, Riphah International University, Islamabad, Pakistan.
Biomedical and Clinical Research Theme, School of Human Sciences, University of Derby, Derby, UK.
Postgrad Med. 2023 Sep;135(7):690-700. doi: 10.1080/00325481.2023.2253136. Epub 2023 Sep 6.
Inspiratory muscle training (IMT) has been widely used in both healthy and diseased populations especially in older adults, and its effects have been proven not only on inspiratory muscle strength but also on dyspnea, exercise capacity, quality of life, and other health parameters.
This study aims to review the effects of IMT on balance and functional ability of healthy and diseased populations.
A systematic literature search was conducted on MEDLINE, EMBASE, AMED, and Cochrane Central Register of Controlled Trials (CENTRAL). Randomized control trials having participants > 18 years of age and having balance and functional mobility as primary or secondary outcomes were included. Two independent reviewers screened studies against the eligibility criteria, extracted the data, and assessed the quality of evidence. The protocol was prospectively registered on PROSPERO: CRD42021261652.
Ten studies were included in the review out of which eight had balance and six had functional mobility as an outcome measure. There was a significant improvement in balance of the participants after treatment with IMT, however the effect on functional mobility was inconclusive.
The review provided evidence of improvement in balance and functional mobility following inspiratory muscle training in both healthy and diseased adults. Future studies should be conducted to determine the optimal protocol and dosage of treatment.
吸气肌训练（IMT）已广泛应用于健康人群和患病群体，尤其是老年人，其效果不仅体现在吸气肌力量方面，还体现在呼吸困难、运动能力、生活质量及其他健康参数上。
本研究旨在综述吸气肌训练对健康人群和患病群体平衡能力及功能的影响。
在MEDLINE、EMBASE、AMED和Cochrane对照试验中央注册库（CENTRAL）上进行了系统的文献检索。纳入年龄大于18岁、以平衡和功能移动性作为主要或次要结局的随机对照试验。两名独立的评审员根据纳入标准筛选研究、提取数据并评估证据质量。该方案已在PROSPERO上进行前瞻性注册：CRD42021261652。
本综述纳入了10项研究，其中8项以平衡为结局指标，6项以功能移动性为结局指标。吸气肌训练治疗后参与者的平衡能力有显著改善，然而对功能移动性的影响尚无定论。
本综述提供了证据，表明吸气肌训练可改善健康和患病成年人的平衡能力及功能移动性。未来应开展研究以确定最佳治疗方案和剂量。
