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神经肌肉疾病呼吸肌训练的未来方向:范围综述。

Future Directions for Respiratory Muscle Training in Neuromuscular Disorders: A Scoping Review.

机构信息

Department of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands,

KU Leuven, Department of Rehabilitation Sciences, Research Group for Rehabilitation in Internal Disorders, Leuven, Belgium.

出版信息

Respiration. 2024;103(10):601-621. doi: 10.1159/000539726. Epub 2024 Jun 10.


DOI:10.1159/000539726
PMID:38857581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11446296/
Abstract

BACKGROUND: Respiratory muscle training (RMT) aims to improve inspiratory and/or expiratory muscle function in neuromuscular disorders (NMDs). A comprehensive overview of the available literature is lacking. This scoping review explores methodological characteristics, (adverse) effects, and adherence of RMT studies in NMDs. Moreover, it identifies limitations and research gaps in the literature and provides future research directions. SUMMARY: Eligible studies were identified using MEDLINE, Embase, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials databases. Three reviewers independently selected articles. Inclusion criteria were English language, original research articles on RMT using a device, patients with an NMD, and pulmonary function tests or respiratory muscle strength as outcome measures. We included NMDs with slow, intermediate and fast progression. Exclusion criteria were critically ill patients, weaning from mechanical ventilation, other neurological disorders, and RMT combined with non-respiratory interventions. One reviewer extracted the data on patients' characteristics, methodological characteristics, results of outcome measures, adverse events, and patient adherence. Forty-five studies were identified. We found a large diversity in study designs and training protocols. The effects of RMT on respiratory muscle strength and/or endurance are variable. Patient adherence was high and no serious adverse events were reported. KEY MESSAGES: The diversity in studies across the available literature precludes definitive conclusions regarding the effects of RMT on respiratory muscle function and clinically relevant outcomes in NMDs. Therefore, well-powered and -designed studies that focus on clinically relevant outcomes and assess whether RMT can improve or offset deterioration of respiratory muscle weakness in NMDs are needed.

摘要

背景:呼吸肌训练(RMT)旨在改善神经肌肉疾病(NMD)中的吸气和/或呼气肌功能。目前缺乏对可用文献的全面综述。本范围综述探讨了 NMD 中 RMT 研究的方法学特征、(不良)影响和依从性。此外,它还确定了文献中的局限性和研究空白,并提供了未来的研究方向。

摘要:使用 MEDLINE、Embase、Cochrane 系统评价数据库和 Cochrane 对照试验中心注册数据库确定了合格的研究。三名审查员独立选择文章。纳入标准为使用设备的 RMT 的英文原始研究文章、NMD 患者以及肺功能测试或呼吸肌力量作为结局测量。我们纳入了进展缓慢、进展中等和进展迅速的 NMD。排除标准为危重症患者、从机械通气中脱机、其他神经疾病以及 RMT 与非呼吸干预相结合。一名审查员提取了患者特征、方法学特征、结局测量结果、不良事件和患者依从性的数据。确定了 45 项研究。我们发现研究设计和培训方案存在很大差异。RMT 对呼吸肌力量和/或耐力的影响是可变的。患者依从性高,未报告严重不良事件。

关键信息:现有文献中的研究多样性使得无法确定 RMT 对 NMD 中呼吸肌功能和临床相关结局的影响。因此,需要进行有足够效力和设计的研究,重点关注临床相关结局,并评估 RMT 是否可以改善或抵消 NMD 中呼吸肌无力的恶化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/11446296/9f18b9d2feed/res-2024-0103-0010-539726_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/11446296/9f18b9d2feed/res-2024-0103-0010-539726_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/11446296/9f18b9d2feed/res-2024-0103-0010-539726_F01.jpg

相似文献

[1]
Future Directions for Respiratory Muscle Training in Neuromuscular Disorders: A Scoping Review.

Respiration. 2024

[2]
Respiratory muscle training in children and adults with neuromuscular disease.

Cochrane Database Syst Rev. 2019-9-5

[3]
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Cochrane Database Syst Rev. 2013-7-23

[4]
Does respiratory muscle training improve respiratory function compared to sham training, no training, standard treatment or breathing exercises in children and adults with neuromuscular disease? A Cochrane Review summary with commentary.

NeuroRehabilitation. 2021

[5]
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[6]
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Cochrane Database Syst Rev. 2017-12-21

[7]
The RESISTANT study (Respiratory Muscle Training in Patients with Spinal Muscular Atrophy): study protocol for a randomized controlled trial.

BMC Neurol. 2023-3-23

[8]
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J Bras Pneumol. 2014

[9]
Effects of respiratory muscle training on performance in athletes: a systematic review with meta-analyses.

J Strength Cond Res. 2013-6

[10]
Respiratory muscle training in athletes with cervical spinal cord injury: effects on cardiopulmonary function and exercise capacity.

J Physiol. 2019-6-11

引用本文的文献

[1]
Inspiratory muscle training and aerobic exercise for respiratory muscle strength in myasthenia gravis post-hospitalization- a randomized controlled trial.

BMC Pulm Med. 2025-5-27

[2]
Respiratory muscle dysfunction in acute and chronic respiratory failure: how to diagnose and how to treat?

Eur Respir Rev. 2024-12-4

本文引用的文献

[1]
Inspiratory Muscle Training in Nemaline Myopathy.

J Neuromuscul Dis. 2023

[2]
Safety and efficacy of zilucoplan in patients with generalised myasthenia gravis (RAISE): a randomised, double-blind, placebo-controlled, phase 3 study.

Lancet Neurol. 2023-5

[3]
Respiratory muscle training in neuromuscular disease: a systematic review and meta-analysis.

Eur Respir Rev. 2022-12-31

[4]
POWERbreathe Inspiratory Muscle Training in Amyotrophic Lateral Sclerosis.

J Clin Med. 2022-11-9

[5]
Inspiratory muscle training in children and adolescents living with neuromuscular diseases: A pre-experimental study.

S Afr J Physiother. 2021-8-31

[6]
Effects of respiratory muscle training on cough function in neurological disorders: A systematic review with meta-analysis.

NeuroRehabilitation. 2021

[7]
Phase 1 clinical trial of losmapimod in facioscapulohumeral dystrophy: Safety, tolerability, pharmacokinetics, and target engagement.

Br J Clin Pharmacol. 2021-12

[8]
Cough augmentation techniques for people with chronic neuromuscular disorders.

Cochrane Database Syst Rev. 2021-4-22

[9]
Training Specificity of Inspiratory Muscle Training Methods: A Randomized Trial.

Front Physiol. 2020-12-3

[10]
Respiratory muscle training in late-onset Pompe disease: Results of a sham-controlled clinical trial.

Neuromuscul Disord. 2020-11

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