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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/46498
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dc.creatorKênia Kiefer Parreiras de Menezespt_BR
dc.creatorLucas Rodrigues Nascimentopt_BR
dc.creatorPatrick Roberto Avelinopt_BR
dc.creatorMaria Tereza Mota Alvarengapt_BR
dc.creatorLuci Fuscaldi Teixeira-Salmelapt_BR
dc.date.accessioned2022-10-21T18:08:26Z-
dc.date.available2022-10-21T18:08:26Z-
dc.date.issued2018-
dc.citation.volume63pt_BR
dc.citation.issue7pt_BR
dc.citation.spage920pt_BR
dc.citation.epage933pt_BR
dc.identifier.doihttps://doi.org/10.4187/respcare.06000pt_BR
dc.identifier.issn1943-3654pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/46498-
dc.description.resumoBACKGROUND: The aim of this study was to systematically review all current interventions that have been utilized to improve respiratory function and activity after stroke. METHODS: Specific searches were conducted. The experimental intervention had to be planned, structured, repetitive, purposive, and delivered with the aim of improving respiratory function. Outcomes included respiratory strength (maximum inspiratory pressure [PImax], maximum expiratory pressure [PEmax]) and endurance, lung function (FVC, FEV1, and peak expiratory flow [PEF]), dyspnea, and activity. The quality of the randomized trials was assessed by the PEDro scale using scores from the Physiotherapy Evidence Database (www.pedro.org.au), and risk of bias was assessed in accordance with the Cochrane Handbook for Systematic Reviews of Interventions. RESULTS: The 17 included trials had a mean PEDro score of 5.7 (range 4–8) and involved 616 participants. Meta-analyses showed that respiratory muscle training significantly improved all outcomes of interest: PImax (weighted mean difference 11 cm H2O, 95% CI 7–15, I2 = 0%), PEmax (8 cm H2O, 95% CI 2–15, I2 = 65%), FVC (0.25 L, 95% CI 0.12–0.37, I2 = 29%), FEV1 (0.24 L, 95% CI 0.17–0.30, I2 = 0%), PEF (0.51 L/s, 95% CI 0.10–0.92, I2 = 0%), dyspnea (standardized mean difference −1.6 points, 95% CI −2.2 to −0.9; I2 = 0%), and activity (standardized mean difference 0.78, 95% CI 0.22–1.35, I2 = 0%). Meta-analyses found no significant results for the effects of breathing exercises on lung function. For the remaining interventions (ie, aerobic and postural exercises) and the addition of electrical stimulation, meta-analyses could not be performed. CONCLUSIONS: This systematic review reports 5 possible interventions used to improve respiratory function after stroke. Respiratory muscle training proved to be effective for improving inspiratory and expiratory strength, lung function, and dyspnea, and benefits were carried over to activity. However, there is still no evidence to accept or refute the efficacy of aerobic, breathing, and postural exercises, or the addition of electrical stimulation in respiratory function.pt_BR
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Geraispt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofRespiratory Carept_BR
dc.rightsAcesso Restritopt_BR
dc.subjectStrokept_BR
dc.subjectSpirometrypt_BR
dc.subjectMaximal respiratory pressurespt_BR
dc.subjectComaprative effectiveness researchpt_BR
dc.subjectDyspneapt_BR
dc.subjectMotor activitypt_BR
dc.subject.otherAcidente vascular cerebralpt_BR
dc.subject.otherEspirometriapt_BR
dc.subject.otherPressões respiratórias máximaspt_BR
dc.subject.otherAtividade motorapt_BR
dc.titleEfficacy of interventions to improve respiratory function after strokept_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://rc.rcjournal.com/content/63/7/920.shortpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-9906-9555pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-6792-0819pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-7248-4767pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-5536-8035pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-8358-8636pt_BR
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