Efficacy of interventions to improve respiratory function after stroke

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dc.creatorKênia Kiefer Parreiras de Menezes
dc.creatorLucas Rodrigues Nascimento
dc.creatorPatrick Roberto Avelino
dc.creatorMaria Tereza Mota Alvarenga
dc.creatorLuci Fuscaldi Teixeira-Salmela
dc.date.accessioned2022-10-21T18:08:26Z
dc.date.accessioned2025-09-08T23:27:59Z
dc.date.available2022-10-21T18:08:26Z
dc.date.issued2018
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.identifier.doihttps://doi.org/10.4187/respcare.06000
dc.identifier.issn1943-3654
dc.identifier.urihttps://hdl.handle.net/1843/46498
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRespiratory Care
dc.rightsAcesso Restrito
dc.subjectAcidente vascular cerebral
dc.subjectEspirometria
dc.subjectPressões respiratórias máximas
dc.subjectAtividade motora
dc.subject.otherStroke
dc.subject.otherSpirometry
dc.subject.otherMaximal respiratory pressures
dc.subject.otherComaprative effectiveness research
dc.subject.otherDyspnea
dc.subject.otherMotor activity
dc.titleEfficacy of interventions to improve respiratory function after stroke
dc.typeArtigo de periódico
local.citation.epage933
local.citation.issue7
local.citation.spage920
local.citation.volume63
local.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.
local.identifier.orcidhttps://orcid.org/0000-0002-9906-9555
local.identifier.orcidhttps://orcid.org/0000-0002-6792-0819
local.identifier.orcidhttps://orcid.org/0000-0002-7248-4767
local.identifier.orcidhttps://orcid.org/0000-0002-5536-8035
local.identifier.orcidhttps://orcid.org/0000-0001-8358-8636
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://rc.rcjournal.com/content/63/7/920.short

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