Effects of Inspiratory Muscle Training in People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis
This study aimed to investigate the effects of inspiratory muscle training (IMT) on inspiratory muscle strength, dyspnea, and quality of life (QOL) in COPD patients. A comprehensive search was undertaken on the Web of Science, Scopus, Embase, Cochrane, and PubMed databases, encompassing data publish...
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MDPI AG
2024-11-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/14/11/1470 |
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| author | Bing Han Zhuying Chen Bing Ruan Yongjie Chen Yuanyuan Lv Cui Li Laikang Yu |
| author_facet | Bing Han Zhuying Chen Bing Ruan Yongjie Chen Yuanyuan Lv Cui Li Laikang Yu |
| author_sort | Bing Han |
| collection | DOAJ |
| description | This study aimed to investigate the effects of inspiratory muscle training (IMT) on inspiratory muscle strength, dyspnea, and quality of life (QOL) in COPD patients. A comprehensive search was undertaken on the Web of Science, Scopus, Embase, Cochrane, and PubMed databases, encompassing data published up to 31 March 2024. A meta-analysis was subsequently conducted to quantify the standardized mean difference (SMD) and 95% confidence interval (CI) for the effects of IMT in COPD patients. Sixteen studies met the inclusion criteria. IMT significantly improved inspiratory muscle strength (SMD, 0.86, <i>p</i> < 0.00001), dyspnea (SMD = −0.50, <i>p</i> < 0.00001), and QOL (SMD = 0.48, <i>p</i> = 0.0006). Subgroup analysis showed that <60% maximal inspiratory muscle pressure (PImax) IMT (inspiratory muscle strength, SMD = 1.22, <i>p</i> = 0.005; dyspnea, SMD = −0.92, <i>p</i> < 0.0001), IMT conducted for ≤20 min (inspiratory muscle strength, SMD = 0.97, <i>p</i> = 0.008; dyspnea, SMD = −0.63, <i>p</i> = 0.007; QOL, SMD = 1.66, <i>p</i> = 0.007), and IMT conducted >3 times per week (inspiratory muscle strength, SMD = 1.06, <i>p</i> < 0.00001; dyspnea, SMD = −0.54, <i>p</i> < 0.00001; QOL, SMD = 0.48, <i>p</i> = 0.0009) had greater effects. This meta-analysis provides clinicians with evidence supporting the recommendation that COPD patients engage in IMT at <60% PImax for more than 3 times per week, with each session lasting no more than 20 min, to improve inspiratory muscle strength, dyspnea, and QOL. |
| format | Article |
| id | doaj-art-d9a90ec990d34b289d505e7bb4fa8f8a |
| institution | Kabale University |
| issn | 2075-1729 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj-art-d9a90ec990d34b289d505e7bb4fa8f8a2024-11-26T18:10:33ZengMDPI AGLife2075-17292024-11-011411147010.3390/life14111470Effects of Inspiratory Muscle Training in People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-AnalysisBing Han0Zhuying Chen1Bing Ruan2Yongjie Chen3Yuanyuan Lv4Cui Li5Laikang Yu6Key Laboratory of Physical Fitness and Exercise, Ministry of Education, Beijing Sport University, Beijing 100084, ChinaDepartment of Strength and Conditioning Assessment and Monitoring, Beijing Sport University, Beijing 100084, ChinaSchool of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing 100084, ChinaDepartment of Strength and Conditioning Assessment and Monitoring, Beijing Sport University, Beijing 100084, ChinaKey Laboratory of Physical Fitness and Exercise, Ministry of Education, Beijing Sport University, Beijing 100084, ChinaSchool of Physical Education (Main Campus), Zhengzhou University, Zhengzhou 450001, ChinaKey Laboratory of Physical Fitness and Exercise, Ministry of Education, Beijing Sport University, Beijing 100084, ChinaThis study aimed to investigate the effects of inspiratory muscle training (IMT) on inspiratory muscle strength, dyspnea, and quality of life (QOL) in COPD patients. A comprehensive search was undertaken on the Web of Science, Scopus, Embase, Cochrane, and PubMed databases, encompassing data published up to 31 March 2024. A meta-analysis was subsequently conducted to quantify the standardized mean difference (SMD) and 95% confidence interval (CI) for the effects of IMT in COPD patients. Sixteen studies met the inclusion criteria. IMT significantly improved inspiratory muscle strength (SMD, 0.86, <i>p</i> < 0.00001), dyspnea (SMD = −0.50, <i>p</i> < 0.00001), and QOL (SMD = 0.48, <i>p</i> = 0.0006). Subgroup analysis showed that <60% maximal inspiratory muscle pressure (PImax) IMT (inspiratory muscle strength, SMD = 1.22, <i>p</i> = 0.005; dyspnea, SMD = −0.92, <i>p</i> < 0.0001), IMT conducted for ≤20 min (inspiratory muscle strength, SMD = 0.97, <i>p</i> = 0.008; dyspnea, SMD = −0.63, <i>p</i> = 0.007; QOL, SMD = 1.66, <i>p</i> = 0.007), and IMT conducted >3 times per week (inspiratory muscle strength, SMD = 1.06, <i>p</i> < 0.00001; dyspnea, SMD = −0.54, <i>p</i> < 0.00001; QOL, SMD = 0.48, <i>p</i> = 0.0009) had greater effects. This meta-analysis provides clinicians with evidence supporting the recommendation that COPD patients engage in IMT at <60% PImax for more than 3 times per week, with each session lasting no more than 20 min, to improve inspiratory muscle strength, dyspnea, and QOL.https://www.mdpi.com/2075-1729/14/11/1470inspiratory muscle trainingchronic obstructive pulmonary diseaseinspiratory muscle strengthdyspneaquality of life |
| spellingShingle | Bing Han Zhuying Chen Bing Ruan Yongjie Chen Yuanyuan Lv Cui Li Laikang Yu Effects of Inspiratory Muscle Training in People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis Life inspiratory muscle training chronic obstructive pulmonary disease inspiratory muscle strength dyspnea quality of life |
| title | Effects of Inspiratory Muscle Training in People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis |
| title_full | Effects of Inspiratory Muscle Training in People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis |
| title_fullStr | Effects of Inspiratory Muscle Training in People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Effects of Inspiratory Muscle Training in People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis |
| title_short | Effects of Inspiratory Muscle Training in People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis |
| title_sort | effects of inspiratory muscle training in people with chronic obstructive pulmonary disease a systematic review and meta analysis |
| topic | inspiratory muscle training chronic obstructive pulmonary disease inspiratory muscle strength dyspnea quality of life |
| url | https://www.mdpi.com/2075-1729/14/11/1470 |
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