Inspiratory Training for Improving Respiratory Strength, Pulmonary Function, and Walking in Cerebral Palsy: A Meta-Analysis.

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI:10.1097/PEP.0000000000001092

Kênia K P Menezes, Patrick R Avelino, Maria T M Alvarenga, Lucas R Nascimento

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Abstract

Purpose: To investigate the effects of inspiratory strength training on respiratory muscle strength, pulmonary function, and walking capacity in children with cerebral palsy, with Gross Motor Function Classification System I to III.

Methods: Searches were conducted in CINAHL, LILACS, MEDLINE, and Physiotherapy Evidence Database (PEDro) databases. The outcomes of interest were respiratory muscle strength, pulmonary function, and walking capacity. The quality was assessed by PEDro Scale. The Grading of Recommendations Assessment, Development, and Evaluation system was used to summarize the quality of evidence.

Results: Inspiratory strength training increased the strength of inspiratory muscles and may increase the strength of the expiratory muscles. No changes were observed in pulmonary function or walking capacity.

Conclusions: This systematic review provides moderate-quality evidence that inspiratory strength training is effective for increasing inspiratory muscle strength in children with cerebral palsy. Benefits may be carried over to improving expiratory muscle strength but were not observed on pulmonary function or walking capacity.

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改善脑瘫患者呼吸强度、肺功能和行走的吸气训练：元分析

目的：研究吸气力量训练对粗大运动功能分级系统 I 至 III 级脑瘫儿童的呼吸肌力量、肺功能和行走能力的影响：在 CINAHL、LILACS、MEDLINE 和物理治疗证据数据库 (PEDro) 等数据库中进行检索。研究结果包括呼吸肌力量、肺功能和行走能力。研究质量采用 PEDro 量表进行评估。采用建议分级评估、发展和评价系统对证据质量进行总结：结果：吸气力量训练增强了吸气肌肉的力量，并可能增强呼气肌肉的力量。结论：该系统综述提供了中等质量的证据：本系统综述提供了中等质量的证据，证明吸气力量训练可有效增强脑瘫儿童的吸气肌肉力量。其益处可能会延续到呼气肌肉力量的改善上，但在肺功能或行走能力方面未观察到任何变化。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.