Article

Systematic review Objectives:To determine the effect of respiratory
muscle training (RMT) on pulmonary function in tetraplegia. METHODS: A
comprehensive search of the research literature included MEDLINE, EMBASE, CINAHL,
ISI Web of Science, PubMed, the relevant Cochrane and clinical trials registers
and hand-searching the reference lists of appropriate papers. There was no
language restriction. All randomised controlled trials that involved RMT vs.
control were considered for inclusion. Two reviewers independently selected
articles for inclusion, evaluated the methodological quality and extracted data.
Additional information was sought from the authors when necessary. RESULTS:
Eleven studies (212 participants) were included. A significant benefit of RMT was
revealed for five outcomes: vital capacity (mean difference (95% confidence
interval))=0.41(0.17-0.64) l, maximal inspiratory pressure=10.66(3.59, 17.72)
cmH2O, maximal expiratory pressure=10.31(2.80-17.82) cmH2O, maximum voluntary
ventilation=17.51(5.20, 29.81) l min(-1) and inspiratory capacity=0.35 (0.05,
0.65) l. No effect was found for total lung capacity, peak expiratory flow rate,
functional residual capacity, residual volume, expiratory reserve volume or
forced expiratory volume in 1 second. CONCLUSION: RMT increases respiratory
strength, function and endurance during the period of training. Further research
is needed to determine optimum dosages and duration of effect. This article is
based in part on a Cochrane review published in the Cochrane Database of
Systematic Reviews (CDSR) 2013, DOI:10.1002/14651858.CD008507.pub2. Cochrane
reviews are regularly updated as new evidence emerges and in response to
feedback, and the CDSR should be consulted for the most recent version of the
review.

Langue : ANGLAIS