Keywords
Respiratory Muscle Training
Integrative Review
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: This study aimed to synthesize and critically analyze evidence from randomized controlled trials investigating the effects of RMT on functional improvement and other clinical outcomes in patients with COPD. Methods: An integrative review was conducted using the National Library of Medicine databases, including PubMed. Randomized controlled trials published between 2020 and 2024 were considered eligible. Results: Eight studies met the predefined inclusion criteria and were included in the final analysis. RMT was associated with significant improvements in inspiratory muscle strength, exercise tolerance, dyspnea, and health-related quality of life, both as a standalone intervention and when combined with other rehabilitation strategies. Although not all spirometric parameters demonstrated consistent changes across studies, most trials reported clinically relevant benefits in functional and patient-centered outcomes. Final considerations: RMT appears to be a safe, feasible, and potentially effective strategy in the rehabilitation of patients with COPD and may be considered an integral component of comprehensive therapeutic interventions.
References
ATAÇ A, et al. The impact of different telerehabilitation methods on peripheral muscle strength and aerobic capacity in COPD patients: A randomized controlled trial. Advances in Respiratory Medicine, 2024; 92(5): 370–383.
BEAUMONT M, et al. Effects of inspiratory muscle training in COPD patients: A systematic review and meta-analysis. Clinical Respiratory Journal, 2018; 12(7): 2178–2188.
BURAN CIRAK Y, et al. Effectiveness of 12-week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study. The Clinical Respiratory Journal, 2022; 16(4): 317–328.
CEYHAN Y, TEKINSOY KARTIN P. The effects of breathing exercises and inhaler training in patients with COPD on the severity of dyspnea and life quality: A randomized controlled trial. Trials, 2022; 23(1): 707.
CHEN Q, et al. Internet of Things-based home respiratory muscle training for patients with chronic obstructive pulmonary disease: A randomized clinical trial. International Journal of Chronic Obstructive Pulmonary Disease, 2024; 19: 1093–1103.
CROWE J, et al. Inspiratory muscle training compared with other rehabilitation interventions in adults with COPD: A systematic review and meta-analysis. COPD: Journal of Chronic Obstructive Pulmonary Disease, 2005; 2(3): 319–329.
GEDDES EL, et al. Inspiratory muscle training in adults with chronic obstructive pulmonary disease: A systematic review. Respiratory Medicine, 2005; 99(11): 1440–1458.
GEDDES EL, et al. Inspiratory muscle training in adults with COPD: An update of a systematic review. Database of Abstracts of Reviews of Effects, 2008.
GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease, 2021.
GONZALEZ-MONTESINOS JL, et al. Effects of a rehabilitation programme using a nasal inspiratory restriction device in COPD. International Journal of Environmental Research and Public Health, 2021; 18(8): 4207.
KOCH R, et al. Inspiratory muscle training potentiates the beneficial effects of proportional assisted ventilation on exertional dyspnea and exercise tolerance in COPD: A proof-of-concept randomized and controlled trial. COPD: Journal of Chronic Obstructive Pulmonary Disease, 2020; 17(4): 384–391.
LEI Y, et al. Sequential inspiratory muscle exercise-noninvasive positive pressure ventilation alleviates oxidative stress in COPD by mediating SOCS5/JAK2/STAT3 pathway. BMC Pulmonary Medicine, 2023; 23(1): 387.
LIU X, et al. Effects of respiratory muscle training on clinical outcomes in patients with COPD: A systematic review and meta-analysis. Respiratory Research, 2024.
LOTTERS F, et al. Effects of controlled inspiratory muscle training in patients with COPD: A meta-analysis. Respiratory Medicine, 2002; 20(3): 570–576.
MOTA JC, et al. Inspiratory muscle training in people with chronic obstructive pulmonary disease (COPD): A systematic review. Fisioterapia e Pesquisa, 2023; 30(2): e21028823.
O’BRIEN K, et al. Inspiratory muscle training compared with other rehabilitation interventions in COPD: A systematic review update. Database of Abstracts of Reviews of Effects, 2008.
SANTOS LJS, et al. Respiratory muscle training in people with COPD: A systematized review. Brazilian Journal of Physical Therapy, 2024; 28(Suppl 1): 100628.
SORIANO JB, et al. Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet Respiratory Medicine, 2020; 8(6): 585–596.
TOUNSI B, et al. Effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial. PLoS ONE, 2021; 16(9): e0257595.
WINKLE MJ, SANKARI A. Respiratory muscle strength training. StatPearls Publishing, 2024.