The Effect of Inspiratory Muscle Training on Respiratory Functions of Patients with Chronic Obstructive Pulmonary Diseases: A Systematic Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/243326
Category:
Abstract
Type:
Presentation
Title:
The Effect of Inspiratory Muscle Training on Respiratory Functions of Patients with Chronic Obstructive Pulmonary Diseases: A Systematic Review
Author(s):
Chuang, Han Yu; Fang, Yueh-Yen; Chang, Hsiao-Yun; Tsai, Hsiu Wen
Author Details:
Chuang, Han Yu, BS, RN, a2746@ttms.mmh.org.tw; Fang, Yueh-Yen, PhD, RN; Chang, Hsiao-Yun, PhD; Tsai, Hsiu Wen, BS, RN;
Abstract:
Purpose: The purpose of this systematic review was to examine the effect of inspiratory muscle training (IMT) on improving respiratory functions of patents with chronic obstructive pulmonary diseases (COPDs).

Methods: Two Chinese (CEPS and the National Digital Library of Theses and Dissertation in Taiwan) and four English (PubMed, the Cochrane Clinical Trials, Medline, and CINAHL) electronic databases were systematically searched to locate primary studies published before November, 2011. Search terms used were ‘inspiratory muscle training’, ‘COPD’, and ‘pulmonary disease, chronic obstructive’. The Boolean strategy was used to combine these terms. Included studies were independently reviewed by two reviewers. Disagreement in data extraction was resolved by a complete consensus among reviewers. The Johns Hopkins Evidence-Based Practice Rating Scale was used to evaluate study quality.

Results: Twenty studies (N=616) that met the inclusion criteria were identified from 405 articles. These articles contained 16 RCTs. All studies used Inspiratory Threshold Loading Device to perform IMF with a gradual increase of resistance up to 60% or 75%. The training time of each course was consistently 4 to 5 minutes across studies, but the training periods can vary from 5 weeks to 6 months. The inclusion of samples varied in bronchodilators taken. Results of included studies consistently supported IMF as an effective method to improve functional physical activity, inspiratory muscle strength, self-aware breathing difficulty, and quality of life

Conclusion: The systematic review supported IMT as an effective method to improve respiratory functions in COPD patients. Lack of control in length and types of COPD, as well as using of bronchodilators, may impede the validity of study results.  Lack of consensus among studies on the effective IMF training period is an important practice issue for the future studies to resolve. 

Keywords:
Chronic Obstructive Pulmonary Disease; Inspiratory Muscle Training; Systematic Review
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Effect of Inspiratory Muscle Training on Respiratory Functions of Patients with Chronic Obstructive Pulmonary Diseases: A Systematic Reviewen_GB
dc.contributor.authorChuang, Han Yuen_GB
dc.contributor.authorFang, Yueh-Yenen_GB
dc.contributor.authorChang, Hsiao-Yunen_GB
dc.contributor.authorTsai, Hsiu Wenen_GB
dc.author.detailsChuang, Han Yu, BS, RN, a2746@ttms.mmh.org.tw; Fang, Yueh-Yen, PhD, RN; Chang, Hsiao-Yun, PhD; Tsai, Hsiu Wen, BS, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243326-
dc.description.abstract<b>Purpose: </b>The purpose of this systematic review was to examine the effect of inspiratory muscle training (IMT) on improving respiratory functions of patents with chronic obstructive pulmonary diseases (COPDs). <p><b>Methods: </b>Two Chinese (CEPS and the National Digital Library of Theses and Dissertation in Taiwan) and four English (PubMed, the Cochrane Clinical Trials, Medline, and CINAHL) electronic databases were systematically searched to locate primary studies published before November, 2011. Search terms used were &lsquo;inspiratory muscle training&rsquo;, &lsquo;COPD&rsquo;, and &lsquo;pulmonary disease, chronic obstructive&rsquo;. The Boolean strategy was used to combine these terms. Included studies were independently reviewed by two reviewers. Disagreement in data extraction was resolved by a complete consensus among reviewers. The Johns Hopkins Evidence-Based Practice Rating Scale was used to evaluate study quality. <p><b>Results: </b>Twenty studies (N=616) that met the inclusion criteria were identified from 405 articles. These articles contained 16 RCTs. All studies used Inspiratory Threshold Loading Device to perform IMF with a gradual increase of resistance up to 60% or 75%. The training time of each course was consistently 4 to 5 minutes across studies, but the training periods can vary from 5 weeks to 6 months. The inclusion of samples varied in bronchodilators taken. Results of included studies consistently supported IMF as an effective method to improve functional physical activity, inspiratory muscle strength, self-aware breathing difficulty, and quality of life <p><b>Conclusion: </b>The systematic review supported IMT as an effective method to improve respiratory functions in COPD patients. Lack of control in length and types of COPD, as well as using of bronchodilators, may impede the validity of study results.&nbsp; Lack of consensus among studies on the effective IMF training period is an important practice issue for the future studies to resolve.&nbsp;en_GB
dc.subjectChronic Obstructive Pulmonary Diseaseen_GB
dc.subjectInspiratory Muscle Trainingen_GB
dc.subjectSystematic Reviewen_GB
dc.date.available2012-09-12T09:20:40Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:20:40Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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