Effectiveness of functional training on cardiorespiratory parameters: a systematic review and meta-analysis of randomized controlled trials

Clin Physiol Funct Imaging. 2018 Jul;38(4):539-546. doi: 10.1111/cpf.12445. Epub 2017 Jul 28.

Abstract

Background: Functional training is a new training vision that was prepared from the gesture imitation of daily activities. Although your use has become popular in clinical practice, the influence of the several cardiorespiratory adjustments performed during the functional training in different populations and conditions is unknown. So, the aim of this systematic review was to gather information in the literature regarding the influence of functional training on cardiorespiratory parameters.

Methods: We conducted search strategies on MEDLINE, PEDro, EMBASE, SportDiscus and Cochrane to identify randomized controlled trials investigating the effects of functional training on cardiorespiratory parameters. Methodological quality of the included studies was assessed using the PEDro scale. Grading of Recommendations Assessment, Development and Evaluation (GRADE) summarized the evidence.

Results: Five original studies were included. Effects favoured functional training on oxygen consumption (VO2 ) at intermediate-term follow-up: weighted mean difference -1·0 (95% CI: 5·4-3·3), P = 0·642, and a small and not clinically important effect observed on VO2 favouring control at intermediate-term follow-up (i.e. mean difference of 1·30 (95% CI 1·07-1·53), P<0·001).

Conclusion: According to the GRADE system, there is very low quality evidence that functional training is better than other interventions to improve cardiovascular parameters. This result encourages new searches about the theme.

Keywords: blood pressure; exercise therapy; heart rate; meta-analysis; oximetry; oxygen consumption; respiratory rate.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Activities of Daily Living*
  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Cardiorespiratory Fitness*
  • Evidence-Based Medicine
  • Exercise Therapy / methods*
  • Female
  • Health Status
  • Hemodynamics
  • Humans
  • Male
  • Middle Aged
  • Oxygen Consumption*
  • Randomized Controlled Trials as Topic
  • Respiration
  • Time Factors
  • Young Adult