Implications for respiratory muscle training in patients with stroke-associated pneumonia: a meta-analysis

Ming Wu; Ming-Yu Mo; Xiao-Dan Huang; Jing Wei

doi:10.1080/09638288.2024.2314159

Implications for respiratory muscle training in patients with stroke-associated pneumonia: a meta-analysis

Disabil Rehabil. 2024 Feb 8:1-7. doi: 10.1080/09638288.2024.2314159. Online ahead of print.

Authors

Ming Wu¹, Ming-Yu Mo², Xiao-Dan Huang¹, Jing Wei³

Affiliations

¹ Department of Rehabilitation, Wuming Hospital of Guangxi Medical University, Nanning, China.
² Department of Rehabilitation, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
³ Department of Rehabilitation, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.

PMID: 38329457
DOI: 10.1080/09638288.2024.2314159

Abstract

Purpose: To evaluate the effect of respiratory muscle training on improving lung function in patients with stroke-associated pneumonia.

Materials and methods: A systematic retrieval was conducted using the databases of the Cochrane Library, PubMed, the Web of Science, Embase, ProQuest, and others. Studies involving patients who received respiratory muscle training with/without a breathing trainer and those who adopted routine post-stroke rehabilitation training were included in the systematic review. The statistical analysis was performed using RevMan 5.3 software.

Results: Fourteen studies were included involving 850 patients with stroke. According to the results of the meta-analysis, compared with the control group, there were statistically significant differences in forced vital capacity (FVC) measurements (mean difference (MD) = 0.93, p < 0.0001) and improvement values for FEV1/FVC (MD = 0.65, p < 0.00001) in the experimental group. The FEV1 value was higher in the experimental group than in the control group (MD = 5.89, p < 0.0001). Furthermore, respiratory muscle training was superior to routine rehabilitation training for improving the PI_max of patients with stroke (MD = 9.20, p < 0.0001). The patients had better respiratory tolerance after respiratory muscle training intervention (MD = 73.40, p < 0.0001).

Conclusions: The implementation of respiratory muscle training can improve FVC and FEV lung function indicators, inspiratory muscle strength and the 6-min walk test results in patients with stroke.

Keywords: Respiratory muscle training; lung function; meta-analysis; pneumonia; stroke.

Plain language summary

Respiratory training-based pulmonary rehabilitation training can improve lung function and activity tolerance of stroke patients.Pulmonary rehabilitation training is more effective than standard rehabilitation training in enhancing PI_max for stroke patients.Patients receiving pulmonary rehabilitation training have better activity tolerance after intervention.