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Respiratory Muscle Training in Para-Athletes: A Systematic Review on the Training Protocols and Effects on Reported
Buket Akinci1, Cigdem Emirza Cilbir2, Ahmet Kocyigit3
1Department of Physiotherapy and Rehabilitation (English), Faculty of Health Sciences, Biruni University, Istanbul, Turkey.
Respiratory muscle training (RMT) can improve strength and endurance in para-athletes. However, it is not the primary method for enhancing overall exercise performance in this population.
Area of Science:
- Sports Medicine
- Rehabilitation Science
- Exercise Physiology
Background:
- Respiratory muscle training (RMT) is recognized for addressing cardiorespiratory limitations in athletes.
- Its specific application within para-athlete rehabilitation programs requires further exploration.
Purpose of the Study:
- To systematically review the role and implementation of RMT in para-athlete sport rehabilitation.
- To evaluate the effectiveness of RMT on respiratory function and exercise performance in para-athletes.
Main Methods:
- A systematic search of multiple databases was conducted up to January 2024.
- Eight studies involving 108 participants were included after independent review and quality assessment (PEDro scale, Cochrane Risk-of-Bias Tool v2).
- Included studies utilized resistive loading, normocapnic hyperpnea, or threshold inspiratory muscle training.
Main Results:
- Five studies reported significant increases in respiratory muscle strength.
- Improvements in respiratory muscle endurance were noted in two studies.
- Three studies indicated enhanced exercise capacity following RMT interventions.
Conclusions:
- RMT demonstrates potential to improve respiratory muscle strength and endurance in para-athletes.
- RMT should not be considered the principal strategy for enhancing exercise performance in this group.
- Further research is needed to investigate diverse RMT techniques and their impact on various outcomes in para-athlete rehabilitation.
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