呼吸肌训练对早期中风患者的呼吸功能和功能能力的影响:元分析
Yun-Shan Zhang1, Kai Zhang2, Lang Huang3
1Department of Rehabilitation Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China. 835969435@qq.com.
在早期中风患者中,呼吸肌肉训练显著改善呼吸功能和力量. 结合吸入和呼出训练为功能恢复提供了更大的好处.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 肺部病理学 肺部病理学
背景情况:
- 关于早期中风患者呼吸肌训练 (RMT) 影响的证据有限.
- 这一元分析研究了RMT对这一群体呼吸功能和功能能力的影响.
研究的目的:
- 系统地评估RMT在早期中风患者的有效性.
- 评估RMT对呼吸肌肉强度,肺功能和功能能力的影响.
主要方法:
- 在多个数据库 (PubMed,Embase等) 进行了搜索. 对于随机对照试验,截至2023年12月.
- 包括对接受RMT的中风患者 (≥18年,诊断后3个月) 的研究.
- 提取数据,评估偏差风险,并使用随机效应模型综合发现.
主要成果:
- 有526名参与者的9项研究表明,RMT在1秒内显著改善了最大吸气压,最大呼气压,强迫生命能力,峰值呼气流和强迫呼气体积.
- 在早期中风患者中,RMT还提高了功能能力.
- 与单独的灵感训练相比,联合的灵感和呼气肌肉训练显示出更大的改善.
结论:
- 在早期中风患者中,RMT有效改善呼吸强度,肺功能和功能能力.
- 混合的吸气和呼气肌肉训练似乎比单独的吸气训练对功能恢复更有益.
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