Effects of cardiorespiratory physiotherapy on lung function in stroke: a network meta-analysis.

IF 2.2 4区医学 Q1 REHABILITATION

Topics in Stroke Rehabilitation Pub Date : 2024-10-22 DOI:10.1080/10749357.2024.2417647

So-Hyun Kim, Sung-Hyoun Cho

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引用次数: 0

Abstract

Background: The efficacy of various physiotherapy interventions for improving lung function has not been compared.

Objectives: To evaluate cardiorespiratory physiotherapy interventions on lung function in patients with stroke, prioritize intervention types, and establish hierarchy.

Methods: Twelve randomized controlled trials published during 2000-2022 in PubMed, EMBASE, Cochrane Library, and Web of Science were selected. Interventions included aerobic training (AT), combined inspiratory and expiratory training (CIET), inspiratory training (IT), combined aerobic and breadth training (CABT), and conventional training (CT). Outcome variables were forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and FEV1/FVC.

Results: CIET and IT were more effective than CT for FEV1 and FVC. CIET and IT showed larger effect sizes compared to AT for FEV1. The intervention rankings were as follows: IT (86.62%), CIET (63.31%), CABT (50.79%), AT (28.72%), and CT (20.55%) for FEV1; IT (93.89%), CIET (75.06%), CT (42.38%), CABT (37.73%), and AT (0.94%) for FVC; and IT (78.30%), CT (54.14%), CABT (42.62%), CIET (41.65%), and AT (33.29%) for FEV1/FVC. CIET and IT were more effective than CT for FVC in patients with stroke aged ≥60 years.

Conclusions: Besides FEV1/FVC, IT and CIET inhalation exercises improved lung function more effectively than other therapies, with IT or CIET being more effective than AT or CT. CIET and IT were more effective than CT for FVC in patients with stroke aged ≥60 years than in those <60 years. These findings highlight the significance of breathing training for patients with stroke and support clinical decision-making.

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心肺理疗对中风患者肺功能的影响：网络荟萃分析。

背景：各种物理治疗干预对改善肺功能的效果尚未进行比较：评估心肺物理治疗干预对脑卒中患者肺功能的影响，确定干预类型的优先顺序，并建立分级体系：方法：选取 2000-2022 年间在 PubMed、EMBASE、Cochrane Library 和 Web of Science 上发表的 12 项随机对照试验。干预措施包括有氧训练（AT）、吸气和呼气联合训练（CIET）、吸气训练（IT）、有氧和广度联合训练（CABT）以及常规训练（CT）。结果变量为 1 秒用力呼气容积（FEV1）、用力肺活量（FVC）和 FEV1/FVC：在 FEV1 和 FVC 方面，CIET 和 IT 比 CT 更有效。就 FEV1 而言，CIET 和 IT 比 AT 显示出更大的效应量。干预排名如下在 FEV1 方面，IT（86.62%）、CIET（63.31%）、CABT（50.79%）、AT（28.72%）和 CT（20.55%）；在 FVC 方面，IT（93.89%）、CIET（75.06%）、CT（42.38%）、CABT（37.73%）和 AT（0.94%）；在 FEV1/FVC 方面，IT（78.30%）、CT（54.14%）、CABT（42.62%）、CIET（41.65%）和 AT（33.29%）。对于年龄≥60 岁的脑卒中患者，CIET 和 IT 比 CT 对 FVC 更有效：结论：除 FEV1/FVC 外，IT 和 CIET 吸入训练比其他疗法更有效地改善肺功能，IT 或 CIET 比 AT 或 CT 更有效。与 CT 相比，CIET 和 IT 对年龄≥60 岁的脑卒中患者的 FVC 更有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Topics in Stroke Rehabilitation 医学-康复医学

CiteScore

5.10

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.