慢性阻塞性肺疾病患者上肢运动训练对上肢肌力的影响:随机对照试验的系统回顾和荟萃分析

IF 3.3 3区 医学 Q2 RESPIRATORY SYSTEM
Christos Karagiannis, Christos Savva, Vasileios Korakakis, George Ploutarchou, Tonia Adamide, Andreas Georgiou, Theodoros Xanthos
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引用次数: 0

摘要

背景:上肢(UL)肌肉功能障碍是慢性阻塞性肺疾病(COPD)常见的肺外表现。UL肌肉功能障碍与肌肉无力、呼吸困难和运动不耐受有关。尽管上肢运动训练(ULET)通常被纳入肺部康复计划,但其对上肢肌肉力量的影响尚不清楚。目的:本系统综述的目的是调查ULET在COPD患者UL肌力中的有效性。设计:这是一项系统评价和荟萃分析研究。数据来源和方法:本研究使用了2020年系统评价和荟萃分析(PRISMA)协议的首选报告项目指南。检索了PubMed、Cochrane、CINAHL Plus、SPORTDiscus和clinicaltrials.gov注册表,检索时间从成立到2022年7月。纳入的研究是随机对照试验,与其他类型的上肢或下肢运动或不运动相比,评估ULET对肌肉力量的有效性。使用物理治疗证据数据库(PEDro)量表和推荐、评估、发展和评估分级方法的证据确定性来评估偏倚的质量和风险。使用标准化平均差和95%置信区间计算ULET的治疗效果。结果:共纳入24项研究,共纳入882例患者。大多数研究质量中等,偏倚风险高。非常低到低确定性的证据表明,与单独下肢运动或不运动相比,阻力性下肢肌肉力量有显著差异。不同类型的ULET比较无显著差异。结论:本综述的结果表明,抵抗性ULET可以改善COPD患者的UL肌力。然而,大多数研究质量中等,偏倚风险高。进一步的研究需要更大的样本量、更好的方法质量和标准化的培训方案来证实这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The effects of upper limb exercise training on upper limb muscle strength in people with chronic obstructive pulmonary disease: a systematic review and meta-analysis of randomized controlled trials.

The effects of upper limb exercise training on upper limb muscle strength in people with chronic obstructive pulmonary disease: a systematic review and meta-analysis of randomized controlled trials.

The effects of upper limb exercise training on upper limb muscle strength in people with chronic obstructive pulmonary disease: a systematic review and meta-analysis of randomized controlled trials.

The effects of upper limb exercise training on upper limb muscle strength in people with chronic obstructive pulmonary disease: a systematic review and meta-analysis of randomized controlled trials.

Background: Upper limb (UL) muscle dysfunction is a common extrapulmonary manifestation of chronic obstructive pulmonary disease (COPD). UL muscle dysfunction is associated with muscle weakness, dyspnea, and exercise intolerance. Although upper limb exercise training (ULET) is typically incorporated in pulmonary rehabilitation programs, its effects on UL muscle strength remains unclear.

Objectives: The purpose of this systematic review was to investigate the effectiveness of ULET, in UL muscle strength of people with COPD.

Design: This is systematic review and meta-analysis study.

Data sources and methods: Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) Protocols 2020 guidelines were used for this study. PubMed, Cochrane, CINAHL Plus and SPORTDiscus and clinicaltrials.gov registry were searched from inception to July 2022. Included studies were randomized controlled trials, assessing the effectiveness in muscle strength of ULET, compared with other types of upper or lower limb exercise or no exercise. The quality and risk of bias were assessed using the Physiotherapy Evidence Database (PEDro) scale and certainty of evidence with the Grading of Recommendations, Assessment, Development, and Evaluations approach. Treatment effects of ULET were calculated using standardized mean differences and 95% confidence intervals.

Results: Twenty-four studies, with a total sample of 882 patients, were included. Most studies were of moderate quality and high risk of bias. Very low to low certainty evidence indicates a significant difference in UL muscle strength in favor of resistance ULET, compared with lower limb exercise alone or no exercise. No significant differences were found in different types of ULET comparisons.

Conclusion: The results of this review showed that resistance ULET could improve UL muscle strength in people with COPD. Most studies, however, were of moderate quality and high risk of bias. Further studies with larger sample sizes, better methodological quality, and standardized training protocols are needed to confirm these findings.

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来源期刊
CiteScore
6.90
自引率
0.00%
发文量
57
审稿时长
15 weeks
期刊介绍: Therapeutic Advances in Respiratory Disease delivers the highest quality peer-reviewed articles, reviews, and scholarly comment on pioneering efforts and innovative studies across all areas of respiratory disease.
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