Respiratory muscle training in patients with obstructive sleep apnoea: a systematic review and meta-analysis

Background: Effective treatments for obstructive sleep apnoea (OSA) include positive pressure, weight loss, oral appliances, surgery, and exercise. Although the involvement of the respiratory muscles in OSA is evident, the effect of training them to improve clinical outcomes is not clear. We aimed t...

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Detalhes bibliográficos
Autores: Torres Castro, Rodrigo, Solis-Navarro, Lilian, Puppo, Homero, Alcaraz-Serrano, Victoria, Vasconcello Castillo, Luis, Vilaro, Jordi, Vera-Uribe, Roberto
Tipo de documento: artigo
Data de publicação:2022
País:España
Recursos:Universitat Ramon Llull (URL)
Repositório:DAU Arxiu Digital de la Universitat Ramon Llull
OAI Identifier:oai:dau.url.edu:20.500.14342/4143
Acesso em linha:http://hdl.handle.net/20.500.14342/4143
https://doi.org/10.3390/clockssleep4020020
Access Level:Acceso aberto
Palavra-chave:Entrenament dels músculs respiratoris
Apnea
Síndromes d'apnea del son
Índex d'apnea/hipopnea
Somnolència
Qualitat del son
616.2
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oai_identifier_str oai:dau.url.edu:20.500.14342/4143
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repository_id_str
spelling Respiratory muscle training in patients with obstructive sleep apnoea: a systematic review and meta-analysisTorres Castro, RodrigoSolis-Navarro, LilianPuppo, HomeroAlcaraz-Serrano, VictoriaVasconcello Castillo, LuisVilaro, JordiVera-Uribe, RobertoEntrenament dels músculs respiratorisApneaSíndromes d'apnea del sonÍndex d'apnea/hipopneaSomnolènciaQualitat del son616.2Background: Effective treatments for obstructive sleep apnoea (OSA) include positive pressure, weight loss, oral appliances, surgery, and exercise. Although the involvement of the respiratory muscles in OSA is evident, the effect of training them to improve clinical outcomes is not clear. We aimed to determine the effects of respiratory muscle training in patients with OSA. Methods: A systematic review was conducted in seven databases. Studies that applied respiratory muscle training in OSA patients were reviewed. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence. Results: Of the 405 reports returned by the initial search, eight articles reporting on 210 patients were included in the data synthesis. Seven included inspiratory muscle training (IMT), and one included expiratory muscle training (EMT). Regarding IMT, we found significant improvement in Epworth sleepiness scale in −4.45 points (95%CI −7.64 to −1.27 points, p = 0.006), in Pittsburgh sleep quality index of −2.79 points (95%CI −4.19 to −1.39 points, p < 0.0001), and maximum inspiratory pressure of −29.56 cmH2O (95%CI −53.14 to −5.98 cmH2O, p = 0.01). However, the apnoea/hypopnea index and physical capacity did not show changes. We did not perform a meta-analysis of EMT due to insufficient studies. Conclusion: IMT improves sleepiness, sleep quality and inspiratory strength in patients with OSA.info:eu-repo/semantics/publishedVersionMDPIUniversitat Ramon Llull. Facultat de Ciències de la Salut BlanquernaGrup de Recerca Global Research on Wellbeing - GRoW2024202420222022info:eu-repo/semantics/article11 p.application/pdfhttp://hdl.handle.net/20.500.14342/4143https://doi.org/10.3390/clockssleep4020020reponame:DAU Arxiu Digital de la Universitat Ramon Llullinstname:Universitat Ramon Llull (URL)InglésClocks & Sleep, 2022, 4(2), 219-229© L'autor/aAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dau.url.edu:20.500.14342/41432026-06-21T06:40:37Z
dc.title.none.fl_str_mv Respiratory muscle training in patients with obstructive sleep apnoea: a systematic review and meta-analysis
title Respiratory muscle training in patients with obstructive sleep apnoea: a systematic review and meta-analysis
spellingShingle Respiratory muscle training in patients with obstructive sleep apnoea: a systematic review and meta-analysis
Torres Castro, Rodrigo
Entrenament dels músculs respiratoris
Apnea
Síndromes d'apnea del son
Índex d'apnea/hipopnea
Somnolència
Qualitat del son
616.2
title_short Respiratory muscle training in patients with obstructive sleep apnoea: a systematic review and meta-analysis
title_full Respiratory muscle training in patients with obstructive sleep apnoea: a systematic review and meta-analysis
title_fullStr Respiratory muscle training in patients with obstructive sleep apnoea: a systematic review and meta-analysis
title_full_unstemmed Respiratory muscle training in patients with obstructive sleep apnoea: a systematic review and meta-analysis
title_sort Respiratory muscle training in patients with obstructive sleep apnoea: a systematic review and meta-analysis
dc.creator.none.fl_str_mv Torres Castro, Rodrigo
Solis-Navarro, Lilian
Puppo, Homero
Alcaraz-Serrano, Victoria
Vasconcello Castillo, Luis
Vilaro, Jordi
Vera-Uribe, Roberto
author Torres Castro, Rodrigo
author_facet Torres Castro, Rodrigo
Solis-Navarro, Lilian
Puppo, Homero
Alcaraz-Serrano, Victoria
Vasconcello Castillo, Luis
Vilaro, Jordi
Vera-Uribe, Roberto
author_role author
author2 Solis-Navarro, Lilian
Puppo, Homero
Alcaraz-Serrano, Victoria
Vasconcello Castillo, Luis
Vilaro, Jordi
Vera-Uribe, Roberto
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna
Grup de Recerca Global Research on Wellbeing - GRoW
dc.subject.none.fl_str_mv Entrenament dels músculs respiratoris
Apnea
Síndromes d'apnea del son
Índex d'apnea/hipopnea
Somnolència
Qualitat del son
616.2
topic Entrenament dels músculs respiratoris
Apnea
Síndromes d'apnea del son
Índex d'apnea/hipopnea
Somnolència
Qualitat del son
616.2
description Background: Effective treatments for obstructive sleep apnoea (OSA) include positive pressure, weight loss, oral appliances, surgery, and exercise. Although the involvement of the respiratory muscles in OSA is evident, the effect of training them to improve clinical outcomes is not clear. We aimed to determine the effects of respiratory muscle training in patients with OSA. Methods: A systematic review was conducted in seven databases. Studies that applied respiratory muscle training in OSA patients were reviewed. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence. Results: Of the 405 reports returned by the initial search, eight articles reporting on 210 patients were included in the data synthesis. Seven included inspiratory muscle training (IMT), and one included expiratory muscle training (EMT). Regarding IMT, we found significant improvement in Epworth sleepiness scale in −4.45 points (95%CI −7.64 to −1.27 points, p = 0.006), in Pittsburgh sleep quality index of −2.79 points (95%CI −4.19 to −1.39 points, p < 0.0001), and maximum inspiratory pressure of −29.56 cmH2O (95%CI −53.14 to −5.98 cmH2O, p = 0.01). However, the apnoea/hypopnea index and physical capacity did not show changes. We did not perform a meta-analysis of EMT due to insufficient studies. Conclusion: IMT improves sleepiness, sleep quality and inspiratory strength in patients with OSA.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.14342/4143
https://doi.org/10.3390/clockssleep4020020
url http://hdl.handle.net/20.500.14342/4143
https://doi.org/10.3390/clockssleep4020020
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Clocks & Sleep, 2022, 4(2), 219-229
dc.rights.none.fl_str_mv © L'autor/a
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv © L'autor/a
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 11 p.
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:DAU Arxiu Digital de la Universitat Ramon Llull
instname:Universitat Ramon Llull (URL)
instname_str Universitat Ramon Llull (URL)
reponame_str DAU Arxiu Digital de la Universitat Ramon Llull
collection DAU Arxiu Digital de la Universitat Ramon Llull
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869420929396768768
score 15.812429

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