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oai:riuma.uma.es:10630/351002026-02-03T11:09:02Zcom_10630_2254col_10630_37953

00925njm 22002777a 4500 dc Martín-Valero, Rocío author Jiménez-Cebrián, Ana María author Moral-Muñoz, José Antonio author De La Casa-Almeida, María author Rodríguez-Huguet, Manuel author Casuso Holgado, María Jesús author 2020 Respiratory muscle dysfunction is an important health problem with high morbidity and mortality and associated costs in patients with bronchiectasis (BC). The aim of this study was to analyse the effects of therapeutic respiratory muscle training (RMT) interventions on improving sputum clearance, ventilator function, muscle strength and functional capacity in BC. Methods: Systematic review and meta-analysis were conducted following PRISMA guidelines. Two independent investigators searched using several electronic databases. The methodological quality of nine studies was assessed using the PEDro scale. Study selection/eligibility criteria: The following were included: randomised controlled trials, randomised crossover trials and pilot studies of patients with BC that used the intervention as RMT (inspiratory/expiratory) and evaluations of respiratory muscle strength (maximal expiratory pressure/maximal inspiratory pressure). This systematic review was registered in PROSPERO (CRD42017075101). Nine studies were included, five of which obtained an A recommendation grade, three with B, and one with C. Study quality was poor to good (mean PEDro Score of 6.375 out of 10). Studies had small sample sizes (8–98). Results show improvements on PImax in favour of therapeutic respiratory muscle training intervention (MD = 6.08; 95% CI = 1.38, 10.77; p < 0.01; I2 = 92%). However, high heterogeneity was identified on meta-analysis. Martín-Valero, R., Jimenez-Cebrian, A. M., Moral-Munoz, J. A., de-la-Casa-Almeida, M., Rodriguez-Huguet, M., & Casuso-Holgado, M. J. (2020). The Efficacy of Therapeutic Respiratory Muscle Training Interventions in People with Bronchiectasis: A Systematic Review and Meta-Analysis. Journal of clinical medicine, 9(1), 231. https://doi.org/10.3390/jcm9010231 https://hdl.handle.net/10630/35100 10.3390/jcm9010231 Pulmones - Enfermedades Pacientes - Rehabilitación Fisioterapia Músculos respiratorios The Efficacy of Therapeutic Respiratory Muscle Training Interventions in People with Bronchiectasis: A Systematic Review and Meta-Analysis..