The Effect of inspiratory muscle training on respiratory muscle strength in patients undergoing high thoracic and abdominal surgery: An Integrative Review
Respiratory muscle training can mitigate respiratory muscle dysfunction resulting from thoracic and upper abdominal surgeries. This integrative review aimed to describe the effects of inspiratory muscle training (IMT) on respiratory muscle strength in patients post-thoracic and upper abdominal surg...
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FEADEF
2025-04-01
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| Series: | Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación |
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| Online Access: | https://185.79.129.203/index.php/retos/article/view/108735 |
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| author | Bruna Marques de Brito Paula Christiane Canassia Taisa Maria Fernandes João Victor Martins Bernal da Silva Danilo Cândido Bulgo Fabrício Vieira Cavalcante Luciana Moreira Motta Raiz Hugo Celso Dutra de Souza Tábata de Paula Facioli |
| author_facet | Bruna Marques de Brito Paula Christiane Canassia Taisa Maria Fernandes João Victor Martins Bernal da Silva Danilo Cândido Bulgo Fabrício Vieira Cavalcante Luciana Moreira Motta Raiz Hugo Celso Dutra de Souza Tábata de Paula Facioli |
| author_sort | Bruna Marques de Brito |
| collection | DOAJ |
| description |
Respiratory muscle training can mitigate respiratory muscle dysfunction resulting from thoracic and upper abdominal surgeries. This integrative review aimed to describe the effects of inspiratory muscle training (IMT) on respiratory muscle strength in patients post-thoracic and upper abdominal surgery. The searches in the PubMed, Lilacs, and Scielo databases used scientific descriptors. Controlled and uncontrolled clinical trials published in the last ten years (from 2013 to 2023) in English or Portuguese, corresponding to the study objective, were included. Three independent researchers selected and analyzed the studies. Twenty-eight trials were found. Of these, seven were analyzed. Most studies involved individuals under 40 years of age, pre-obese, and individuals who underwent cardiac/thoracic surgery (myocardial revascularization, valve replacement, or both). Inspiratory muscle training was present in all included trials. Regarding duration, two studies conducted the intervention with IMT only in the immediate postoperative period and on the first postoperative day, one study conducted it for an indefinite period, according to the hospitalization period, three studies conducted IMT between seven and twelve weeks, and one study extended the training time for up to 12 months. Finally, IMT is indicated during hospitalization to promote inspiratory muscle strength gain in patients after high thoracic and abdominal surgeries. We also emphasize the need for standardization of protocols and therapeutic strategies in the respiratory rehabilitation of these patients. Therefore, respiratory physiotherapy needs to integrate IMT into the rehabilitation routine of these patients, aiming to prevent and treat respiratory complications and reduce hospitalization time and, morbidity and mortality.
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| format | Article |
| id | doaj-art-9a77e736e33a4eaeb9b7bb9c792453ff |
| institution | OA Journals |
| issn | 1579-1726 1988-2041 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | FEADEF |
| record_format | Article |
| series | Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación |
| spelling | doaj-art-9a77e736e33a4eaeb9b7bb9c792453ff2025-08-20T02:17:35ZengFEADEFRetos: Nuevas Tendencias en Educación Física, Deportes y Recreación1579-17261988-20412025-04-016710.47197/retos.v67.108735The Effect of inspiratory muscle training on respiratory muscle strength in patients undergoing high thoracic and abdominal surgery: An Integrative ReviewBruna Marques de Brito0Paula Christiane Canassia1Taisa Maria Fernandes2João Victor Martins Bernal da Silva3Danilo Cândido Bulgo4Fabrício Vieira Cavalcante5Luciana Moreira Motta Raiz6Hugo Celso Dutra de Souza7Tábata de Paula FacioliUniversity of Franca, Franca, State of São Paulo, BrazilUniversity of Franca, Franca, State of São Paulo, BrazilUniversity of Franca, Franca, State of São Paulo, BrazilDepartment of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, BrazilUniversity of Franca, Franca, State of São Paulo, BrazilUniversity of Brasília, Brasília, BrazilUniversity of Franca, Franca, State of São Paulo, BrazilDepartment of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil Respiratory muscle training can mitigate respiratory muscle dysfunction resulting from thoracic and upper abdominal surgeries. This integrative review aimed to describe the effects of inspiratory muscle training (IMT) on respiratory muscle strength in patients post-thoracic and upper abdominal surgery. The searches in the PubMed, Lilacs, and Scielo databases used scientific descriptors. Controlled and uncontrolled clinical trials published in the last ten years (from 2013 to 2023) in English or Portuguese, corresponding to the study objective, were included. Three independent researchers selected and analyzed the studies. Twenty-eight trials were found. Of these, seven were analyzed. Most studies involved individuals under 40 years of age, pre-obese, and individuals who underwent cardiac/thoracic surgery (myocardial revascularization, valve replacement, or both). Inspiratory muscle training was present in all included trials. Regarding duration, two studies conducted the intervention with IMT only in the immediate postoperative period and on the first postoperative day, one study conducted it for an indefinite period, according to the hospitalization period, three studies conducted IMT between seven and twelve weeks, and one study extended the training time for up to 12 months. Finally, IMT is indicated during hospitalization to promote inspiratory muscle strength gain in patients after high thoracic and abdominal surgeries. We also emphasize the need for standardization of protocols and therapeutic strategies in the respiratory rehabilitation of these patients. Therefore, respiratory physiotherapy needs to integrate IMT into the rehabilitation routine of these patients, aiming to prevent and treat respiratory complications and reduce hospitalization time and, morbidity and mortality. https://185.79.129.203/index.php/retos/article/view/108735thoracic surgerymyocardial revascularizationbreathing exercisesphysical therapy modalitiesreview |
| spellingShingle | Bruna Marques de Brito Paula Christiane Canassia Taisa Maria Fernandes João Victor Martins Bernal da Silva Danilo Cândido Bulgo Fabrício Vieira Cavalcante Luciana Moreira Motta Raiz Hugo Celso Dutra de Souza Tábata de Paula Facioli The Effect of inspiratory muscle training on respiratory muscle strength in patients undergoing high thoracic and abdominal surgery: An Integrative Review Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación thoracic surgery myocardial revascularization breathing exercises physical therapy modalities review |
| title | The Effect of inspiratory muscle training on respiratory muscle strength in patients undergoing high thoracic and abdominal surgery: An Integrative Review |
| title_full | The Effect of inspiratory muscle training on respiratory muscle strength in patients undergoing high thoracic and abdominal surgery: An Integrative Review |
| title_fullStr | The Effect of inspiratory muscle training on respiratory muscle strength in patients undergoing high thoracic and abdominal surgery: An Integrative Review |
| title_full_unstemmed | The Effect of inspiratory muscle training on respiratory muscle strength in patients undergoing high thoracic and abdominal surgery: An Integrative Review |
| title_short | The Effect of inspiratory muscle training on respiratory muscle strength in patients undergoing high thoracic and abdominal surgery: An Integrative Review |
| title_sort | effect of inspiratory muscle training on respiratory muscle strength in patients undergoing high thoracic and abdominal surgery an integrative review |
| topic | thoracic surgery myocardial revascularization breathing exercises physical therapy modalities review |
| url | https://185.79.129.203/index.php/retos/article/view/108735 |
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