Inspiratory Muscle Training and Its Impact on Weaning Success in Mechanically Ventilated ICU Patients: A Systematic Review
Background/Objectives: A major importance is now accorded to respiratory muscle weakness resulting from exposure to invasive mechanical ventilation (IMV) in intensive care unit patients. Some authors suggested that Inspiratory Muscle Training (IMT) could increase the chances of weaning off IMV. This...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-03-01
|
| Series: | Journal of Functional Morphology and Kinesiology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2411-5142/10/2/111 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849472223602016256 |
|---|---|
| author | José Luís Alonso-Pérez Víctor Riquelme-Aguado Daniel Rodríguez-Prieto Alejandro López-Mejías Carlos Romero-Morales Giacomo Rossettini Jorge Hugo Villafañe |
| author_facet | José Luís Alonso-Pérez Víctor Riquelme-Aguado Daniel Rodríguez-Prieto Alejandro López-Mejías Carlos Romero-Morales Giacomo Rossettini Jorge Hugo Villafañe |
| author_sort | José Luís Alonso-Pérez |
| collection | DOAJ |
| description | Background/Objectives: A major importance is now accorded to respiratory muscle weakness resulting from exposure to invasive mechanical ventilation (IMV) in intensive care unit patients. Some authors suggested that Inspiratory Muscle Training (IMT) could increase the chances of weaning off IMV. This systematic review examined the efficacy of IMT on weaning success in mechanically ventilated patients. Methods: A literature search was conducted on PubMed, Cochrane, and PEDro until June 2023. Weaning success, maximum inspiratory pressure (MIP), and Rapid Shallow Breathing Index (RSBI) were the outcome measures included. Results: Seven randomized controlled trials, including 517 participants under IMV for at least 48 h, were included in the review. From a qualitative point of view, a significant increase in MIP and a significant decrease in RSBI were found in the intervention group during the analysis. However, weaning success was the same between the intervention and control groups. No significant association was found between weaning success and the increase of MIP or the decrease of RSBI. Furthermore, it could not be demonstrated that a positive change in MIP or RSBI would increase the weaning success rates. Conclusions: From a qualitative point of view, IMT is effective in increasing MIP and decreasing RSBI. However, IMT has no significant impact on weaning success. Further research is recommended to analyze the effect of IMT on weaning success. |
| format | Article |
| id | doaj-art-baadf57cbb0d41f0a7cb550fc551a085 |
| institution | Kabale University |
| issn | 2411-5142 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Functional Morphology and Kinesiology |
| spelling | doaj-art-baadf57cbb0d41f0a7cb550fc551a0852025-08-20T03:24:36ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422025-03-0110211110.3390/jfmk10020111Inspiratory Muscle Training and Its Impact on Weaning Success in Mechanically Ventilated ICU Patients: A Systematic ReviewJosé Luís Alonso-Pérez0Víctor Riquelme-Aguado1Daniel Rodríguez-Prieto2Alejandro López-Mejías3Carlos Romero-Morales4Giacomo Rossettini5Jorge Hugo Villafañe6Department of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, SpainDepartment of Basic Health Sciences, Rey Juan Carlos University, 28933 Madrid, SpainDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, SpainDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, SpainDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, SpainDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, SpainDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, SpainBackground/Objectives: A major importance is now accorded to respiratory muscle weakness resulting from exposure to invasive mechanical ventilation (IMV) in intensive care unit patients. Some authors suggested that Inspiratory Muscle Training (IMT) could increase the chances of weaning off IMV. This systematic review examined the efficacy of IMT on weaning success in mechanically ventilated patients. Methods: A literature search was conducted on PubMed, Cochrane, and PEDro until June 2023. Weaning success, maximum inspiratory pressure (MIP), and Rapid Shallow Breathing Index (RSBI) were the outcome measures included. Results: Seven randomized controlled trials, including 517 participants under IMV for at least 48 h, were included in the review. From a qualitative point of view, a significant increase in MIP and a significant decrease in RSBI were found in the intervention group during the analysis. However, weaning success was the same between the intervention and control groups. No significant association was found between weaning success and the increase of MIP or the decrease of RSBI. Furthermore, it could not be demonstrated that a positive change in MIP or RSBI would increase the weaning success rates. Conclusions: From a qualitative point of view, IMT is effective in increasing MIP and decreasing RSBI. However, IMT has no significant impact on weaning success. Further research is recommended to analyze the effect of IMT on weaning success.https://www.mdpi.com/2411-5142/10/2/111inspiratory muscle trainingmechanical ventilationweaning successmaximum inspiratory pressurerapid shallow breathing indexcritical care |
| spellingShingle | José Luís Alonso-Pérez Víctor Riquelme-Aguado Daniel Rodríguez-Prieto Alejandro López-Mejías Carlos Romero-Morales Giacomo Rossettini Jorge Hugo Villafañe Inspiratory Muscle Training and Its Impact on Weaning Success in Mechanically Ventilated ICU Patients: A Systematic Review Journal of Functional Morphology and Kinesiology inspiratory muscle training mechanical ventilation weaning success maximum inspiratory pressure rapid shallow breathing index critical care |
| title | Inspiratory Muscle Training and Its Impact on Weaning Success in Mechanically Ventilated ICU Patients: A Systematic Review |
| title_full | Inspiratory Muscle Training and Its Impact on Weaning Success in Mechanically Ventilated ICU Patients: A Systematic Review |
| title_fullStr | Inspiratory Muscle Training and Its Impact on Weaning Success in Mechanically Ventilated ICU Patients: A Systematic Review |
| title_full_unstemmed | Inspiratory Muscle Training and Its Impact on Weaning Success in Mechanically Ventilated ICU Patients: A Systematic Review |
| title_short | Inspiratory Muscle Training and Its Impact on Weaning Success in Mechanically Ventilated ICU Patients: A Systematic Review |
| title_sort | inspiratory muscle training and its impact on weaning success in mechanically ventilated icu patients a systematic review |
| topic | inspiratory muscle training mechanical ventilation weaning success maximum inspiratory pressure rapid shallow breathing index critical care |
| url | https://www.mdpi.com/2411-5142/10/2/111 |
| work_keys_str_mv | AT joseluisalonsoperez inspiratorymuscletraininganditsimpactonweaningsuccessinmechanicallyventilatedicupatientsasystematicreview AT victorriquelmeaguado inspiratorymuscletraininganditsimpactonweaningsuccessinmechanicallyventilatedicupatientsasystematicreview AT danielrodriguezprieto inspiratorymuscletraininganditsimpactonweaningsuccessinmechanicallyventilatedicupatientsasystematicreview AT alejandrolopezmejias inspiratorymuscletraininganditsimpactonweaningsuccessinmechanicallyventilatedicupatientsasystematicreview AT carlosromeromorales inspiratorymuscletraininganditsimpactonweaningsuccessinmechanicallyventilatedicupatientsasystematicreview AT giacomorossettini inspiratorymuscletraininganditsimpactonweaningsuccessinmechanicallyventilatedicupatientsasystematicreview AT jorgehugovillafane inspiratorymuscletraininganditsimpactonweaningsuccessinmechanicallyventilatedicupatientsasystematicreview |