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Effect of inspiratory muscle training in hemodialysis patients: a systematic review of randomized controlled trials

2025Journal article Open access
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datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorCasado, Sónia Alexandra Claro
dc.contributor.authorMendes, Eugénia
dc.contributor.authorPreto, Leonel
dc.contributor.authorVila-Chã, Carolina Júlia Félix
dc.contributor.authorNovo, André
dc.date.accessioned2025-10-27T14:36:09Z
dc.date.available2025-10-27T14:36:09Z
dc.date.issued2025
dc.description.abstractTo clarify the effect of inspiratory muscle training on inspiratory muscle strength, lung function, and functional capacity in hemodialysis patients. Methods: Randomized controlled trials evaluating inspiratory muscle strength, lung function, and functional capacity in hemodialysis patients were searched. The search was conducted in Medline, Web of Science, and Scopus between August and December 2024. Risk of bias was assessed using the Cochrane Collaboration’s risk of bias tool-2. Results: 316 Studies were analyzed, and 12 were included, involving 460 patients. The intervention consisted of training the respiratory muscles using linear loading devices, varying between 30% and 70% of Maximum Inspiratory Pressure, for 4 to 24 weeks. One study was classified as high risk of bias, three with some concerns, and eight low risk of bias. Inspiratory muscle strength increased significantly in the intervention groups. Significant changes concerning lung function were observed only in some groups. Considerable variations in the distance covered in the 6-MWT test were also found in some studies. Conclusions: Inspiratory muscle training appears to influence several outcomes. Replicating randomized controlled trials with standardized protocols and robust assessment methods is necessary to more effectively establish their effectiveness.por
dc.identifier.citationCasado, Sónia Alexandra Claro; Mendes, Eugénia; Preto, Leonel; Vila-Chã, Carolina Júlia Félix; Novo, André (2025). Effect of inspiratory muscle training in hemodialysis patients: a systematic review of randomized controlled trials. Disability and Rehabilitation. ISSN 0963-8288. p. 1-11
dc.identifier.doi10.1080/09638288.2025.2554947
dc.identifier.issn0963-8288
dc.identifier.issn1464-5165
dc.identifier.urihttp://hdl.handle.net/10198/34887
dc.language.isoeng
dc.peerreviewedyes
dc.publisherTaylor and Francis Ltd.
dc.relation.hasversionhttps://www.tandfonline.com/doi/10.1080/09638288.2025.2554947?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
dc.relation.ispartofDisability and Rehabilitation
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHemodialysis
dc.subjectRespiratory muscles
dc.subjectBreathing exercises
dc.subjectMuscle strength
dc.titleEffect of inspiratory muscle training in hemodialysis patients: a systematic review of randomized controlled trials
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage11
oaire.citation.startPage1
oaire.citation.titleDisability and Rehabilitation
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameMendes
person.familyNamePreto
person.familyNameNovo
person.givenNameEugénia
person.givenNameLeonel
person.givenNameAndré
person.identifierhttps://scholar.google.com.br/citations?user=YMih_6QAAAAJ&hl=pt-PT&oi=ao
person.identifierH-1386-2012
person.identifier.ciencia-id7114-2BCC-DE82
person.identifier.ciencia-id451C-C9C6-C5D6
person.identifier.ciencia-id7D14-8584-AB2B
person.identifier.orcid0000-0001-6528-4284
person.identifier.orcid0000-0002-8126-7051
person.identifier.orcid0000-0001-8583-0406
person.identifier.ridM-7528-2016
person.identifier.scopus-author-id56465467200
person.identifier.scopus-author-id56465995600
person.identifier.scopus-author-id612710
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