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Respiratory muscle training in non-athletes and athletes with spinal cord injury: A systematic review of the effects on pulmonary function, respiratory muscle strength and endurance, and cardiorespiratory fitness based on the FITT principle of exercise prescription.
Lemos, Júlia Ribeiro; da Cunha, Felipe Amorim; Lopes, Agnaldo José; Guimarães, Fernando Silva; do Amaral Vasconcellos, Fabrício Vieira; Dos Santos Vigário, Patrícia.
Afiliación
  • Lemos JR; Postgraduate Program in Rehabilitation Sciences, Augusto Motta University Center, Rio de Janeiro, Brazil.
  • da Cunha FA; Postgraduate Program in Exercise Science and Sports, University of Rio de Janeiro State, Rio de Janeiro, Brazil.
  • Lopes AJ; Laboratory of Physical Activity and Health Promotion, University of Rio de Janeiro State, Rio de Janeiro, Brazil.
  • Guimarães FS; Postgraduate Program in Rehabilitation Sciences, Augusto Motta University Center, Rio de Janeiro, Brazil.
  • do Amaral Vasconcellos FV; Physical Therapy Department, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Dos Santos Vigário P; Postgraduate Program in Exercise Science and Sports, University of Rio de Janeiro State, Rio de Janeiro, Brazil.
J Back Musculoskelet Rehabil ; 33(4): 655-667, 2020.
Article en En | MEDLINE | ID: mdl-31594206
BACKGROUND: Respiratory muscle training (RMT) has been recommended to mitigate impacts of spinal cord injuries (SCI), but the optimal dosage in terms of the frequency, intensity, time, and type (FITT principle) to promote health in SCI individuals remains unclear. OBJECTIVE: To discuss research related to the effects of RMT on pulmonary function, respiratory muscle strength and cardiorespiratory fitness in athletes and non-athletes with SCI, presenting the FITT principle. METHODS: We performed a systematic review. PubMed, Lilacs, Scopus, Web of Science, PEDro, SciELO and Cochrane databases were searched between 1989 and August 2018. Participants were athletes and non-athletes with SCI. RESULTS: 4,354 studies were found, of which only 17 met the eligibility criteria. Results indicated that RMT is associated with beneficial changes in pulmonary function and respiratory muscle strength and endurance among athletes and non-athletes, whereas no effect was reported for maximal oxygen uptake. It was not possible to establish an optimal RMT dose from the FITT principle, but combined inspiratory/expiratory muscle training seems to promote greater respiratory changes than isolated IMT or EMT. CONCLUSION: The use of RMT elicits benefits in ventilatory variables of athletes and non-athletes with SCI. However, it remains unclear which RMT type and protocol should be used to maximize benefits.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resistencia Física / Traumatismos de la Médula Espinal / Ejercicios Respiratorios / Capacidad Cardiovascular / Pulmón Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: J Back Musculoskelet Rehabil Asunto de la revista: FISIOLOGIA / REABILITACAO Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resistencia Física / Traumatismos de la Médula Espinal / Ejercicios Respiratorios / Capacidad Cardiovascular / Pulmón Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: J Back Musculoskelet Rehabil Asunto de la revista: FISIOLOGIA / REABILITACAO Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Países Bajos