Yang MX, Wang J, Zhang X, Luo ZR, Yu PM. Perioperative respiratory muscle training improves respiratory muscle strength and physical activity of patients receiving lung surgery: A meta-analysis. World J Clin Cases 2022; 10(13): 4119-4130 [PMID: 35665118 DOI: 10.12998/wjcc.v10.i13.4119]
Corresponding Author of This Article
Peng-Ming Yu, PhD, Associate Professor, Rehabilitation Medicine Center, West China Hospital, Sichuan University, No. 37 Guoxuexiang, Chengdu 610041, Sichuan Province, China. 13438201451@126.com
Research Domain of This Article
Rehabilitation
Article-Type of This Article
Meta-Analysis
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 6, 2022; 10(13): 4119-4130 Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4119
Perioperative respiratory muscle training improves respiratory muscle strength and physical activity of patients receiving lung surgery: A meta-analysis
Meng-Xuan Yang, Jiao Wang, Xiu Zhang, Ze-Ruxin Luo, Peng-Ming Yu, Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Yu PM made the substantial contributions to the conception and design of the work; Yang MX and Wang J searched, selected materials and extracted data; Yang MX wrote this manuscript; Yang MX, Wang J, Zhang X and Luo ZR revised the paper carefully and also contributed to the statistical analysis. All authors have read and approved the final manuscript.
Conflict-of-interest statement: None declared.
PRISMA 2009 Checklist statement: We performed this systematic review and meta-analysis according to the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines[16]. Meanwhile, it has been registered with PROSPERO (ID: CRD42020214940).
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Peng-Ming Yu, PhD, Associate Professor, Rehabilitation Medicine Center, West China Hospital, Sichuan University, No. 37 Guoxuexiang, Chengdu 610041, Sichuan Province, China. 13438201451@126.com
Received: December 8, 2021 Peer-review started: December 8, 2021 First decision: January 25, 2022 Revised: February 7, 2022 Accepted: March 16, 2022 Article in press: March 16, 2022 Published online: May 6, 2022
ARTICLE HIGHLIGHTS
Research background
The clinical values of perioperative respiratory muscle training (RMT), including inspiratory muscle training and expiratory muscle training in patients receiving lung surgery are not clear now.
Research motivation
To evaluate whether perioperative RMT is effective in improving postoperative outcomes such as the respiratory muscle strength and physical activity level in patients receiving lung surgery.
Research objectives
To further identify the clinical role of perioperative RMT in patients undergoing pulmonary surgery.
Research methods
Several databases were systematically searched to obtain eligible randomized controlled trials (RCTs). Primary outcome was postoperative respiratory muscle strength expressed as the maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP). Secondary outcomes were physical activity, exercise capacity, including the 6-min walking distance and peak oxygen consumption during the cardio-pulmonary exercise test, pulmonary function and the quality of life.
Research results
For primary outcomes, the pooled results indicated that perioperative RMT improved the postoperative MIP (mean = 8.13 cmH2O, P = 0.02) and tended to increase MEP (mean = 13.51 cmH2O, P = 0.14). For secondary outcomes, perioperative RMT enhanced postoperative physical activity significantly (P = 0.006) and a trend of improved postoperative pulmonary function was observed.
Research conclusions
Perioperative RMT enhanced postoperative respiratory muscle strength and physical activity level of patients receiving lung surgery.
Research perspectives
However, RCTs with large samples are needed to evaluate effects of perioperative RMT on postoperative outcomes in patients undergoing lung surgery.
