Review Article

Effects of Respiratory Muscle Training on Pulmonary Function in Individuals with Spinal Cord Injury: An Updated Meta-analysis

Table 1

Characteristics of the studies.

Author & yearCountryGender (M/F)Sample size (T/C)InterventionControlTreatment durationMain outcome

Gounden, 1990South Africa32/820/20Resistive EMTUsual care8 wVC, MEP
Xu, 2018China95/550/50Respiratory resistance trainingUsual care2 mFVC, FEV1, MVV
Van Houtte, 2008Belgium12/27/7Normocapnic hyperpnea trainingSham8 wFVC, PEM, MVV
Litchke, 2011USANR9/7(a) Concurrent flow resistance
(b) Concurrent pressure threshold
Usual care9 wMVV, MIP
Mueller, 2013Netherlands18/616/8(a) Isocapnic hyperpnea training
(b) Inspiratory resistance training
Sham8 wMVV, MIP, VC, FEV1, MEP
Derrickson, 1992USA9/26/5Resistive IMTUsual care7 wFVC, MVV,
West, 2014UK9/15/5Resistive IMTSham6 wFVC, MVV, FEV1, MEP
Litchke, 2007USA9/04/5Respiratory resistance trainingUsual care10 wMVV, MIP
Liaw, 2000China16/410/10Resistive IMTUsual care6 wFVC, MIP, FEV1,
Loveridge, 1989CanadaNR6/6Resistive IMTUsual care8 wFVC
Postma, 2014Netherlands35/519/21Resistive IMTUsual care8 wMVV, MIP, FVC, FEV1
Roth, 2010USA22/716/13Resistive EMTSham9 wFVC, MIP, FEV1
Tamplin, 2013AustraliaNR13/11Therapeutic singing trainingMusic appreciation12 wVC, FVC, MIP, FEV1
Kim, 2017Korea22/1525/12(a) Integrating training
(b) Respiratory muscle training
Sham8 wFVC, FEV1
Zhang, 2016China27/1119/19Resistive IMTUsual care4 wMIP
Soumyashree, 2018India22/515/12Resistive IMTUsual care4 wMEP, MIP

EMT: expiratory muscle training; IMT: inspiratory muscle training; FVC: force vital capacity; VC: vital capacity; MVV: maximal voluntary ventilation; FEV1: forced expiratory volume in 1 second; MIP: respiratory muscle strength; MEP: maximum static expiratory pressure; M: male; F: female; T: treatment; C: control.