Inspiratory muscle training in children and adolescents with chronic conditions of health: integrative literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i5.41534

Keywords:

Resistance training; Respiratory muscles; Breathing exercises; Child; Adolescent.

Abstract

Introduction: Inspiratory muscle training (IMT) is used to gain strength and/or inspiratory muscle endurance. However, in children and adolescents with chronic health conditions, studies are scarce, in addition to there being no consensus in the literature regarding its application. Objective: To review the literature regarding the application of IMT in children and adolescents with chronic health conditions. Method: An integrative literature review was carried out in the PubMed, SciELO, Cochrane Library, PEDro, BVS and CAPES databases, selecting clinical trials published from 2010 onwards, which applied IMT without association with other respiratory physiotherapy techniques and with a sample made up of children under 18 years of age with some morbidity. Results: This review included 4 studies published between 2010 and 2021, with samples ranging from 8 to 31 participants, aged 5 to 18 years, who have neurodegenerative, neuromuscular, oncological or post-kidney transplant diseases. Conclusion: IMT proved to be safe and feasible in the reviewed studies and seems to be effective for muscle strengthening, improving functional capacity, lung function and quality of life in these specific populations. However, few studies were found with IMT protocols in the pediatric population, requiring further studies with this specific population.

References

Carbonera, R. P., Barbosa, A. P. O., Normann, T. C., Lago, P. D., Garcia, C. D., & Lukrafka, J. L. (2020). Home-based inspiratory muscle training in pediatric patients after kidney transplantation: a randomized clinical trial. Pediatric Nephrology (Berlin, Germany), 35(8), 1507–1516. https://doi.org/10.1007/s00467-020-04539-x

De Souza, T. M., Da Silva, D. M., & De Carvalho, R. (2010). Revisão integrativa: o que é e como fazer. Einstein, 8 (1). https://doi.org/10.1590/S1679-45082010RW113

Elnaggar R. K. (2021). A randomized placebo-controlled study investigating the efficacy of inspiratory muscle training in the treatment of children with bronchial asthma. The Journal of Asthma : official journal of the Association for the Care of Asthma, 58(12), 1661–1669. https://doi.org/10.1080/02770903.2020.1821058

Emirza, C., Aslan, G. K., Kilinc, A. A., & Cokugras, H. (2021). Effect of expiratory muscle training on peak cough flow in children and adolescents with cystic fibrosis: A randomized controlled trial. Pediatric Pulmonology, 56(5), 939–947. https://doi.org/10.1002/ppul.25259

Félix, E., Gimenes, A. C., & Costa-Carvalho, B. T. (2014). Effects of inspiratory muscle training on lung volumes, respiratory muscle strength, and quality of life in patients with ataxia telangiectasia. Pediatric Pulmonology, 49(3), 238–244. https://doi.org/10.1002/ppul.22828

Gosselink, R., De Vos, J., van den Heuvel, S. P., Segers, J., Decramer, M., & Kwakkel, G. (2011). Impact of inspiratory muscle training in patients with COPD: what is the evidence?. The European Respiratory Journal, 37(2), 416–425. https://doi.org/10.1183/09031936.00031810

Hodges, P. W., Gurfinkel, V. S., Brumagne, S., Smith, T. C., & Cordo, P. C. (2002). Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration. Experimental Brain Research, 144(3), 293–302. https://doi.org/10.1007/s00221-002-1040-x

Human, A., & Morrow, B. M. (2021). Inspiratory muscle training in children and adolescents living with neuromuscular diseases: A pre-experimental study. The South African journal of physiotherapy, 77(1), 1577. https://doi.org/10.4102/sajp.v77i1.1577

Human, A., Corten, L., Jelsma, J., & Morrow, B. (2017). Inspiratory muscle training for children and adolescents with neuromuscular diseases: A systematic review. Neuromuscular Disorders : NMD, 27(6), 503–517. https://doi.org/10.1016/j.nmd.2017.03.009

Keles, M. N., Elbasan, B., Apaydin, U., Aribas, Z., Bakirtas, A., & Kokturk, N. (2018). Effects of inspiratory muscle training in children with cerebral palsy: a randomized controlled trial. Brazilian Journal of Physical Therapy, 22(6), 493–501. https://doi.org/10.1016/j.bjpt.2018.03.010

Kepenek-Varol, B., Gürses, H. N., & İçağasıoğlu, D. F. (2022). Effects of Inspiratory Muscle and Balance Training in Children with Hemiplegic Cerebral Palsy: A Randomized Controlled Trial. Developmental Neurorehabilitation, 25(1), 1–9. https://doi.org/10.1080/17518423.2021.1905727

Kock, K. S., Caiônico, J. C., Luiz, A. R., Arent, Y. A., Fernandes, I. (2015). Análise da pressão inspiratória com alto e baixo fluxos em resistor alinear. Assobrafir Ciência, 6(1), 13-20.

Langer, D., Charususin, N., Jácome, C., Hoffman, M., McConnell, A., Decramer, M., & Gosselink, R. (2015). Efficacy of a Novel Method for Inspiratory Muscle Training in People With Chronic Obstructive Pulmonary Disease. PhysicaltTerapy, 95(9), 1264–1273. https://doi.org/10.2522/ptj.20140245

Lee, H. Y., Cha, Y. J., & Kim, K. (2014). The effect of feedback respiratory training on pulmonary function of children with cerebral palsy: a randomized controlled preliminary report. Clinical Rehabilitation, 28(10), 965–971. https://doi.org/10.1177/0269215513494876

Lin, C. H., Lee, C. W., & Huang, C. H. (2022). Inspiratory Muscle Training Improves Aerobic Fitness in Active Children. International Journal of Environmental Research and Public Health, 19(22), 14722. https://doi.org/10.3390/ijerph192214722

Macedo, T. F., Oliveira, K. M. C., Melo, J. B. C., & Mendonça, K. M. P. P. (2010). Treinamento muscular inspiratório em crianças com leucemia: resultados preliminares. Revista Paulista Pediatria, 28 (4), 252-358. https://doi.org/10.1590/S0103-05822010000400011

Pereira, A. S. & Shitsuka, R. (2018) Metodologia da pesquisa científica. UFSM/NTE. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf. Estrela, C. Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Pinto, A., Barbosa, J., Johnston, C. (2018). Treinamento muscular inspiratório em crianças sob ventilação mecânica: revisão da literatura. Assobrafir Ciência, 9(2), 45-54.

Valkenet, K., Trappenburg, J. C., Gosselink, R., Sosef, M. N., Willms, J., Rosman, C., Pieters, H., Scheepers, J. J., de Heus, S. C., Reynolds, J. V., Guinan, E., Ruurda, J. P., Rodrigo, E. H., Nafteux, P., Fontaine, M., Kouwenhoven, E. A., Kerkemeyer, M., van der Peet, D. L., Hania, S. W., van Hillegersberg, R., … Backx, F. J. (2014). Preoperative inspiratory muscle training to prevent postoperative pulmonary complications in patients undergoing esophageal resection (PREPARE study): study protocol for a randomized controlled trial. Trials, 15, 144. https://doi.org/10.1186/1745-6215-15-144

Woszezenki, C., Heinzmann-filho, J., Donadio, M. (2017). Inspiratory muscle training in pediatrics: main indications and technical characteristics of the protocols. Fisioter mov, 30(1), S317-24. https://doi.org/10.1590/1980-5918.030.S01.AR01

Zeren, M., Cakir, E., & Gurses, H. N. (2019). Effects of inspiratory muscle training on postural stability, pulmonary function and functional capacity in children with cystic fibrosis: A randomised controlled trial. Respiratory Medicine, 148, 24–30. https://doi.org/10.1016/j.rmed.2019.01.013

Published

07/05/2023

How to Cite

CAVALCANTI, M. E. P. .; PINTO JUNIOR, A. R. .; BRITO, A. L. .; GUEDES JÚNIOR, G. J. de A. .; FIGUEIRÊDO, B. B. . Inspiratory muscle training in children and adolescents with chronic conditions of health: integrative literature review. Research, Society and Development, [S. l.], v. 12, n. 5, p. e9912541534, 2023. DOI: 10.33448/rsd-v12i5.41534. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41534. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences