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Inspiratory Muscle Rehabilitation Training in Pediatrics: What Is the Evidence?

Publication ,  Journal Article
Bhammar, DM; Jones, HN; Lang, JE
Published in: Can Respir J
2022

Pulmonary rehabilitation is typically used for reducing respiratory symptoms and improving fitness and quality of life for patients with chronic lung disease. However, it is rarely prescribed and may be underused in pediatric conditions. Pulmonary rehabilitation can include inspiratory muscle training that improves the strength and endurance of the respiratory muscles. The purpose of this narrative review is to summarize the current literature related to inspiratory muscle rehabilitation training (IMRT) in healthy and diseased pediatric populations. This review highlights the different methods of IMRT and their effects on respiratory musculature in children. Available literature demonstrates that IMRT can improve respiratory muscle strength and endurance, perceived dyspnea and exertion, maximum voluntary ventilation, and exercise performance in the pediatric population. These mechanistic changes help explain improvements in symptomology and clinical outcomes with IMRT and highlight our evolving understanding of the role of IMRT in pediatric patients. There remains considerable heterogeneity in the literature related to the type of training utilized, training protocols, duration of the training, use of control versus placebo, and reported outcome measures. There is a need to test and refine different IMRT protocols, conduct larger randomized controlled trials, and include patient-centered clinical outcomes to help improve the evidence base and support the use of IMRT in patient care.

Duke Scholars

Published In

Can Respir J

DOI

EISSN

1916-7245

Publication Date

2022

Volume

2022

Start / End Page

5680311

Location

Egypt

Related Subject Headings

  • Respiratory System
  • Respiratory Muscles
  • Quality of Life
  • Pediatrics
  • Muscle Strength
  • Humans
  • Exercise Tolerance
  • Exercise Therapy
  • Dyspnea
  • Child
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Bhammar, D. M., Jones, H. N., & Lang, J. E. (2022). Inspiratory Muscle Rehabilitation Training in Pediatrics: What Is the Evidence? Can Respir J, 2022, 5680311. https://doi.org/10.1155/2022/5680311
Bhammar, Dharini M., Harrison N. Jones, and Jason E. Lang. “Inspiratory Muscle Rehabilitation Training in Pediatrics: What Is the Evidence?Can Respir J 2022 (2022): 5680311. https://doi.org/10.1155/2022/5680311.
Bhammar DM, Jones HN, Lang JE. Inspiratory Muscle Rehabilitation Training in Pediatrics: What Is the Evidence? Can Respir J. 2022;2022:5680311.
Bhammar, Dharini M., et al. “Inspiratory Muscle Rehabilitation Training in Pediatrics: What Is the Evidence?Can Respir J, vol. 2022, 2022, p. 5680311. Pubmed, doi:10.1155/2022/5680311.
Bhammar DM, Jones HN, Lang JE. Inspiratory Muscle Rehabilitation Training in Pediatrics: What Is the Evidence? Can Respir J. 2022;2022:5680311.

Published In

Can Respir J

DOI

EISSN

1916-7245

Publication Date

2022

Volume

2022

Start / End Page

5680311

Location

Egypt

Related Subject Headings

  • Respiratory System
  • Respiratory Muscles
  • Quality of Life
  • Pediatrics
  • Muscle Strength
  • Humans
  • Exercise Tolerance
  • Exercise Therapy
  • Dyspnea
  • Child