Cochrane · systematic review · CD013778
Inspiratory muscle training, with or without concomitant pulmonary rehabilitation, for chronic obstructive pulmonary disease (COPD)
Ammous, O, Feki, W, Lotfi, T, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
13
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 46.2%Low 3 · 23.1%Moderate 4 · 30.8%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Pulmonary rehabilitation plus inspiratory muscle training compared to pulmonary rehabilitation alone for people with chronic obstructive pulmonary disease
Population: people with chronic obstructive pulmonary disease (COPD)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dyspnea Pulmonary rehabilitation plus inspiratory muscle training vs pulmonary rehabilitation alone | no estimate extracted | 2 studies · 202 participants | Moderate Downgraded: imprecision |
Dyspnea Pulmonary rehabilitation plus inspiratory muscle training vs pulmonary rehabilitation alone | no estimate extracted | 2 studies · 204 participants | Very low Downgraded: risk of bias, imprecision |
Functional exercise capacity Pulmonary rehabilitation plus inspiratory muscle training vs pulmonary rehabilitation alone | no estimate extracted | 12 studies · 1199 participants | Very low Downgraded: risk of bias, inconsistency |
Health‐related quality of life Pulmonary rehabilitation plus inspiratory muscle training vs pulmonary rehabilitation alone | no estimate extracted | 7 studies · 908 participants | Low Downgraded: risk of bias |
Health‐related quality of life Pulmonary rehabilitation plus inspiratory muscle training vs pulmonary rehabilitation alone | no estimate extracted | 2 studies · 657 participants | Very low Downgraded: risk of bias, inconsistency |
Inspiratory muscle strength Pulmonary rehabilitation plus inspiratory muscle training vs pulmonary rehabilitation alone | no estimate extracted | 17 studies · 1329 participants | Moderate Downgraded: risk of bias |
Inspiratory muscle training compared to control or sham for people with chronic obstructive pulmonary disease
Population: people with chronic obstructive pulmonary disease (COPD)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dyspnea Inspiratory muscle training vs control or sham | no estimate extracted | 6 studies · 144 participants | Very low Downgraded: risk of bias, imprecision |
Dyspnea Inspiratory muscle training vs control or sham | no estimate extracted | 8 studies · 238 participants | Very low Downgraded: risk of bias, imprecision |
Dyspnea Inspiratory muscle training vs control or sham | no estimate extracted | 4 studies · 150 participants | Low Downgraded: risk of bias, imprecision |
Functional exercise capacity Inspiratory muscle training vs control or sham | no estimate extracted | 16 studies · 501 participants | Moderate Downgraded: risk of bias |
Health‐related quality of life Inspiratory muscle training vs control or sham | no estimate extracted | 6 studies · 182 participants | Very low Downgraded: risk of bias, imprecision |
Health‐related quality of life Inspiratory muscle training vs control or sham | no estimate extracted | 2 studies · 86 participants | Moderate Downgraded: imprecision |
Inspiratory muscle strength Inspiratory muscle training vs control or sham | no estimate extracted | 32 studies · 916 participants | Low Downgraded: risk of bias, inconsistency, publication bias |