The effect of inspiratory muscle training in lung cancer patients after surgery: A systematic review.
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- Abstract Background: Inspiratory muscle training (IMT) is demonstrated as an effective intervention in improving quality of life and functional exercise in patients with lung disease such as COPD. Surgery is a common intervention for LC patients with positive result in survival rate. However, postoperative complications (PPCs) and impairments in physical capacity are common. The effect of IMT in postoperative LC patients has been investigated on these outcomes. The purpose of this study was to synthesize the effect of postoperative IMT (P-IMT) on PPCs and physical capacity in LC patients. Database: PubMed, EMBASE, Cochrane, and CINAHL were used for searching studies. Study selection: Randomized control trials, including control/sham group, IMT as intervention group, and key measures including PPCs, 6MWT, VO2Peak, MIP, MEP, QoL, physical activity level, hospital stay, spirometry. Data synthesis: The quality of all studies was assessed using the PEDro scale. The outcome findings were compared and interpreted. Results: Five studies with 249 patients were analyzed, PEDro score of studies ranged from 6 to 8. The training program was from two to eight weeks. Conclusion: No effect of P-IMT in PPCs was reported. The effect of P-IMT on physical capacity and muscle strength was depending on the studies. P-IMT can be used as an additional therapy to improve hospital stay, and postoperative physical activity level. No optimal setting of P-IMT for LC patients with surgery was found. More studies are needed.