Evidence map›Paper›PMID 39192351›Full record

ArticleBMC sports science, medicine & rehabilitation2024

Effects of respiratory muscular training in post-covid-19 patients: a systematic review and meta-analysis of randomized controlled trials.

Diego Mendes Xavier, Ráina Anielle Lopes Abreu, Fabiane Gontijo Corrêa, Whesley Tanor Silva, Sarah Nascimento Silva, Endi Lanza Galvão, Marcos Gabriel do Nascimento Junior

Abstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Assessment and management of post-COVID-19 pulmonary complications: a rapid review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  5. Review
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Diego Mendes XavierDepartment of Physiotherapy and Postgraduate Program in Rehabilitation and Functional Performance, Federal University of Vales do Jequitinhonha and Mucuri, Rodovia MG 367, Km 583, número 5000 Alto da Jacubá. CEP. 39100-000, Diamantina, 31330670, MG, Brazil. diegomendesxav@gmail.com.ORCID http://orcid.org/0000-0001-8278-3536
Ráina Anielle Lopes AbreuPhysiotherapist from Universidade Tiradentes (UNIT), Aracaju, Brazil.ORCID http://orcid.org/0009-0002-7762-4228
Fabiane Gontijo CorrêaDepartment of Physiotherapy and Postgraduate Program in Rehabilitation and Functional Performance, Federal University of Vales do Jequitinhonha and Mucuri, Rodovia MG 367, Km 583, número 5000 Alto da Jacubá. CEP. 39100-000, Diamantina, 31330670, MG, Brazil.ORCID http://orcid.org/0000-0002-3695-6018
Whesley Tanor SilvaFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, Brasil.ORCID http://orcid.org/0000-0002-5783-1820
Sarah Nascimento SilvaClinical Research and Public Policies in Infectious-Parasitic Diseases, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.ORCID http://orcid.org/0000-0002-1087-9819
Endi Lanza GalvãoPrograma de Pós Graduação em Reabilitação e Desempenho Funcional, Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina Minas, Gerais, Brazil.
Marcos Gabriel do Nascimento JuniorDoctoral Student in Health Sciences, Universidade Federal de Sergipe (UFS), Sergipe, Brazil.ORCID http://orcid.org/0000-0001-8147-5240

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-Covid-19 syndrome is defined as non-self-sustaining signs and/or symptoms lasting more than 12 weeks, occurring during or after a Covid-19 infection. The primary outcome was the analysis of the respiratory muscle training (RMT) result in respiratory muscle strength, (maximum inspiratory pressure (MIP) e maximum expiratory pressure (MEP)); and the secondary results were the analysis of lung function, dyspnea, quality of life (QoL), fatigue and functional performance.

methodsThe PICO description for this research was: P: patients diagnosed with post-Covid-19; I: RMT; C: Sham or simulated inspiratory or expiratory muscle training and usual care; O: MIP, MEP, Lung Function, level of dyspnea, QoL and functional performance. On January 15, 2024, the following databases were consulted: PubMed, Lilacs, Cochrane Library, PEDro and EMBASE. Randomized clinical trials were included without restrictions on year of publication or language. The data selection and extraction steps were carried out by two independent reviewers.

resultsThe search in the databases resulted in a total of 14,216 studies, and after the eligibility process, 7 studies were included with a sample of 527 patients. The MIP results suffered a statistically significant increase, that is, the RMT was favorable to improve the MIP (MD = 29.55cmH

conclusionWe noticed that RMT is being used in patients with respiratory diseases, including post-Covid-19. Our systematic review observed that this training provides an increase in inspiratory and expiratory muscle strength, a reduction in dyspnea levels, and an increase in the distance covered in the 6MWT and improved QoL in post-covid patients after intervention.

Indexed as

Covid-19Long COVIDPost-COVID-19 syndromeRandomized controlled trialRespiratory muscle training

Identifiers

PMID39192351
PMCPMC11351554

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.