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- Title
Efetividade e segurança do treinamento muscular respiratório na apneia obstrutiva do sono: protocolo de uma revisão sistemática.
- Authors
Silva de Sousa, André; Pereira Rocha, Aline; Daniela Regina Brandão Tavares; Jane Érika Frazão Okasaki; Márcia Valéria de Andrade Santana; Ana Carolina Pereira Nunes Pinto
- Abstract
Introduction: Obstructive sleep apnea (OSA) is the most common sleep-disordered breathing. Respiratory muscle training (RMT) has emerged as a promising intervention for the improvement of symptoms and with good adherence, however, much has been discussed about its effectiveness and safety. Objective: To evaluate the effectiveness and safety of RMT in the treatment of patients with OSA. Methods: Therefore, a systematic review of randomized controlled trials (RCTs) will be conducted. The study protocol was registered on the Prospero Platform (CRD42018096980). Individuals diagnosed with OSA, aged 18 years or older, using positive airway pressure or not, will be included. We will exclude studies with patients diagnosed with spinal cord injury or neuromuscular diseases. The searches will be performed in the databases: Medical Literature Analysis and Retrieval System Online (Medline) via Pubmed, Excerpta Medica dataBASE (Embase) via Elsevier, Cochrane Central Register of Controlled Trials (Central) via Cochrane Library, Latin American and Caribbean Literature on Health Sciences (Lilacs) via the Virtual Health Library Portal and Physiotherapy Evidence Database (PEDro), with no restrictions on language or year of publication. We will assess methodological rigor from the included studies and the certainty of evidence for the main outcomes of the systematic review using Cochrane's Risk of Bias 2.0 tool and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach, respectively. The study selection, data extraction, assessment of bias of the included studies, and assessment of the certainty of evidence will be performed by two independent researchers. Expected results: The results of this review are expected to provide useful information for clinical decision-making, and expose knowledge gaps, as well as provide a good foundation for future high-quality RCTs on the subject.
- Subjects
RESPIRATORY muscle physiology; SLEEP apnea syndrome treatment; BREATHING exercises; SYSTEMATIC reviews; CONTINUOUS positive airway pressure; STRENGTH training; EXERCISE physiology; TREATMENT effectiveness; SLEEP apnea syndromes; DECISION making in clinical medicine; PATIENT safety; EVALUATION
- Publication
Fisioterapia Brasil, 2022, Vol 23, Issue 6, p910
- ISSN
1518-9740
- Publication type
Article
- DOI
10.33233/fb.v23i6.5316