Results show improvements on PImax in favour of therapeutic respiratory muscle training intervention (MD = 6.08 95% CI = 1.38, 10.77 p < 0.01 I 2 = 92%). Study quality was poor to good (mean PEDro Score of 6.375 out of 10). Nine studies were included, five of which obtained an A recommendation grade, three with B, and one with C. This systematic review was registered in PROSPERO (CRD42017075101). Study selection/eligibility criteria: The following were included: randomised controlled trials, randomised crossover trials and pilot studies of patients with BC that used the intervention as RMT (inspiratory/expiratory) and evaluations of respiratory muscle strength (maximal expiratory pressure/maximal inspiratory pressure). The methodological quality of nine studies was assessed using the PEDro scale. Two independent investigators searched using several electronic databases. Methods: Systematic review and meta-analysis were conducted following PRISMA guidelines. The aim of this study was to analyse the effects of therapeutic respiratory muscle training (RMT) interventions on improving sputum clearance, ventilator function, muscle strength and functional capacity in BC. Background: Respiratory muscle dysfunction is an important health problem with high morbidity and mortality and associated costs in patients with bronchiectasis (BC).

Flutter valve bronchiectasis