Physiotherapy in lymphangioleiomyomatosis: a systematic review
Background Lymphangioleiomyomatosis (LAM) is associated with progressive dyspnoea and exercise intolerance, but despite the central role of physiotherapy on pulmonary rehabilitation, there is a huge lack of physiotherapy approaches used specifically for LAM patients.Objective to identify the physiot...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2022.2128401 |
| _version_ | 1797996624817946624 |
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| author | Victoria Maria Garcia de Medeiros Jéssica Gonçalves de Lima Claudia Rosa Juliana Rega Mauro Felippe Felix Mediano Luiz Fernando Rodrigues Junior |
| author_facet | Victoria Maria Garcia de Medeiros Jéssica Gonçalves de Lima Claudia Rosa Juliana Rega Mauro Felippe Felix Mediano Luiz Fernando Rodrigues Junior |
| author_sort | Victoria Maria Garcia de Medeiros |
| collection | DOAJ |
| description | Background Lymphangioleiomyomatosis (LAM) is associated with progressive dyspnoea and exercise intolerance, but despite the central role of physiotherapy on pulmonary rehabilitation, there is a huge lack of physiotherapy approaches used specifically for LAM patients.Objective to identify the physiotherapeutic strategies used in the treatment of patients with LAM.Materials and methods This is a systematic review of literature. Searches were performed (in PubMed, Lilacs, Embase and PEDro databases) with the keywords “Lymphangioleiomyomatosis” and “Physiotherapy,” and its variations. Articles describing physiotherapy interventions were included in the study. Data extracted from the studies were authors, year, country of publication, sample size, physiotherapy intervention, time/frequency/duration of intervention protocols, instruments used to measure results and main findings. Methodological quality of studies was evaluated by PEDro Scale (clinical trials), Newcastle–Ottawa Scale (NOS; observational studies) and CARE checklist (case reports), respectively.Results A total of 82 articles identified, three duplicates were removed, 71 studies were excluded after title and abstract reading and four after full-text reading, all due to absence of association with the study topic. Four studies were included in the present review. Cardiorespiratory physiotherapy with endurance and resistance training were identified as physiotherapeutic strategies to improve lung function, functional capacity, depression symptoms and quality of life in LAM.Conclusions Endurance and resistance training is the keystone for physiotherapy in patients with LAM, but despite the reported benefits, there is a huge lack of studies related to the modalities, safety and dosage of physiotherapy prescription for patients with LAM.KEY MESSAGESLymphangioleiomyomatosis (LAM), a rare disease, leads to progressive dyspnoea and exercise intolerance;Physiotherapy can improve dyspnoea and exercise intolerance in LAM through endurance and resistance exercises. |
| first_indexed | 2024-04-11T10:20:21Z |
| format | Article |
| id | doaj.art-44a47d40ee3f427ba8ccddac00129716 |
| institution | Directory Open Access Journal |
| issn | 0785-3890 1365-2060 |
| language | English |
| last_indexed | 2024-04-11T10:20:21Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj.art-44a47d40ee3f427ba8ccddac001297162022-12-22T04:29:46ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602022-12-015412744275110.1080/07853890.2022.2128401Physiotherapy in lymphangioleiomyomatosis: a systematic reviewVictoria Maria Garcia de Medeiros0Jéssica Gonçalves de Lima1Claudia Rosa2Juliana Rega3Mauro Felippe Felix Mediano4Luiz Fernando Rodrigues Junior5Education and Research Department, National Institute of Cardiology, Rio de Janeiro, BrazilEducation and Research Department, National Institute of Cardiology, Rio de Janeiro, BrazilPhysiotherapy Service, National Institute of Cardiology, Rio de Janeiro, BrazilPhysiotherapy Service, National Institute of Cardiology, Rio de Janeiro, BrazilEducation and Research Department, National Institute of Cardiology, Rio de Janeiro, BrazilEducation and Research Department, National Institute of Cardiology, Rio de Janeiro, BrazilBackground Lymphangioleiomyomatosis (LAM) is associated with progressive dyspnoea and exercise intolerance, but despite the central role of physiotherapy on pulmonary rehabilitation, there is a huge lack of physiotherapy approaches used specifically for LAM patients.Objective to identify the physiotherapeutic strategies used in the treatment of patients with LAM.Materials and methods This is a systematic review of literature. Searches were performed (in PubMed, Lilacs, Embase and PEDro databases) with the keywords “Lymphangioleiomyomatosis” and “Physiotherapy,” and its variations. Articles describing physiotherapy interventions were included in the study. Data extracted from the studies were authors, year, country of publication, sample size, physiotherapy intervention, time/frequency/duration of intervention protocols, instruments used to measure results and main findings. Methodological quality of studies was evaluated by PEDro Scale (clinical trials), Newcastle–Ottawa Scale (NOS; observational studies) and CARE checklist (case reports), respectively.Results A total of 82 articles identified, three duplicates were removed, 71 studies were excluded after title and abstract reading and four after full-text reading, all due to absence of association with the study topic. Four studies were included in the present review. Cardiorespiratory physiotherapy with endurance and resistance training were identified as physiotherapeutic strategies to improve lung function, functional capacity, depression symptoms and quality of life in LAM.Conclusions Endurance and resistance training is the keystone for physiotherapy in patients with LAM, but despite the reported benefits, there is a huge lack of studies related to the modalities, safety and dosage of physiotherapy prescription for patients with LAM.KEY MESSAGESLymphangioleiomyomatosis (LAM), a rare disease, leads to progressive dyspnoea and exercise intolerance;Physiotherapy can improve dyspnoea and exercise intolerance in LAM through endurance and resistance exercises.https://www.tandfonline.com/doi/10.1080/07853890.2022.2128401Lymphangioleiomyomatosisphysiotherapyrehabilitationexercise |
| spellingShingle | Victoria Maria Garcia de Medeiros Jéssica Gonçalves de Lima Claudia Rosa Juliana Rega Mauro Felippe Felix Mediano Luiz Fernando Rodrigues Junior Physiotherapy in lymphangioleiomyomatosis: a systematic review Annals of Medicine Lymphangioleiomyomatosis physiotherapy rehabilitation exercise |
| title | Physiotherapy in lymphangioleiomyomatosis: a systematic review |
| title_full | Physiotherapy in lymphangioleiomyomatosis: a systematic review |
| title_fullStr | Physiotherapy in lymphangioleiomyomatosis: a systematic review |
| title_full_unstemmed | Physiotherapy in lymphangioleiomyomatosis: a systematic review |
| title_short | Physiotherapy in lymphangioleiomyomatosis: a systematic review |
| title_sort | physiotherapy in lymphangioleiomyomatosis a systematic review |
| topic | Lymphangioleiomyomatosis physiotherapy rehabilitation exercise |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2022.2128401 |
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