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Department Letter to the editor| Volume 102, ISSUE 3, P556-557, March 2021

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Letter to the Editor: Comparison Between Inspiratory Muscle Training and Early Mobilization on Weaning of Mechanical Ventilation

Published:January 15, 2021DOI:https://doi.org/10.1016/j.apmr.2020.08.027
Letter to the Editor: Comparison Between Inspiratory Muscle Training and Early Mobilization on Weaning of Mechanical Ventilation
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      We read with interest the recent article by Worraphan et al,
      • Worraphan S.
      • Thammata A.
      • Chittawatanarat K.
      • et al.
      Effects of inspiratory muscle training and early mobilization on weaning of mechanical ventilation: a systematic review and network meta-analysis.
      Arch Phys Med Rehabil. 2020; 101: 2002-2014
      which stated that inspiratory muscle training (IMT) combined with chest physical therapy and early mobilization (EM) had the highest effectiveness in respectively reducing the duration of weaning and mechanical ventilation in patients in the intensive care unit. To obtain these conclusions, the research group conducted a network meta-analysis (NMA).
      • Worraphan S.
      • Thammata A.
      • Chittawatanarat K.
      • et al.
      Effects of inspiratory muscle training and early mobilization on weaning of mechanical ventilation: a systematic review and network meta-analysis.
      Arch Phys Med Rehabil. 2020; 101: 2002-2014
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      References

        • Worraphan S.
        • Thammata A.
        • Chittawatanarat K.
        • et al.
        Effects of inspiratory muscle training and early mobilization on weaning of mechanical ventilation: a systematic review and network meta-analysis.
        Arch Phys Med Rehabil. 2020; 101: 2002-2014
        View in Article
        • Salanti G.
        Indirect and mixed-treatment comparison, network, or multiple-treatments meta-analysis: many names, many benefits, many concerns for the next generation evidence synthesis tool.
        Res Synth Methods. 2012; 3: 80-97
        View in Article
        • Jang M.H.
        • Shin M.J.
        • Shin Y.B.
        Pulmonary and physical rehabilitation in critically ill patients.
        Acute Crit Care. 2019; 34: 1-13
        View in Article
        • Maffei P.
        • Wiramus S.
        • Bensoussan L.
        • et al.
        Intensive early rehabilitation in the intensive care unit for liver transplant recipients: a randomized controlled trial.
        Arch Phys Med Rehabil. 2017; 98: 1518-1525
        View in Article
        • Condessa R.L.
        • Brauner J.S.
        • Saul A.L.
        • et al.
        Inspiratory muscle training did not accelerate weaning from mechanical ventilation but did improve tidal volume and maximal respiratory pressures: a randomised trial.
        J Physiother. 2013; 59: 101-107
        View in Article

      Article info

      Publication history

      Published online: January 15, 2021

      Footnotes

      Disclosures: none.

      Identification

      DOI: https://doi.org/10.1016/j.apmr.2020.08.027

      Copyright

      © 2020 by the American Congress of Rehabilitation Medicine

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