Evidence map›Paper›PMID 41267122›Full record

SynthesisSystematic reviews2025

Effectiveness of inspiratory muscle training and multicomponent physical training in patients with post-COVID conditions: a systematic review and meta-analysis.

Andresa da Costa Correia, Fernanda Ribeiro, Fábio Ferreira Amorim, Paulo Ricardo Giusti, Maria Stella Peccin, Aline Mizusaki Imoto

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Systematic reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Observational
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

6 authors.

Andresa da Costa CorreiaEscola Superior de Ciências da Saúde (ESCS), Brasília, Federal District, Brazil.ORCID 0000-0003-1521-475X
Fernanda RibeiroCentre Intersectorialen Santé Durable, Département de Sciences de La Santé, University of Québec at Chicoutimi, Saguenay, Canada.ORCID 0000-0002-3582-5358
Fábio Ferreira AmorimEscola Superior de Ciências da Saúde (ESCS), Brasília, Federal District, Brazil.ORCID 0000-0003-0929-5733
Paulo Ricardo GiustiUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.ORCID 0000-0002-1794-6770
Maria Stella PeccinUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.ORCID 0000-0003-0329-4588
Aline Mizusaki ImotoEscola Superior de Ciências da Saúde (ESCS), Brasília, Federal District, Brazil. alinem.imoto@gmail.com.ORCID 0000-0001-8318-4658

Funding

Fundação de Ensino e Pesquisa em Ciências de Saúde 00064-00000330/2023-73
6 · The paper itself

Abstract

backgroundThere is evidence that fatigue and dyspnea are among the most frequently reported symptoms of post-COVID condition. Therefore, several studies have investigated respiratory muscle or global peripheral muscle training as strategies to manage those symptoms. Despite evidence of potential benefits, conflicting results persist due to the heterogeneity of rehabilitation protocols and assessment tools. Thereby, the objective of this systematic review was to evaluate the effectiveness of inspiratory muscle training and multicomponent physical training in adults with dyspnea and fatigue for at least 12 weeks after COVID-19.

methodA search was conducted in September 2024, in the Cochrane Library (Cochrane Central Register of Controlled Trials), EMBASE, PubMed/MEDLINE, PEDro, Lilacs/BVS, Web of Science, Scopus, and Epistemonikos databases. The inclusion criteria were randomized clinical trials published in any language that evaluated the effectiveness of inspiratory muscle training and multicomponent physical training to improve fatigue, dyspnea, and/or physical function in adults with persistent post-COVID symptoms. The risk of bias of the included studies and the certainty of the evidence were assessed using the RoB 2 and GRADE tools, respectively.

resultsAfter the screening process, seven randomized clinical trials were included. The total number of participants included in the studies was 449. Inspiratory muscle training significantly improved inspiratory muscle strength (maximal inspiratory pressure) (MD = 22.70; 95% CI: 13.78 to 31.62), and cardiopulmonary capacity (

conclusionInspiratory muscle training improved cardiorespiratory outcomes, while multicomponent physical training improved muscle strength, physical functioning, and fatigue. Both types of training improve physical functioning. The certainty of evidence for the outcomes evaluated was low. SYSTEMATIC REVIEW REGISTRATION: PROSPERO (CRD42023451057).

Indexed as

Breathing ExercisesCOVID-19DyspneaFatigueRespiratory MusclesHumansRandomized Controlled Trials as TopicSARS-CoV-2DyspneaExercise trainingFatiguePhysical functioningPost-COVID condition

Identifiers

PMID41267122
PMCPMC12636207

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.