Reliability and Validity of Maximal Respiratory Pressures

Maximal respiratory pressure is used to assess the inspiratory and expiratory muscles strength by using maximal inspiratory pressure (P ) and maximal expiratory pressure (P ). This study aimed to summarize and evaluate the reliability and validity of maximal respiratory pressure measurements. This s...

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Veröffentlicht in:Respiratory care 2024-07, Vol.69 (7), p.881-890
Hauptverfasser: Silveira, Bruna M F, Pereira, Hugo L A, Chaves, Gabriela, Ho, Daniel G C, Parreira, Verônica F
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container_end_page 890
container_issue 7
container_start_page 881
container_title Respiratory care
container_volume 69
creator Silveira, Bruna M F
Pereira, Hugo L A
Chaves, Gabriela
Ho, Daniel G C
Parreira, Verônica F
description Maximal respiratory pressure is used to assess the inspiratory and expiratory muscles strength by using maximal inspiratory pressure (P ) and maximal expiratory pressure (P ). This study aimed to summarize and evaluate the reliability and validity of maximal respiratory pressure measurements. This systematic review followed the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) recommendations and was reported by using the PRISMA checklist. Studies published before March 2023 were searched in PubMed and EMBASE databases. A total of 642 studies were identified by using the online search strategy and manual search (602 and 40, respectively). Twenty-three studies were included. The level of evidence for test-retest reliability was moderate for P and P (intraclass correlation coefficient > 0.70 for both), inter-rater reliability was low for P and very low for P (intraclass correlation coefficient > 0.70 for both), and the measurement error was very low for P and P . In addition, concurrent validity presented a high level of evidence for P and P (r > 0.80). Only concurrent validity of maximal respiratory pressure measured with the manometers evaluated in this review presented a high level of evidence. The quality of clinical studies by using maximal respiratory pressure would be improved if more high-quality studies on measurement properties, by following well established guidelines and the COSMIN initiative, were available.
doi_str_mv 10.4187/respcare.10641
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source MEDLINE; PubMed Central
subjects Analysis
Database searching
Evaluation
Exhalation - physiology
Humans
Inhalation - physiology
Internet/Web search services
Manometry - methods
Maximal Respiratory Pressures
Measuring instruments
Medical protocols
Medical research
Medicine, Experimental
Muscle strength
Muscle Strength - physiology
Online searching
Reproducibility of Results
Respiratory Muscles - physiology
Respiratory therapy
title Reliability and Validity of Maximal Respiratory Pressures
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