International Journal of Neurorehabilitation

Malek Toumi

Publications

• Research Article
  Effect of the Respiratory Muscle Training on Lung Function and Respiratory Muscle Strength in Patients with Moderate Myasthenia Gravis: A Meta-Analysis and Systematic Review
  Author(s): Anis Chaari, Karim Abdel Hakim, Ahmad Elsaka, Kamel Bousselmi, Mahmood Etman, Mohamed Shirazy, Malek Toumi, Elsayed Khalil Mahmood, Vipin Kauts and William Francis CaseyAnis Chaari, Karim Abdel Hakim, Ahmad Elsaka, Kamel Bousselmi, Mahmood Etman, Mohamed Shirazy, Malek Toumi, Elsayed Khalil Mahmood, Vipin Kauts and William Francis Casey
  
  Background: Respiratory muscle impairment is common in patients with moderate Myasthenia Gravis. Whether respiratory muscle training (RMT) improve lung function tests and/or respiratory muscle strength is still debatable. Methods: A systematic review and a meta-analysis including the relevant randomized controlled trials (RCTs) and prospective studies published from June 1996 and June 2016 and assessing the effect of the (RMT) on the respiratory muscle tests and the respiratory muscle strength. Results: One RCT and 2 prospective cohort studies were included. Respiratory muscle training was found to improve the Maximal voluntary ventilation (MD=-10.3 L/min; CI95% [-17.95, -2.31]; p=0.01; I2=0%; n=24). However, it improved neither FEV1 (MD=-0.10 L; CI95% [-0.28, 0.08]; p=0.27; I2=0%; n=24) nor the Vital Capacity (MD=.. Read More»
  DOI: 10.4172/2376-0281.1000224

  Abstract PDF