Handgrip Strength in People With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis.

Objective: The purpose of this study was to systematically review the association between handgrip strength (HGS) and mortality, morbidity, and health-related quality of life (HRQL) in individuals with chronic obstructive pulmonary disease (COPD).

Methods: The following databases were used: CENTRAL, CINAHL, EMBASE, MEDLINE Ovid, SPORTDiscus, and PsycINFO. Studies published between 2000 and 2020 in English, Portuguese, or French that examined the association of HGS with mortality, morbidity, and HRQL in individuals with stable COPD were selected.

Respiratory training for a person with C3-C4 tetraplegia.

Persons with high tetraplegic spinal cord injuries commonly have respiratory complications that may negatively impact their health and quality of life. Treatment of these respiratory problems often requires significant health care dollars. This case report describes and evaluates the effect of a year-long respiratory intervention, which included inspiratory muscle training and positive expiratory pressure therapy, for a person with C3-C4 tetraplegia.