Impact of Inspiratory Muscle Training in Maximum Inspiratory Pressure
This trial has been completed.
|Sponsor||Federal University of Bahia|
|Start date||May 2015|
|End date||February 2016|
|Trial size||54 participants|
|Trial identifier||NCT02459444, U1111-1163-0679|
The inspiratory muscle training (IMT) is a feasible and safe strategy for patients and athletes, your goal is to recondition the respiratory muscles, providing optimization of lung capacity, either for high performance sport as to support metabolic wear caused by illness. It is generally agreed the positive impact of the application of a TMI Protocol on maximal inspiratory pressure (MIP), this benefit encourages individuals sick since weaning from mechanical ventilation (MV), to the optimization of physical performance in cardiac and / or pulmonary rehabilitation. The TMI is based on the principles: the burden imposed on the muscle; the specificity of training; the reversibility of the gain and muscle atrophy.
|Intervention model||parallel assignment|
|Masking||participant, care provider, outcomes assessor|
maximum inspiratory pressure
time frame: After 4 weeks follow
Maximum volume ventilation
time frame: After 4 weeks follow
All participants from 18 years up to 65 years old.
Inclusion Criteria: - Patients older than 18 years; - Admitted to the surgical ward in preoperative care; - Consent to participate in the intervention protocol, blinding and randomization. Exclusion Criteria: - Patients with cognitive impairment to perform the respiratory training; - Patients with cardiac arrhythmias uncontrolled, circulatory shock, acute ischemic heart disease; - Patients with acute respiratory failure, considered by arterial oxygen tension (PaO 2) less than 60 mmHg in room air or arterial carbon dioxide (PaCO2) greater than 50 mmHg; - Patients who were discharged before the conclusion of the Protocol; - Patients with neuromuscular disease or myopathies, diaphragmatic paralysis or paresis; - Patients receiving respiratory therapy load (inspiratory or expiratory), parallel to the protocol; - Patients requiring MV for more than 48 consecutive hours.
|Official title||Impact of Inspiratory Muscle Training Using Powerbreathe in Maximum Inspiratory Pressure of Hospiralized Patients|
|Description||Randomized Clinical Trial (RCT), triple blind, performed in a public hospital in the city of Salvador in Bahia, patients with prolonged hospitalization. Submitted to TMI for four weeks. Prior to the study, it was conducted pilot study to standardize the implementation of the assistance and slapping the wards with higher rates of stay. Thus, the study was conducted with all patients admitted to the surgical ward of the hospital, admitted since pre-operative care, to respect the inclusion criteria. Subjecting them to the intervention protocol for 4 weeks from the admission and follow-up of outcomes of interest to hospital. It was performed sample size calculations with Software GPower® considering a statistical power of 80%, with 5% alpha. To ensure that all patients had the same chance of inclusion among the groups was carried out systematic random randomization, used the Software randList. Upon review of preliminary results, the randomization into strata was carried out for age and gender.|
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