Aspiration Pneumonia Pneumonia
Conditions
Interventions
Starting the day after random assignment (excluding holidays), participants will perform expiratory muscle training using Power Breathe EX Medic at a load of 50-70% of maximum expiratory intraoral pre
Breathing Exercises
inspiratory muscle training
Sponsors
Ohkubo Hirotsugu
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) Patients admitted for pneumonia who are considered to have aspiration pneumonia (2) Patients with pneumonia severity ADROP score of 0 to 3 (3) Patients with a repetitive salivary swallow test of 5 times or less/30 seconds (4) Patients whose maximum expiratory intraoral pressure (PEmax) can be measured with the IOP-01 intraoral pressure meter (5) Patients who understand participation in this study and from whom written consent is obtained, either from the patient themselves or from a legal representative.
Exclusion criteria
Exclusion criteria: (1) Asthmatics with frequent exacerbations (2) Patients with signs or symptoms of heart failure or with a history of worsening of signs or symptoms of heart failure after inspiratory muscle training (3) Patients with a history of spontaneous pneumothorax (4) Patients with ear damage such as ruptured eardrums (5) Patients with a history or high likelihood of costochondritis dissecans. (6) Patients with systolic blood pressure greater than 180 mmHg (7) Patients for whom nasal cannula is inadequate to maintain blood oxygenation and who require an oxygen mask (8) Patients on gastrostomy or nasogastric tube feeding, or central venous port feeding (9) Other patients deemed inappropriate as research subjects by the principal/assistant investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of patients not on alternative nutrition 3 weeks after the start of expiratory muscle training | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in maximum expiratory intraoral pressure (PEmax) using an intraoral manometer Change in the results of repeated salivary swallow test Weekly changes in the level of feeding and swallowing status from the start of expiratory muscle training to 3 weeks after the start of expiratory muscle training Recurrence of aspiration pneumonia during hospitalization Confirmation of survival Number of insurance points for medical care during hospitalization | — |
Contacts
Public ContactNakano Akiko
Nagoya City University Midori Municipal Hospital
Outcome results
None listed