Muscle Weakness
Conditions
Keywords
Respiratory Muscles, Muscle Weakness, Hospitalization, Length of Stay, Mortality
Brief summary
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.
Detailed description
This prospective double-blind (patient and evaluator) randomised controlled trial compared the efficacy of inspiratory muscle training and inspiratory muscle training. The study protocol for this trial was described elsewhere. This study was conducted in accordance with Consolidated Standards of Reporting Trials recommendations. The trial was performed at the Roberto Santos General Hospital in Salvador, Bahia, Brazil. This study was approved by the institutional hospital ethics committee (approval reference number 03/2014). Before enrolment, written informed consent was obtained from participants or their legal guardians.
Interventions
DEVICEPowerbreathe
Respiratory equipment for physiotherapy, offering to load muscles inspiratory
OTHERPhysiotherapy
This was contemplated cinesioterapia unloaded, muscle stretching, coughing technique, sedestração and ambulation if the participant was fit.
Sponsors
Federal University of Bahia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Admission to the hospital ward; * At least two of the following risk factors for prolonged hospitalization: two or more comorbidities; sepsis; liver, lung, or kidney diseases; neoplasia; mechanical ventilation; and use of vasopressor or dialysis therapy.
Exclusion criteria
* Patients with a cognitive disability that made them unable to perform the respiratory training; * Uncontrolled cardiac arrhythmias; * Circulatory shock; * Acute ischemic heart disease; * acute respiratory failure (characterised by a partial pressure of arterial oxygen \< 60 mmHg or a partial pressure of arterial carbon dioxide \> 50 mmHg); * neuromuscular disease or myopathies; * diaphragmatic paresis or paralysis were excluded from the protocol.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| hospital inpatient complications | Discharge from hospital | Follow-up during hospitalization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| respiratory muscle strength | After 4 weeks follow | Measured with manometer for 3 reps. |
Other
| Measure | Time frame | Description |
|---|---|---|
| peripheral strength | four weeks | Medical Research Council score |
| Functional Independence Measure questionnaire | Discharge from hospital | Identifies said functional capacity |
| Index of Barthel | Discharge from hospital | Identifies said functional capacity |
Countries
Brazil
Outcome results
None listed