Idiopathic Pulmonary Fibrosis, Interstitial Fibrosis, Interstitial Lung Disease, Pneumonia, Interstitial, Pulmonary Disease, Sarcoidosis
Conditions
Keywords
Inspiratory muscle training, Interstitial lung disease, Inspiratory muscle endurance, Breathless
Brief summary
The aim of this study is to evaluate the effects of inspiratory muscle training program in inspiratory muscle endurance, breathlessness, inspiratory muscle strength, functional capacity and quality of life in patients with interstitial lung disease. Patients are evaluated before the inspiratory muscle training and after 8 weeks of training.
Detailed description
Inspiratory Muscle Training has been described as an effective intervention and contribute to the improvement of inspiratory muscle function and breathlessness in patients with chronic lung disease. The aim of this study is to evaluate, the effects of inspiratory muscle endurance, breathlessness, inspiratory muscle strength, functional capacity and quality of life in patients with interstitial lung disease. It is a quasi-experimental study. Patients with interstitial lung disease are recruited from interstitial disease ambulatory. In each session patients performs two times 30 breaths with a minute rest between them. The load is set according with 50% of actual PImax, the Borg score should be between 4 and 6, otherwise the load will decrease (if Borg more than 6) or increase (if Borg less than 4). New PImax is measured weekly and the new load is defined following the same protocol for 8 weeks. Patients are evaluated before the inspiratory muscle training and after 8 weeks of training.
Interventions
Inspiratory muscle training will be performed using the tapered flow-resistive loading trainer (POWERbreathe®).
Sponsors
Study design
Intervention model description
Quasi-experimental
Eligibility
Inclusion criteria
* Clinical and radiological diagnosis of interstitial lung disease established by a pulmonologist; * Absence of clinical exacerbations of the disease in the four weeks prior to the initial data collection; * Present medical research council scale more than 2; * Absence of a associated or self reported cardiac, orthopedic and psychiatric diseases, * Not participating in pulmonary rehabilitation programs; * Do not use supplemental oxygen therapy while resting.
Exclusion criteria
\- Inability of the participant to understand or perform the procedures proposed during the evaluations and training program.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Inspiratory muscle endurance | At baseline and after 8 weeks of training | Endurance time in seconds |
| Change in Breathlessness | At baseline and after 8 weeks of training | Medical Research Council (1-5) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Inspiratory muscle strength | At baseline and after 8 weeks of training | Maximal inspiratory pressure in cmH20 |
| Change in Functional capacity | At baseline and after 8 weeks of training | Maximal distance in 6 minute walk test |
| Change in Quality of life | At baseline and after 8 weeks of training | King's Brief Interstitial Lung Disease Questionnaire. It is a 15 questions questionnaire. Total score can go from 0 - 100, 100 is the better quality of life. |
Countries
Brazil