Stemproblemen Pulmonary functioning reduced cough strength
Conditions
Interventions
Group 1 (n=6) Four weeks of EMST-training, four weeks no training.
Group 2 (n=6) Four weeks of EMST-training, four weeks continued training on
maintainence dose.
Both groups perform the first four we
Sponsors
Antoni van Leeuwenhoek Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 18 years or older Male Undergone TL At least 6 months post TL At least 6 months post-operative (chemo)radiotherapy Signed informed consent
Exclusion criteria
Exclusion criteria: Currently undergoing chemotherapy +/- radiation therapy Positive past history of lung cancer or tuberculosis Reoccurrence of head and neck cancer History of abdominal hernia Uncontrolled or untreated hypertention No heart attack in the previous year Unable to understand the patient information. Unable to comprehend and use of the device (e.g. Alzheimer* s disease, Korsakov). Physically unfit to use the device (e.g. neurological deficit). Unwilling or unable to provide informed consent or do not possess the ability or willingness to comply with study-related procedures.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum Expiratory Pressure en Peak Expiratory Flow. | — |
Secondary
| Measure | Time frame |
|---|---|
| Spirometry which revelas Vital capacity (VC), forced expiratory volume in the first second (FEV1) and, mean expiratory flow (MEF). Cardio Pulmonary Exercise Test (CPET) which includeds measurements of breath-by-breath minute ventilation (VE), oxygen uptake (VO2), carbon dioxide production (VCO2), and RER (VCO2/VO2). Voice recordings to obtain maximum phonation time (sec) and range in Hz (high - low) and dB (soft - loud). Borg Ratings of Perceived Exertion Modified Borg Dyspnoea Scale Short Fatigue questionnaire Linear Analogue Self Assessments Clinical COPD Questionnaire Voice Handicap Index 10 item version Study specific questions | — |
Countries
Netherlands
Outcome results
None listed