respiratory muscle weakness weakness of the breathing muscles
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients with ventilation duration = 48 hours, who have been successfully detubated or in patients who have a tracheostoma, when they can breathe independently for at least 48 hours.
Exclusion criteria
Exclusion criteria: Patient with (partial) diaphragmatic paralysis. Patients unable to follow instructions (RASS -3, -4, -5, +2, +3, +4). Patients with severe neurological disorders and/or brain injury. Patients with contraindications for IMT (including pneumothorax, air leakage via thoracic drain). Patients with insufficient command of the Dutch language.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility of intervention: - Adherence: % training sessions followed (including homework exercises). - Fidelity: degree to which prescribed intensity of intervention was carried out. - Acceptance and satisfaction of patients and physical therapists (with questionnaires and interviews). - Recording adverse or unwanted effects. Feasibility study procedures: - Eligibility (criteria) and recruitment rate (number of patients approached and/or assessed for eligibility/ analyzed for pilot objectives). - % lost to follow-up, including reason for dropout. - Feasibility and time required of data collection and outcomes: % of complete data collection. - Exploration spread of effect outcomes for purposes of power calculation final RCT. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Exercise capacity (2 minute step-test and 6-minute walk test) - Maximum inspiratory muscle strength (MIP) - Promis- Physical Activity (daily activity questionnaire) - Fatigue (Modified Fatique Inventory (MFI-20) - Dyspnea scale (MRC-dyspnea) - Hand grip strength (Jamar) | — |
Countries
Netherlands
Contacts
Medisch Spectrum Twente (MST)