Older Adults With Respiratory Muscle Weakness Respiratory Muscle Strength Muscle weakness Inspiratory Muscle Training Incentive Spirometry Aged Older adults
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 65 - 80 years who have respiratory muscle weakness (determined by MIP equal to or less than 83 cmH2O for men and 57 cmH2O for women), 2. Able to walk, 3. Good cognitive function (Mini-Cog test score of equal to or more than 3)
Exclusion criteria
Exclusion criteria: 1. Communication problems/Uncooperation, 2. Inability to measure pulmonary function for any reason 3. Malformation of the mouth or palate without correction, or a weak mouth 4. Absolute contraindications for pulmonary function test, inspiratory muscle training, or incentive spirometry as follows: unstable angina, recent myocardial infarction (within 4 weeks), significant chest or abdominal pain during breathing exercises, uncontrolled arrhythmias or severe hypertension, severe respiratory distress or acute respiratory failure, active hemoptysis, active pulmonary embolism or untreated/recent pneumothorax, recent eye surgery (e.g., retinal detachment), cardiac, thoracic, abdominal, or brain surgery (within 4 weeks)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Inspiratory muscle strength at baseline and 6 weeks after end of the intervention Maximal Inspiratory pressure (MIP) | — |
Secondary
| Measure | Time frame |
|---|---|
| Expiratory muscle strength at baseline and 6 weeks after end of the intervention Maximal Expiratory pressure (MEP),Pulmonary function at baseline and 6 weeks after end of the intervention Force Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), and Peak Expiratory Flow Rate (PEFR),Dyspnea at baseline and 6 weeks after end of the intervention Rate of perceived breathless (RPB),Patient preference at 6 weeks after end of the intervention Visual Analogue Scale (VAS) | — |
Countries
Thailand
Contacts
Faculty of medicine Ramathibodi hospital, Mahidol University