Inspiratory Muscle Training Outcomes in Sufferers of Severe Walking Disabilities and Intensive Care Unit Acquired Weakness
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Cairo University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Modified Functional Ambulation Category Test
Study Overview
Brief Summary
Intensive care unit-acquired weakness (ICU-acquired weakness) may be caused by a variety of different causes. Several studies have shown that ICU-acquired weakness occurs in up to 30% of critically ill patients. It affects daily activities, walking, and functional performance
Detailed Description
Forty ICU-acquired weakness elderly patients will be randomly assigned to group A and group B, 20 elderly for each. Both groups will receive chest physiotherapy (cough training, vibration, percussion, rib springing, and postural drainage), 30 minutes of resisted training on upper- and lower-limb muscles (15 min on upper limb and 15 min on lower limb), and 30 minutes of neuromuscular electrical stimulation of lower- and upper-limb muscles (triceps and wrist extensors, dorsiflexors, and quadriceps). sessions will be executed 5 times weekly). Group A only will receive 3-set IMT (two sessions daily via threshold IMT, the set contain 10 repetitions) 5 times weekly. The study duration will be 1 month.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 65 Years to 75 Years (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •sufferers with intensive care unit acquired weakness
- •Older sufferers patients with severe walking disability detected by Modified Functional Ambulation Category test,
Exclusion Criteria
- •lower limb amputations
- •orthopedic or spinal disc disorders
Arms & Interventions
group A
twenty ICU-acquired weakness elderly patients will receive chest physiotherapy (cough training, vibration, percussion, rib springing, and postural drainage), 30 minutes of resisted training on upper- and lower-limb muscles (15 min on upper limb and 15 min on lower limb), and 30 minutes of neuromuscular electrical stimulation of lower- and upper-limb muscles (triceps and wrist extensors, dorsiflexors, and quadriceps). sessions will be executed 5 times weekly). this Group will receive 3-set IMT (two sessions daily via threshold IMT, the set contain 10 repetitions) 5 times weekly. The study duration will be 1 month.
Intervention: Threshold IMT and traditional physical therapy program (Behavioral)
group B
twenty ICU-acquired weakness elderly patients will receive chest physiotherapy (cough training, vibration, percussion, rib springing, and postural drainage), 30 minutes of resisted training on upper- and lower-limb muscles (15 min on upper limb and 15 min on lower limb), and 30 minutes of neuromuscular electrical stimulation of lower- and upper-limb muscles (triceps and wrist extensors, dorsiflexors, and quadriceps). sessions will be executed 5 times weekly). The study duration will be 1 month.
Intervention: traditional physiotherapy program (Behavioral)
Outcomes
Primary Outcomes
Modified Functional Ambulation Category Test
Time Frame: it will be measured after 1 month
it is a category test used to assess walking disability
Secondary Outcomes
- Oxygen saturation(It will be measured after 1 month)
- six-minute walk test,(It will be measured after 1 month)
- physical division of short form 36(It will be measured after 1 month)
- Partial Pressure of carbon dioxide(It will be measured after 1 month)
- inspiratory muscle strength(It will be measured after 1 month)
- expiratory muscle strength(It will be measured after 1 month)
- functional vital capacity(It will be measured after 1 month)
- time up and go test(It will be measured after 1 month)
- 10-meter walking test(It will be measured after 1 month)
- mental division of short form 36(It will be measured after 1 month)
- forced expiatory volume in the first second of expiration(It will be measured after 1 month)
- Partial Pressure of Oxygen(It will be measured after 1 month)
- 30-second sit to stand(It will be measured after 1 month)
Investigators
Ali Mohamed Ali ismail
lecturer of physical therapy for Cardiovascular, Respiratory disorder and Geriatrics, Faculty of Physical Therapy, Cairo University
Cairo University