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Clinical Trials/ACTRN12615000841572
ACTRN12615000841572Not yet recruiting未知

The effect of respiratory muscle training to strengthen the inspiratory muscles after a pleurodesis for malignant pleural effusion

Dr Luke Garske0 sites36 target enrollmentStarted: August 13, 2015Last updated:
Conditions

Trial Snapshot

Phase
未知
Status
Not yet recruiting
Sponsor
Enrollment
36

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional
Allocation
Randomised controlled trial
Primary Purpose
Treatment
Masking
Blinded (masking used)

Eligibility Criteria

Ages
18 Years to 80 Years (—)
Sex
All

Inclusion Criteria

  • 1. Malignant Pleural Effusion (defined as fluid around lung caused by cancer infiltrating the pleura): diagnosed on basis of (a) pleural fluid cytology or biopsy, or (b) a large exudative pleural effusion with no other cause identified and disseminated extra-thoracic malignancy.
  • 2. Participants have undergone a pleurodesis 3 weeks prior to study entry. Pleurodesis may be either surgical (VATS or thoracoscopy) or closed chest tube pleurodesis.
  • 3. No significant fluid re-accumulation on clinical assessment 3 weeks after a pleurodesis.

Exclusion Criteria

  • Expected survival < 3 months
  • WHO performance status 3 or 4
  • Body mass index less than 19 or greater than 40
  • Hypoxia requiring long term oxygen therapy
  • Severe cardiac or pulmonary disease causing dyspnea
  • Neurologic disease which may affect respiratory muscle strength, or co-operation with testing
  • Long term steroid therapy
  • Significant chest pain which might interfere with breathing tests and training
  • Pleural tumour greater than 20 mm thickness on CT chest
  • Recent pneumothorax
  • Severe osteoporosis (t score <-3.5), or history of spontaneous rib fractures
  • Rib metastasis
  • Chest wall deformity (kyphoscoliosis)
  • Perforated ear drum or symptoms of eustachian tube insufficiency
  • Language barrier or other significant communication difficulty
  • Women who are pregnant

Investigators

Sponsor
Dr Luke Garske

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