Inspiratory and Expiratory Muscle Training in Critically Ill Patients Weaned From Mechanical Ventilation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Critical Illness
- Sponsor
- University of Liege
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- change in inspiratory muscle strength
- Last Updated
- 5 years ago
Overview
Brief Summary
Respiratory muscle weakness is common after mechanical ventilation and occurs early. This can limit functional recovery. Respiratory muscle training is often neglected in clinical practice. Some data indicates that inspiratory muscle training increases inspiratory muscle strength and quality of life. The aim of the study is to assess the impact of combined inspiratory and expiratory muscle training on inspiratory muscle strength. The second aim is to assess the impact of this training program on expiratory muscle strength.
Investigators
Rousseau
Head of clinic
University of Liege
Eligibility Criteria
Inclusion Criteria
- •patient from mechanical ventilation after at least 24 hours of support
- •collaborative patient
Exclusion Criteria
- •confusion, mental disorder
- •not french speaking
- •pulmonary surgery in the past 12 months
- •external ventricular drain
- •previous pneumothorax or pneumothorax not drained
- •rib fractures
- •alveolar hemorrhage
- •hemodynamic instability
- •labial occlusion impossible (face burn, facial paralysis)
- •patient refusal
Outcomes
Primary Outcomes
change in inspiratory muscle strength
Time Frame: 1 month after ICU discharge (compared to ICU discharge)
measurement of maximal inspiratory pressure
Secondary Outcomes
- change in expiratory muscle strength(1 month after ICU discharge (compared to ICU discharge))
- respiratory infections(1 month after ICU discharge)
- change in dyspnea perception(1 month after ICU discharge (compared to hospital discharge))
- impact of dyspnea on physical activities(1 month after ICU discharge)