Preoperative Inspiratory Muscle Training Effects on the Perioperative Inflammatory Reaction in Cardiac Surgery. (EMI HiPo)

University Hospital, Angers

Status: Completed

Conditions: Respiratory Therapy; Prehabilitation; Thoracic Surgery

Treatments: Other: Prehabilitation with inspiratory muscle training

Study type: Interventional

Funder types: Other

Identifiers

NCT03158402

2017-A00216-47

Details and patient eligibility

About

This study evaluates the impact of preoperative high-intensity inspiratory muscle training (IMThi) before cardiac surgery on perioperative inflammatory response. Half participants will receive high intensity inspiratory muscle training and the others a sham inspiratory muscle therapy.

Enrollment: 30 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Waiting for thoracic surgery with valve replacement
• Preoperative surgeon consultation between 3 and 6 weeks before surgery

Exclusion criteria

• Patient with antecedent of lung surgery
• Patient with neuromuscular or neurovascular disease
• Non anticipated surgery with a time between surgeon consultation and surgery inferior to 3 weeks.
• Inhability to do the preoperative exercises

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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30 participants in 2 patient groups

sham IMT

Sham Comparator group

Description:

Preoperative Inspiratory muscle training at low intensity (15% Pimax) which is considered as a no effect training.

Treatment:

Other: Prehabilitation with inspiratory muscle training

Hi Intensity IMT

Experimental group

Description:

High intensity muscle training in the preoperative period at 80% of the maximal inspiratory muscle pressure.

Treatment:

Other: Prehabilitation with inspiratory muscle training