The Cardiopulmonary Effects and Diaphragm Function of Complete Inspiratory Muscle Training in Patients With Upper Abdominal Surgery

National Cheng Kung University

Status: Completed

Conditions: Postoperative Pulmonary Complications; Respiratory Muscle Function; Inspiratory Muscle Training; Abdominal Surgery

Treatments: Behavioral: Regulated care and education; Behavioral: Inspiratory muscle training

Study type: Interventional

Funder types: Other

Identifiers

NCT05239819

B-BR-108-012

Details and patient eligibility

About

Upper abdominal surgical treatment may have reduced respiratory muscle function and mucociliary clearance, which might be a consequence of postoperative pulmonary complications (PPCs). The threshold inspiratory muscle training (IMT) may serve as an effective modality to improve respiratory muscle strength and endurance in patients. However, whether this training could help patients with upper abdominal surgery remain to be determined.

Enrollment: 30 patients

Sex: All

Ages: 20 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. ≧20 years old with upper abdominal surgery,
2. American Society of Anesthesiologists; ASA) I-IV
3. body Mass Index; BMI≥ 18
4. able to follow exercise protocol. T

Exclusion criteria

1. history of prior abdominal surgery
2. high risk of exercise contraindications (e.g. severe cardiac or cardiovascular disease), 3) American Society of Anesthesiologists; ASA) V-IV

4. unable to follow exercise protocol 5) severe organ failure

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Intervention group

Experimental group

Description:

We conducted a fully engaged inspiratory muscle training (IMT) program. The exercise group received the intervention threshold IMT from preoperative to postoperative undergoing upper abdominal surgery. The IMT was started before 3 weeks of operation and surveyed in the followed 4 weeks.

Treatment:

Behavioral: Inspiratory muscle training

Usual care group

Active Comparator group

Description:

The Usual care group will receive regulated education.

Treatment:

Behavioral: Regulated care and education