Pre-operative Inspiratory Muscle Strength Training in Total Joint Surgery
Preoperative Inspiratory Muscle Strength Training and Pulmonary Complications After Surgery
University of Florida
36 participants
Jul 1, 2022
INTERVENTIONAL
Conditions
Summary
The purpose of this research study is to evaluate effects of respiratory strengthening exercises on breathing function, in people who have orthopedic surgery. It is known that breathing function decreases for a few days after surgery. in In this study, we want to see if exercising before surgery strengthens the breathing muscles and improves recovery after surgery.
Eligibility
Inclusion Criteria7
- or older
- History of current or previous tobacco use (including vaping containing nicotine products)
- One or more risk factors for post operative pulmonary complications including history of current or previous tobacco use, a clinically diagnosed lung disease, shortness of breath with minimal exertion, FEV1 or FVC less than 80% than predicted or respiratory muscles strength below lower limit of normal for age and sex.
- History of smoking related lung disease
- Projected surgical time \> 30 minutes
- Ability to follow instructions to complete IMT exercises
- Ability to communicate adverse effects such as pain or fatigue or the need for assistance
Exclusion Criteria8
- American Society of Anesthesiologists physical status classification of 4 or greater .
- Recent history of acute pneumonia or lower respiratory infection in the previous two weeks requiring acute corticosteroid or antibiotic medication,
- Preoperative dependence on continuous supplemental oxygen dependence.
- Preoperative dependence on positive pressure breathing support while awake and upright (night time CPAP permitted),
- Diagnosis of a neurologic condition (i.e. MS, ALS, Parkinson's, stroke),
- Participating in a pulmonary rehabilitation program
- Severe obstructive pulmonary disease (Classification of Global Initiative for Chronic Obstructive Lung Disease (GOLD) 3 or higher, indicating FEV1\<50% predicted.
- Patients with an infectious disease requiring isolation (i.e. COVID-19).
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Interventions
Daily IMT training sessions for 2-4 weeks prior to surgery
A single session of IMT provided within 30 minutes prior to anesthesia induction.
Standard of care only pre and post-operatively.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT05381818