Unique ID issued by UMIN | UMIN000047619 |
---|---|
Receipt number | R000053942 |
Scientific Title | A study of a randomized control trial of the effect of respiratory muscle training on suppressing recurrence of pneumonia in older people |
Date of disclosure of the study information | 2022/05/02 |
Last modified on | 2022/10/28 17:29:51 |
A study of a randomized control trial of the effect of respiratory muscle training on suppressing recurrence of pneumonia in older people
A study of a randomized control trial of the effect of respiratory muscle training on suppressing recurrence of pneumonia in older people
A study of a randomized control trial of the effect of respiratory muscle training on suppressing recurrence of pneumonia in older people
Respiratory muscle training and recurrence of pneumonia in older people
Japan |
Pneumonia in older people
Medicine in general | Geriatrics | Rehabilitation medicine |
Others
NO
We include older pneumonia inpatients aged 70 years and more with a cognitive function test mini mental state examination (MMSE) 10 and more points. All cases will receive standard treatments for pneumonia according to the guidelines. We will divide them into 2 groups, a group with respiratory muscle training + fortification + rehabilitation for 4 weeks (intervention group) and a rehabilitation group (control group). After the intervention, we will observe the recurrence rate of pneumonia during the 1-year follow-up period.
Efficacy
The primary endpoint is the recurrence rate of pneumonia in the intervention and the control group for 1 year after the beginning of the training. We will observe the presence of superiority of the intervention group to the control group.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Prevention
Food | Device,equipment |
The intervention group; Respiratory muscle training + fortification + rehabilitation.
The respiratory muscle training machines are set at a resistance value of 50-80% of the maximum respiratory muscle strength. The patients repeat inspiration and expiration 6 times. Patients will train 5-7 sets a day, 3-5 days a week for 4 weeks.
Nutrition is strengthened with supplemental calories and proteins (especially branched chain amino acids) after its evaluation.
Patients will receive a general respiratory rehabilitation.
control group; rehabilitation
70 | years-old | <= |
Not applicable |
Male and Female
Older pneumonia patients requiring hospitalization aged 70 years and older, regardless of gender.
Patients that can tolerate standard treatments for pneumonia according to the guidelines.
Patients with a cognitive function test MMSE score 10 and higher, who can perform respiratory muscle training.
Cancer patients managed within the past 5 years, patients with pacemakers (muscle mass and fat mass cannot be measured), postoperative pneumonia, intubated patients, patients with tracheostomy. Patients that are prone to pneumothorax such as severe interstitial pneumonia and chronic obstructive pulmonary disease, patients whose blood pressure rising is danger such as aortic aneurysm and severe heart failure, patients with severe renal failure (before introduction of dialysis), septic patients, patients with tube feeding, gastric fistula, immunodeficiency patients such as taking immunosuppressive agents or dialysis, patients with multiple fractures of ribs, patients with severe dementia and etc.
240
1st name | Tatsuma |
Middle name | |
Last name | Okazaki |
Tohoku University Hospital
Department of Physical Medicine and Rehabilitation
980-8575
2-1 Seiryo-machi, Aoba-ku, Sendai
0227177338
tmokazaki0808@gmail.com
1st name | Ryuuko |
Middle name | |
Last name | Ishimoda |
Tohoku University Graduate School of Medicine
Department of Physical Medicine and Rehabilitation
9808575
2-1 Seiryo-machi, Aoba-ku, Sendai
0227177338
ishimoda@med.tohoku.ac.jp
Tohoku University
Kakenhi
Japanese Governmental office
Ethics Committee Tohoku University Graduate School of Medicine
2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan
022-717-8007
med-kenkyo@grp.tohoku.ac.jp
NO
2022 | Year | 05 | Month | 02 | Day |
Unpublished
Preinitiation
2022 | Year | 04 | Month | 27 | Day |
2022 | Year | 04 | Month | 27 | Day |
2022 | Year | 05 | Month | 09 | Day |
2027 | Year | 03 | Month | 31 | Day |
2022 | Year | 04 | Month | 28 | Day |
2022 | Year | 10 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053942