Inspiratory Muscle Training and Expiratory Muscle Thickness
Condition: Intensive Care Unit Syndrome; Muscle Weakness; Rehabilitation
MeSH terms: Muscle Weakness
Study type: Interventional

Summary: 
      the specific effect of IMT on expiratory muscle strength and abdominal wall thickness during
      weaning remains unclear. To address this significant research gap, the primary objective of
      our study was to evaluate the effect of IMT after extubation on expiratory muscle strength
      and abdominal muscle thickness in respiratory ICU patients. On the other hand the
      investigators established reference values for ultrasonographic measurements in healthy
      control subjects as a comparative arm. To the best of our knowledge, this is the first study
      to examine the ultrasonographic effects of IMT on the expiratory muscle thickness after
      extubation. The investigators believe that our study may contribute to related literature in
      this context and guide future research as a pioneer with its unique value.
    

Detailed description: 
      the specific effect of IMT on expiratory muscle strength and abdominal wall thickness during
      weaning remains unclear. To address this significant research gap, the primary objective of
      our study was to evaluate the effect of IMT after extubation on expiratory muscle strength
      and abdominal muscle thickness in respiratory ICU patients. On the other hand the
      investigators established reference values for ultrasonographic measurements in healthy
      control subjects as a comparative arm. To the best of our knowledge, this is the first study
      to examine the ultrasonographic effects of IMT on the expiratory muscle thickness after
      extubation. The investigators believe that our study may contribute to related literature in
      this context and guide future research as a pioneer with its unique value. In this
      single-blind randomized controlled study, 20 patients were divided into two groups: IMT and
      conventional physiotherapy(CP). In order to establish normative data for abdominal muscle
      thickness, ten healthy controls were included in the study. The CP group received CP and the
      IMT group received CP+IMT for five days following extubation. The thicknesses of the external
      oblique abdominal(EOA),internal oblique sbdominal(IOA), transversus abdominus (TRA) and
      rectus abdominis (RA) muscleswere evaluated The maximum inspiratory pressure (MIP) and
      maximum expiratory pressure (MEP) were recorded.
    

Intervention name(s): conventional physiotherapy+ IMT; conventional physiotherapy
Intervention type(s): Other; Other
Intervention description(s): Conventional Physiotherapy to contain breathing and thoracal expansion exercises, bronchial hygiene techniques and gradual mobilization in 1 time a day. Conventional Physiotherapy to contain breathing and thoracal expansion exercises, bronchial hygiene techniques and gradual mobilization in 1 time a day. In this group addition to conventional physiotherapy inspiratory muscle training will be performed with the threshold-loaded inspiratory muscle training device, starting at 30% of the maximum inspiratory mouth pressure value, during 5 days, in 2 sessions, 4 sets per day, 6-8 breaths in each set and 2 minutes of rest between sets.; Conventional Physiotherapy to contain breathing and thoracal expansion exercises, bronchial hygiene techniques and gradual mobilization in 1 time a day. Conventional Physiotherapy to contain breathing and thoracal expansion exercises, bronchial hygiene techniques and gradual mobilization in 1 time a day.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Parallel Assignment Parallel Assignment Randomized Healthy participants
Masking: Double (Participant, Investigator)
Primary purpose: Treatment