Effects of IMT on Pulmonary Functions IN CASES With Inhalation Injury

Study Overview
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Brief Summary
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The current study aimed to investigate the effect of inspiratory muscle training (IMT) on pulmonary functions (FEV1and FVC), and respiratory muscle strength in patients with inhalation injury, which may prove to be a promising intervention helping to improve exercise tolerance, relieve dyspnea and suggests an improvement in respiratory muscle function.

Detailed Description
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Forty male patients suffering from inhalation injury were been included in this study, Participants' ages ranged from 20-35 years old. Patients were selected from the burn department, Om El-Masreen hospital, and randomly assigned into two equal groups. The exercise group received inspiratory muscle training in addition to routine chest physiotherapy in the form of (deep breathing, coughing, and early ambulation) three times per week for four weeks (group A). The Control group received only routine chest physiotherapy (group B). This study obtained ethical approval by the institutional review board of the Faculty of Physical Therapy - Cairo University, with reference number: P.T.REC/012/003431

Official Title
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Effects of Inspiratory Muscle Training on Clinical Predictors of Respiratory Muscle Strength and Lung Function in Burned Patients With Inhalation Injury

Conditions
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Inhalation Injury, Pulmonary Function, Respiratory Muscle Strength

Intervention / Treatment
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* Device: Exercise group


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Male patients suffering from inhalation injury. Participant age ranged from 20-35 years old. All patients had the same medical care. Participants have received a good explanation of the treatment and measurement device. Treatment was conducted one month after inhalation injury. Exclusion criteria: Patients were excluded from this study for any of the following cases such as Instability of patient's medical condition. Presence of any diseases that could affect the study results. Participants having respiratory, cardiac, or neurological diseases that affect pulmonary functions.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The exercise group received inspiratory muscle training in addition to routine chest physiotherapy (group A). The Control group received only routine chest physiotherapy (group B).
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention group<br>inspiratory muscle training in addition to routine chest physiotherapy in the form of (deep breathing, coughing, and early ambulation) | Device: Exercise group<br>* Maximal respiratory pressure and reflecting muscles strength were measured by a mouth pressure meter<br>* Other names: INSPIRATORY MUSCLE TRAINING;|
| No Intervention: control<br>The Control group received only routine chest physiotherapy | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| PULMONARY FUNCTION TEST | Each patient's weight in kilograms, and height in meters were recorded and entered the machine. An individual sat in a chair and inhaled deeply before closing their mouth tightly around the tube. Several exercises were carried out until the patient comprehended and was comfortable with the instruction. The patient inhaled deeply and exhaled as quickly as possible into the spirometer(Morgan Trans Flow Test Vicatest p2 (Kent, ME 87 ED, England). | 3 MONTHS | 
| Respiratory muscles Strength Measurement | Maximal respiratory pressure and reflecting muscles strength were measured by a mouth pressure meter (Pony FX; COSMED, Rome, Italy) in the sitting position. The highest maximal expiratory pressure (MEP) in cmH2O, and maximal inspiratory pressure (MIP) in cmH2O values in three or more attempts were chosen. Investigators calculated the predicted MEP and MIP values based on age, height, and weight | 3 MONTHS | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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INSPIRATORT TRAINING -INHALATION INJURY