Viewing Study NCT01624272



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Study NCT ID: NCT01624272
Status: COMPLETED
Last Update Posted: 2014-03-26
First Post: 2012-06-13

Brief Title: Respiratory Muscle Training in Institutionalized Elderly Population
Sponsor: University of Valencia
Organization: University of Valencia

Study Overview

Official Title: The Effectiveness of Pranayama Breathing Exercises vs Threshold Inspiratory Muscle Trainer to Improve Respiratory Muscle Function in an Institutionalized Frail Elderly Population
Status: COMPLETED
Status Verified Date: 2014-03
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The global loss of muscle mass and strength associated with aging is a cause of functional impairment and disability particularly in the frail elderly Respiratory function can be severely compromised if there is a decrease of respiratory RM strength complicated by the presence of comorbidities and physical immobility

Previous studies have shown that the specific RM training is an effective method to increase RM strength both in healthy people and patients In this case specific RM training may be regarded as a beneficial alternative to improve RM function and thus prevent physical and clinical deterioration in this population

The hypothesis is that specific RM training would improve RM strength and endurance in the experimental groups vs control who do not participate in RM training

Institutionalized elderly people with an inability to walk were randomly allocated to a control group a Threshold group or a Pranayama group Both experimental groups performed a supervised RM training five days a week for six consecutive weeks The maximum inspiratory and expiratory pressures MIP and MEP and the maximum voluntary ventilation MVV were assessed at four time points in each of three groups
Detailed Description: Studies have shown that general aerobic exercise training is accompanied by significant respiratory physiological benefits including gains in RM strength and endurance Larson et al 1999 Sheel 2002 Watsford et al 2005 Lacasse et al 2006 This benefit appears to be greater when general exercise conditioning is combined with specific RM training Weiner et al 1992 Wanke et al 1994 Larson et al 1999 Hill y Eastwood 2005 OBrien et al 2008 However many frail elderly are not able to perform general aerobic exercise related or not to ADL as it is mentioned above eg institutionalized elderly with comorbidities functional impairment and RM weakness In this case specific RM training may be used as a beneficial alternative to maintain or improve RM function Watsford and Murphy 2008 and thus prevent deterioration in this functionally impaired elderly

The most commonly used techniques of specific RM training are a isocapnic hyperpnoea Leith and Bradley 1976 Belman and Mittman 1980 b respiratory resistive loading Pardy et al 1981 Sonne and Davis 1982 Belman et al 1986 and c respiratory threshold loading Clanton et al 1985 Chen et al 1985 Martyn et al 1987 Larson et al 1988 Apart from these three well-known techniques other less studied types of exercise such as the controlled breathing exercises of Yoga Pranayama may also be added to this list Kulpati et al 1982 Manocha et al 2002 Donesky-Cueco et al 2009

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None