Aging Well Clinical Trial
Official title:
Effect Of The Breather Exerciser Trainer On Diaphragmatic Mobility And Thickness In Elderly
Verified date | March 2024 |
Source | Cairo University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to the effect of the breather exerciser trainer on diaphragmatic mobility and thickness in elderly.
Status | Completed |
Enrollment | 60 |
Est. completion date | March 1, 2024 |
Est. primary completion date | January 1, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 65 Years to 75 Years |
Eligibility | Inclusion Criteria: - Age range 65-75 years old of both genders - Oriented elder subjects assessed for cognitive impairment with score greater than 30 on Mini- Mental Scale. - Healthy elders with normal pulmonary function test values according to reference values. Exclusion Criteria: - Using any medications affect muscular strength. - Active hemoptysis, untreated pneumothorax, recent esophageal surgeries. - Acute or chronic pulmonary diseases, or decompensated heart failure. - Acute upper respiratory stenosis 'true vocal fold mass, vocal fold paralysis in adducted position, sub-glottic stenosis' or recent oral, facial or skull trauma or surgeries, also acute sinusitis, epistaxis, hemodynamic instability, tympanic membrane rupture, or acute middle ear pathology 'otitis or labyrinthitis'. - Active smokers. - Subjects with previous neurological disorders affecting respiratory muscles or any muscular dystrophies. - Subjects with previous cervical or thoracic surgeries. - Presence of hemodynamic instability 'heart rate more than 150beat per minute, or systolic blood pressure more than 140 mmHg, or diastolic blood pressure more than 90 mmHg' - Presence of severe cognitive impairments affects their understanding of any steps of study protocol. - Uncooperative individuals during chest ultrasound measurement that require performance of deep inspiration and full expiration. |
Country | Name | City | State |
---|---|---|---|
Egypt | Faculty of Physical Therapy | Giza |
Lead Sponsor | Collaborator |
---|---|
Adly A Adam |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Diaphragmatic thickness in millimeters | Preirus ultrasound device (Hitachi Medical Systems, Tokyo, Japan), with A 6-13 MHz linear probe will be utilized for diaphragm thickness assessment. Diaphragm thickness will be measured from the 8th or 9th intercostal space. Diaphragm thickness will measure thickness on expiration and during deep breathing to assess percentage of thickening during inspiration. and diaphragm thickness will expressed in millimeters. | Pretreatment and post treatment of 8 weeks of study protocol | |
Primary | Diaphragmatic mobility in centimeters | Preirus ultrasound device (Hitachi Medical Systems, Tokyo, Japan). a 1-5 MHz convex probe will be used for diaphragm mobility assessment. Diaphragm mobility will be measured from the costal line junction of the medial axillary line. The excursions of two hemidiaphragms will be measured using two-dimensional or M-mode ultrasonography, during respiratory maneuvers. Diaphragmatic mobility will be expressed in centimeters. | pretreatment and post treatment of 8 weeks of study protocol | |
Secondary | Functional Capacity | Will use Six-Minute Walk Test, as a self-paced submaximal field exercise test to determine functional capacity according to standard procedures administrated in a 30 meters hallway. | pretreatment and post treatment of 8 weeks of study protocol | |
Secondary | Geriatric Quality of life Questionnaire | Will use Quality of Life Questionnaire to assess functional disability and evaluate quality of life through a comprehensive geriatric 15-dimensional standardized, self-administrated measure for health-related quality of life questionnaire. The single index score (item of 15 dimensions) on a 1-5scale, representing the overall quality of life, is calculated from the health state descriptive system by using a set of population-based preference or utility weights.
Best quality of life score is 15 'best quality of life- it is the lowest score could gained' that means sum all included items score of 1 referring to best quality of life for each dimension of the questionnaire. While worst sum value is 75 'worst- highest score could gained, as in complete bedridden' that refers to each subitem score was 5. |
pretreatment and post treatment of 8 weeks of study protocol | |
Secondary | Geriatric Quality of Life | Will use Katz Questionnaire as a suitable tool for assessing functional status and capability to perform activities of daily living independently.
Where 0 is the lowest score refers to complete dependent person. While 6 is the highest score refers to independent person. |
pretreatment and post treatment of 8 weeks of study protocol |
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