COPD Clinical Trial
Official title:
Randomized Controlled Trial of Inspiratory Muscle Training in Patients With Stable Hypercapnic Respiratory Failure Due to COPD
The trial intends to investigate, whether inspiratory muscle training in hypercapnic patients improves inspiratory muscle strength, inspiratory muscle endurance and endurance to walk within six minutes.
Inspiratory muscle training is known to improve inspiratory muscle strength, inspiratory
muscle endurance and walking distance within six minutes in patients with neuromuscular and
thoraco-restrictive disease as well as in patients with COPD. Studies have only been
conducted in patients without established respiratory failure. COPD patients with
respiratory failure though are characterized by higher work rates of the inspiratory muscles
and higher esophageal pressure swings compared to non-hypercapnic patients indication a
discrepancy between muscle load and muscle capabilities. Therefore we hypothesize that for
these patients training of their inspiratory muscles will be of benefit in terms of
improvement of muscular and whole body endurance.
During this investigation inspiratory muscle training will be applied in a randomized
controlled fashion in 40 patients over a period of four weeks parallel to physical
rehabilitation.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind, Primary Purpose: Treatment
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