Effectiveness of Inspiratory Muscle Training With Slow Breathing in Elderly With ISH

Hypertension Clinical Trial

Official title:

Effectiveness of Inspiratory Muscle Training With Antihypertensive Breathing Technique on Lung and Exercise Capacity in Elderly With Isolated Systolic Hypertension

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02752217
• Other study ID #: HE 581469
• Status: Recruiting
• Phase: N/A
• First received: April 7, 2016
• Last updated: April 25, 2016
• Start date: March 2016
• Est. completion date: September 2018

Study information

• Verified date: April 2016
• Source: Khon Kaen University
• Contact: Phailin Tongdee, Master
• Phone: 0862957922
• Email: pang_haru[@]hotmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Study the effects of inspiratory muscle training at Low load of 25 %Maximal inspiratory pressure with slow breathing rate at 6 breaths/min on inspiratory muscle strength, lung function, chest wall expansion, abdominal expansion, exercise capacity and blood pressure in elderly with Isolated systolic hypertension.

Description:

Study the effects of inspiratory muscle training at Low load of 25 % Maximal inspiratory pressure with slow breathing rate at 6 breaths/min with BreatheMAXยฎdevice for 8 weeks at home on inspiratory muscle strength, lung function (slow vital capacity, inspiratory capacity), chest wall expansion, abdominal expansion, exercise capacity by arm ergometry and blood pressure in elderly with Isolated systolic hypertension. who have age 60-80 years.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 32
• Est. completion date: September 2018
• Est. primary completion date: July 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 60 Years to 80 Years

Eligibility

Inclusion Criteria:

1. Subjects aged 60 to 80 years of age with an essential isolated systolic hypertension stage I II based on recommendation of JNC VII from primary care units in community and the Outpatient Department of Srinakarind hospital in Khon Kaen province Thailand

2. Good communication and co operation

3. Independent physical activity

4. Stable controlled hypertension

Exclusion Criteria:

1. Essential isolated systolic hypertension stage III or secondary hypertension

2. History of heart disease such as coronary artery disease myocardial infarction

3. History of respiratory disease such as asthma chronic bronchitis

4. History of neuromuscular disease such as muscle weakness cerebrovascular disease

5. History of renal disease

6. Exercise limited by pain

Related Conditions & MeSH terms

• Hypertension

Intervention

Other:
• Inspiratory Muscle Training
Inspiratory muscle training at 25%MIP with Slow breathing at 6 breath per min with BreatheMAX device for 8 weeks at home
• Control
Inspiratory muscle training at 2 cmH2O with Slow breathing at 6 breath per min with BreatheMAX device for 8 weeks at home

Locations

Country	Name	City	State
Thailand	Faculty of Associated Medical Sciences	Na Muang	Khon Kaen

Sponsors (1)

Lead Sponsor	Collaborator
Khon Kaen University

Country where clinical trial is conducted

Thailand, 

References & Publications (1)

Jones CU, Sangthong B, Pachirat O. An inspiratory load enhances the antihypertensive effects of home-based training with slow deep breathing: a randomised trial. J Physiother. 2010;56(3):179-86. Erratum in: J Physiother. 2010;56(4):221. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from baseline in Maximal inspiratory pressure (MIP)	MIP will be measure by Mouth pressure meter (Micro RPM, Micro Medical, Inc., Chatham Maritime, Kent)	Baseline and at 8 weeks
Secondary	Lung capacity	Lung capacity consists of slow vital capacity (SVC), inspiratory capacity (IC). SVC and IC will be measure by a portable computerized spirometer (KoKo spirometer)	Baseline and at 8 weeks
Secondary	Exercise capacity	Exercise capacity by Arm ergometer consists of exercise times, rating of perceived breathlessness (RPB) will examined by Borg scale	Baseline and at 8 weeks
Secondary	Chest wall expansion and abdominal expansion	chest wall expansion and abdominal expansion measured at xiphoid process level and middle between the ambrical and xiphiod process level by use a flexible measuring tape (cm)	Baseline and at 8 weeks
Secondary	Blood pressure (BP)	Blood pressure (BP) at home measured by digital bedside monitor. Accordingly follow ACMS recommended. And BP at laboratory test measured by Bedside monitor.	Baseline and at 8 weeks

External Links

•   An inspiratory load enhances the antihypertensive effects of home-based training with slow deep breathing: a randomised trial.