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Lung transplantation (LT) is now an established treatment option for patients with a wide variety of end-stage lung diseases- aims to improve quality of life and survival. Pulmonary rehabilitation (PR) is widely recognized as an important component of care of patients with chronic obstructive pulmonary disease (COPD), it improves dyspnea, exercise tolerance, quality of life, and reduces healthcare resource utilization.
The goal of pulmonary rehabilitation following lung transplantation is to enhance the physiological and functional benefits resulting from surgery. Inspiratory muscle Training (IMT) is defined as any intervention with the goal of training the inspiratory muscles. IMT can improve inspiratory muscles strength, endurance and exercise capacity in adults with COPD. IMT provides additional benefits to patients undergoing PR program and is worthwhile even in patients who have already undergone a general exercise reconditioning (GER) program. IMT will provide additional benefits (together or without) PR to patients following lung transplantation. No formal guidelines exist regarding the optimal methods of exercise training component of pulmonary rehabilitation for patients recovering from lung transplantation. This study will evaluate the unique influence of IMT in Patients Following Lung Transplantation.
The post lung transplant patients will participate in a rehabilitation program for 6 months. Participants in the proposed study will belong to one of four intervention groups:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | conventional |
|
| 2 | Experimental | sham IMT |
|
| 3 | Experimental | Conventional plus threshold IMT |
|
| 4 | Experimental | threshold IMT alone |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional or regular pulmonary rehabilitation program alone | Behavioral | Conventional or regular pulmonary rehabilitation program alone |
|
| Measure | Description | Time Frame |
|---|---|---|
| maximal exercise capacity | at 9 months after starting interventions | 9 months after starting interventions |
| Measure | Description | Time Frame |
|---|---|---|
| Lung function (FEV1, FVC) | 9 months after starting interventions | 9 months after starting interventions |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Prof Mordechai R. Kramer M.D R Kramer, MD | Contact | 972-39377221 | kremerm@clalit.org.il |
| Name | Affiliation | Role |
|---|---|---|
| Mordechai R Kramer, MD | Rabin Medical center, Beilinson Hospital Petach Tikva, 49100 Israel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pulmonary Institute Rabin Medical center, Beilinson Hospital | Petah Tikva | 49100 | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34282853 | Derived | Gutierrez-Arias R, Martinez-Zapata MJ, Gaete-Mahn MC, Osorio D, Bustos L, Melo Tanner J, Hidalgo R, Seron P. Exercise training for adult lung transplant recipients. Cochrane Database Syst Rev. 2021 Jul 20;7(7):CD012307. doi: 10.1002/14651858.CD012307.pub2. |
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| very low load IMT (sham IMT) alone | Device | very low load IMT (sham IMT) alone |
|
| Conventional or regular pulmonary rehabilitation program + targeted inspiratory resistive or threshold IMT | Device | Conventional or regular pulmonary rehabilitation program + targeted inspiratory resistive or threshold IMT |
|
| Targeted inspiratory resistive or threshold IMT alone | Device | Targeted inspiratory resistive or threshold IMT alone |
|
| ID | Term |
|---|---|
| D003226 | Congresses as Topic |
| ID | Term |
|---|---|
| D009938 | Organizations |
| D004472 | Health Care Economics and Organizations |
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