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The goal of this clinical trial is to learn if combined inspiratory muscle training and aerobic exercise can improve ventilatory function in adults with repaired Tetralogy of Fallot (TOF). It will also learn if exercises work to raise functional capacity and Quality of life (QoL) . The main questions it aims to answer is:
Researchers will compare between combination of inspiratory muscle training and aerobic exercise on one group and the aerobic exercise only on other group, on ventilatory function, functional capacity and (QoL) on adults with repaired TOF.
Participants will:
On study group , participants will perform respiratory muscle training in addition to moderate intensity aerobic exercise for 6 weeks. 3 times/week
On controlled group , participants will perform moderate intensity aerobic exercise for 6 weeks. 3 times/week.
all participants will test ventilatory function , functional capacity and will answer a survey questions about their quality of life before and after training
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| combined respiratory muscle training and aerobic training | Experimental | participants will receive respiratory muscle training via threshold IMT device in addition to moderate intensity aerobic exercise |
|
| aerobic exercise | Active Comparator | participants will receive moderate intensity aerobic exercise |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| aerobic exercise | Other | moderate intensity aerobic exercises on a treadmill:
|
| Measure | Description | Time Frame |
|---|---|---|
| "Change from Baseline in Ventilatory function : Forced vital capacity (FVC) , Forced expiratory volume in 1 second (FEV1), expiratory vital capacity (EVC) and inspiratory vital capacity (IVC). | At Baseline and after 6 weeks of training |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Six-minute walk test (6MWT) | At Baseline and after 6 weeks of training | |
| changes from baseline in 36-Item Short Form Health Survey (SF-36) | as an assessment of quality of live |
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Inclusion Criteria:
Exclusion Criteria:
bronchial asthma, lung fibrosis…..)
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| ID | Term |
|---|---|
| D013771 | Tetralogy of Fallot |
| D006330 | Heart Defects, Congenital |
| ID | Term |
|---|---|
| D018376 | Cardiovascular Abnormalities |
| D002318 | Cardiovascular Diseases |
| D006331 | Heart Diseases |
| D000013 | Congenital Abnormalities |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| D001945 | Breathing Exercises |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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|
| respiratory muscle training | Other | respiratory muscle training via threshold inspiratory muscle trainer (IMT) device:
|
|
|
| at Baseline and after 6 weeks of training |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026241 | Exercise Movement Techniques |
| D026741 | Physical Therapy Modalities |