Inspiratory muscle training for people with Parkinson's disease: a protocol for a mixed methods randomised controlled trial.

IF 3.6 3区 医学 Q1 RESPIRATORY SYSTEM
Juliana Fernandes Barreto de Mendonca, Elisabeth Preston, Allyson Flynn, Bernie Bissett
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Abstract

Introduction: Inspiratory muscle weakness is a known consequence of Parkinson's disease and could be a potential contributor to the dyspnoea experienced by many people living with the condition. Inspiratory muscle training is effective in improving inspiratory muscle strength and reducing dyspnoea in other chronic diseases. However, inspiratory muscle training has received little attention in people with Parkinson's disease, and it is unclear how this training affects inspiratory muscle strength, dyspnoea and quality of life.

Methods and analysis: This mixed methods, randomised controlled trial will recruit 50 participants with idiopathic Parkinson's disease who will be randomly allocated to either the experimental group, for 8 weeks, or the control group. Inspiratory muscle strength (maximum inspiratory pressure) will be the primary outcome. The secondary outcomes include motor experience of daily living (Movement Disorder Society-Unified Parkinson's Disease Rating Scale part II), rate of perceived exertion (modified Borg Scale), exercise capacity (6-minute walk test) and quality of life (39-item Parkinson's Disease Questionnaire). Quantitative data will be analysed using descriptive statistics. Semi-structured interviews will be conducted with participants who underwent inspiratory muscle training. Inductive reflexive thematic analysis will be used to explore the participants' experiences of inspiratory muscle training and its impact on dyspnoea, activities of daily living and overall quality of life.

Trial registration number: ACTRN12622000097741.

帕金森病患者的吸气肌训练:一项混合方法随机对照试验方案。
简介:吸气肌无力是帕金森病的一种已知后果,可能是许多帕金森病患者呼吸困难的潜在原因。在其他慢性疾病中,吸气肌训练对提高吸气肌力量和减轻呼吸困难是有效的。然而,在帕金森病患者中,吸气肌训练很少受到关注,并且尚不清楚这种训练如何影响吸气肌力量、呼吸困难和生活质量。方法和分析:这项混合方法、随机对照试验将招募50名特发性帕金森病患者,他们将被随机分配到实验组和对照组,为期8周。吸气肌力量(最大吸气压力)将是主要结果。次要结果包括日常生活的运动体验(运动障碍协会-统一帕金森病评定量表第二部分)、感知运动率(改良博格量表)、运动能力(6分钟步行测试)和生活质量(39项帕金森病问卷)。定量数据将使用描述性统计进行分析。半结构化访谈将对接受吸气肌训练的参与者进行。归纳反思性专题分析将探讨参与者的吸气肌训练经验及其对呼吸困难、日常生活活动和整体生活质量的影响。试验注册号:ACTRN12622000097741。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Open Respiratory Research
BMJ Open Respiratory Research RESPIRATORY SYSTEM-
CiteScore
6.60
自引率
2.40%
发文量
95
审稿时长
12 weeks
期刊介绍: BMJ Open Respiratory Research is a peer-reviewed, open access journal publishing respiratory and critical care medicine. It is the sister journal to Thorax and co-owned by the British Thoracic Society and BMJ. The journal focuses on robustness of methodology and scientific rigour with less emphasis on novelty or perceived impact. BMJ Open Respiratory Research operates a rapid review process, with continuous publication online, ensuring timely, up-to-date research is available worldwide. The journal publishes review articles and all research study types: Basic science including laboratory based experiments and animal models, Pilot studies or proof of concept, Observational studies, Study protocols, Registries, Clinical trials from phase I to multicentre randomised clinical trials, Systematic reviews and meta-analyses.
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