Impact of Preoperative Respiratory Strength Training on Postoperative Health for Heart Transplant Recipients
Vanderbilt University Medical Center
Summary
This research study is investigating whether completing breathing exercises before surgery helps heart transplant patients recover after surgery. Previous studies have shown that breathing exercises can improve breathing, cough, and swallow function in patients with other diseases/conditions. The current study will investigate the impact of a preoperative respiratory muscle strength training program on breathing and cough function, swallow function, patient-reported eating and swallowing fatigue, and health outcomes in individuals undergoing heart transplantation. Participants will: * undergo tests of breathing, cough, and swallow function * complete questionnaires about the treatment, their swallow function * complete breathing exercises daily
Description
This study will involve three in-person research evaluations to our lab or in the hospital that will last 45 minutes- 1 hour and will consist of a screening, breathing and cough testing, swallow function testing, and completion of questionnaires. Following the initial research evaluation, individuals will complete daily exercises of active or sham respiratory muscle strength training for several weeks with one telehealth or in-person session per week. The exercises will take 10-15 minutes to complete, and individuals will fill out training logs daily. Prior to transplantation and after complet…
Eligibility
- Age range
- 18–90 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Adult (18-90 years old) 2. Not pregnant 3. Undergoing evaluation or actively waitlisted for heart transplantation at VUMC with a waitlist status of 1-6 4. Have a computer, tablet or electronic device with a stable internet connection for telehealth sessions (outpatient) 5. Be willing to undergo testing procedures and complete the exercise training program. Exclusion Criteria: 1. Individual \<18 years old, \>90 years old 2. Pregnant 3. No access to a computer, tablet or electronic device with a stable internet connection for telehealth sessions 4. Unwilling or unable t…
Interventions
- BehavioralActive respiratory muscle strength training
Devices will be set to 60% of participants' maximum expiratory pressure and maximum inspiratory pressure. Participants will complete training 7 days per week by performing 5 sets of 5 repetitions for both expiratory and inspiratory muscle strength training (a total of 50 repetitions).
- BehavioralSham respiratory muscle strength training
Springs will be removed from devices to ensure training is done without resistance. Participants will complete training 7 days per week by performing 5 sets of 5 repetitions for both expiratory and inspiratory sham muscle strength training (a total of 50 repetitions).
Location
- Vanderbilt University Medical CenterNashville, Tennessee