Effect of a home-based inspiratory muscular training programme on functional capacity in patients with chronic COVID-19 after a hospital discharge: protocol for a randomised control trial (InsCOVID trial)

Introduction Exercise intolerance and fatigue are the most common symptoms in patients with chronic COVID-19 after hospital discharge. Supervised exercise training programmes improve symptoms, but scarce research has been done on home-based exercise programmes on the maximal functional capacity for...

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Main Authors: Julio Nuñez, Laura López, Cruz González, Patricia Palau, Eloy Domínguez, Clara Sastre, M Luz Martínez, Elvira Bondía, Crtstina Albiach
Format: Article
Language:English
Published: BMJ Publishing Group 2022-02-01
Series:BMJ Open Respiratory Research
Online Access:https://bmjopenrespres.bmj.com/content/9/1/e001255.full
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author Julio Nuñez
Laura López
Cruz González
Patricia Palau
Eloy Domínguez
Clara Sastre
M Luz Martínez
Elvira Bondía
Crtstina Albiach
author_facet Julio Nuñez
Laura López
Cruz González
Patricia Palau
Eloy Domínguez
Clara Sastre
M Luz Martínez
Elvira Bondía
Crtstina Albiach
author_sort Julio Nuñez
collection DOAJ
description Introduction Exercise intolerance and fatigue are the most common symptoms in patients with chronic COVID-19 after hospital discharge. Supervised exercise training programmes improve symptoms, but scarce research has been done on home-based exercise programmes on the maximal functional capacity for discharged symptomatic COVID-19 patients. This study evaluates whether a home-based inspiratory muscle training (IMT) programme improves maximal functional capacity in chronic COVID-19 after hospital admission.Methods and analysis This single-centre, assessor-blinded randomised controlled trial, powered for superiority, seeks to evaluate maximal functional capacity as the primary endpoint. A total of 26 eligible patients with a previous admission for acute respiratory syndrome coronavirus 2 pneumonia (>3 months after hospital discharge) will be randomised (1:1) to receive a 12-week programme of IMT versus usual care alone. A blinded assessor will measure outcomes at baseline and after the intervention (12 weeks). An analysis of variance will be used to compare continuous outcomes among the two-intervention groups. As of 21 March 2022, eight patients have been enrolled.Ethics and dissemination The research ethics committee (Comité Ético de Investigación con Medicamentos de l'Hospital Clínic Universitari de València) approved the protocol following the principles of the Declaration of Helsinki and national regulations (Approval Number: 021/226). Findings will be published in peer-reviewed journals and conference publications.Trial registration number NCT05279430.
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spelling doaj.art-d48ff694293b4c53a4fc543442b5a17e2023-07-15T12:00:06ZengBMJ Publishing GroupBMJ Open Respiratory Research2052-44392022-02-019110.1136/bmjresp-2022-001255Effect of a home-based inspiratory muscular training programme on functional capacity in patients with chronic COVID-19 after a hospital discharge: protocol for a randomised control trial (InsCOVID trial)Julio Nuñez0Laura López1Cruz González2Patricia Palau3Eloy Domínguez4Clara Sastre5M Luz Martínez6Elvira Bondía7Crtstina Albiach8Cardiology Department. Hospital Clínico Universitario de Valencia, INCLIVA. Universitat de València, Valencia, SpainPhysiotherapy Department, Universitat de Valencia, Valencia, SpainPneumology Department, Hospital Clínico Universitario de Valencia, Hospital Clinico Universitario, Valencia, SpainCardiology Department. Hospital Clínico Universitario de Valencia, INCLIVA. Universitat de València, Valencia, SpainCardiology Department. Hospital Clínico Universitario de Valencia, Universitat Jaume I, Castellón, SpainCardiology Department. Hospital Clínico Universitario de Valencia. Universitat de València, INCLIVA, Valencia, SpainCardiology Deparment, Hospital Clínico Universitario de Valencia, Valencia, SpainPneumology Department, Hospital Clínico Universitario de Valencia, Hospital Clinico Universitario, Valencia, SpainCardiology Department, Hospital Clínico Universitario de Valencia, Valencia, SpainIntroduction Exercise intolerance and fatigue are the most common symptoms in patients with chronic COVID-19 after hospital discharge. Supervised exercise training programmes improve symptoms, but scarce research has been done on home-based exercise programmes on the maximal functional capacity for discharged symptomatic COVID-19 patients. This study evaluates whether a home-based inspiratory muscle training (IMT) programme improves maximal functional capacity in chronic COVID-19 after hospital admission.Methods and analysis This single-centre, assessor-blinded randomised controlled trial, powered for superiority, seeks to evaluate maximal functional capacity as the primary endpoint. A total of 26 eligible patients with a previous admission for acute respiratory syndrome coronavirus 2 pneumonia (>3 months after hospital discharge) will be randomised (1:1) to receive a 12-week programme of IMT versus usual care alone. A blinded assessor will measure outcomes at baseline and after the intervention (12 weeks). An analysis of variance will be used to compare continuous outcomes among the two-intervention groups. As of 21 March 2022, eight patients have been enrolled.Ethics and dissemination The research ethics committee (Comité Ético de Investigación con Medicamentos de l'Hospital Clínic Universitari de València) approved the protocol following the principles of the Declaration of Helsinki and national regulations (Approval Number: 021/226). Findings will be published in peer-reviewed journals and conference publications.Trial registration number NCT05279430.https://bmjopenrespres.bmj.com/content/9/1/e001255.full
spellingShingle Julio Nuñez
Laura López
Cruz González
Patricia Palau
Eloy Domínguez
Clara Sastre
M Luz Martínez
Elvira Bondía
Crtstina Albiach
Effect of a home-based inspiratory muscular training programme on functional capacity in patients with chronic COVID-19 after a hospital discharge: protocol for a randomised control trial (InsCOVID trial)
BMJ Open Respiratory Research
title Effect of a home-based inspiratory muscular training programme on functional capacity in patients with chronic COVID-19 after a hospital discharge: protocol for a randomised control trial (InsCOVID trial)
title_full Effect of a home-based inspiratory muscular training programme on functional capacity in patients with chronic COVID-19 after a hospital discharge: protocol for a randomised control trial (InsCOVID trial)
title_fullStr Effect of a home-based inspiratory muscular training programme on functional capacity in patients with chronic COVID-19 after a hospital discharge: protocol for a randomised control trial (InsCOVID trial)
title_full_unstemmed Effect of a home-based inspiratory muscular training programme on functional capacity in patients with chronic COVID-19 after a hospital discharge: protocol for a randomised control trial (InsCOVID trial)
title_short Effect of a home-based inspiratory muscular training programme on functional capacity in patients with chronic COVID-19 after a hospital discharge: protocol for a randomised control trial (InsCOVID trial)
title_sort effect of a home based inspiratory muscular training programme on functional capacity in patients with chronic covid 19 after a hospital discharge protocol for a randomised control trial inscovid trial
url https://bmjopenrespres.bmj.com/content/9/1/e001255.full
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