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Trial registered on ANZCTR
Registration number
ACTRN12610000375055
Ethics application status
Approved
Date submitted
6/05/2010
Date registered
11/05/2010
Date last updated
11/05/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Inspiratory muscular training of chronic stroke survivors
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Scientific title
Effect of inspiratory muscle training on chronic stroke survivors' inspiratory muscle strength, endurance and functional performance.
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Secondary ID [1]
251700
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nil
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Universal Trial Number (UTN)
U1111-1114-8898
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic stroke survivors
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Condition category
Condition code
Physical Medicine / Rehabilitation
257441
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0
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Physiotherapy
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Stroke
257454
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0
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Ischaemic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
a home-based inspiratory muscle training: the training sessions consist of 30 minutes daily, five times per week over eight weeks with the threshold device regulated at 30% of the subjects’ maximal inspiratory pressure (MIP)values. Every other week (bi-weekly), one session was performed with physiotherapy supervision to measure the MIP and adjuste the load and also to check the information about the training and resolve any doubts. So, in one week the participants train five days on their own and on the other week four days on their own and one day with physiotherapy supervision.
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Intervention code [1]
256426
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Rehabilitation
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Comparator / control treatment
control group using the same protocol with the threshold device without the resistance valve.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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inspiratory muscular strength: assessed by manovacuometer with operational intervals of 300 cmH2O, in deep inspiration from residual volume against an occluded airway with a minor air leak (2 mm). The highest pressure of three measurements was used for analysis.
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Assessment method [1]
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Timepoint [1]
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Baseline and after eight weeks of intervention
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Primary outcome [2]
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inspiratory muscle endurance: an incremental test in which participants breath continuously through a mouthpiece connected to a Threshold Inspiratory Muscle Trainer with an initial load of 30% of Pimax, and increments of 10% of Pimax added every 2 min until the participant is unable to continue breathing. The greatest inspiratory pressure that the subject is able to sustain for at least 1 min is considered according to Martyn et al, 1987.
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Assessment method [2]
258396
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Timepoint [2]
258396
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Baseline and after eight weeks of intervention
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Secondary outcome [1]
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functional performance: incremental cycle ergometer test, protocol according to American College of Sports Medicine for persons with stroke consisting of stages of 2 minutes with incremental load calculated individualy using the Wasserman's formula.
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Assessment method [1]
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Timepoint [1]
264094
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Baseline and after eight weeks of intervention
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Secondary outcome [2]
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Quality of life assessed by Nottingham Health Profile
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Assessment method [2]
264095
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Timepoint [2]
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Baseline and after eight weeks of intervention
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Eligibility
Key inclusion criteria
stroke at least nine months before the study (to ensure chronicity) with maximal inspiratory pressure values lower than 90% of the predicted those adjusted for age and gender
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Minimum age
20
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
facial palsys; restrictions in lung functions; cardiac or orthopaedic conditions; smokers. Subjects, who were unable to perform the tests and used medications, which could influence training.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/01/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
24
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Brazil
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State/province [1]
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Minas Gerais
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Conselho Nacional de Desenvolvimento Cientifico e Tecnologico - CNPq
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Address [1]
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SEPN 507, Bloco "B",
Ed. Sede CNPq
70740-901 Brasilia, DF
Brazil. CEP: 70740-901
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Country [1]
256916
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Brazil
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Funding source category [2]
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Government body
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Name [2]
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Research Foundation of Minas Gerais - FAPEMIG
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Address [2]
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Rua Raul Pompeia, 101 - Sao Pedro - Belo Horizonte - Minas Gerais - CEP: 30.330-080
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Country [2]
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Brazil
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Primary sponsor type
Other
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Name
Laboratory of Assesment and Research on Cardiorespiratory Performance
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Address
Av. Antonio Carlos, 6627
Pampulha - Belo Horizonte - MG
Departamento de Fisioterapia
CEP 31270-901
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Country
Brazil
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Secondary sponsor category [1]
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Individual
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Name [1]
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Raquel Rodrigues Britto
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Address [1]
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Rua Biagio Polizi, 176/301
Bairro Silveira - Belo Horizonte -
MG - 31140-500
Brasil
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Country [1]
256186
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Brazil
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics Commitee of Federal University of Minas Gerais
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Ethics committee address [1]
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Avenida Antonio Carlos, 6627 Unidade Administrativa II sala 2005 Pampulha - Belo Horizonte - MG CEP 31270-901
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Ethics committee country [1]
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Brazil
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Date submitted for ethics approval [1]
258923
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Approval date [1]
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16/06/2005
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Ethics approval number [1]
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CAAE - 0040.0.203.000-05
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Summary
Brief summary
This study were first aproved as a case study and considering the results it was improved as a randomized control trial. Stroke survivors with maximal inspiratory pressure (MIP) lower than 90% of the predicted values, randomly allocated in the control and treatment groups. Intervention: The intervention is based on Threshold training, bi-weekly adjusted to 30% of the MIP. The control group with the same protocol, without the threshold resistance valve. Both groups receive home training 30 minutes daily, five times/week, during eight weeks. To study the hypothesis that the treatment will improve MIP, inspiratory muscular endurance (IME), quality of life, and functional performance.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Raquel Rodrigues Britto
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Address
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Rua Biagio Polizi, 176/ 301. Silveira. Belo Horizonte - Minas Gerais - 31.140-500 - Brasil
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Country
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Brazil
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Phone
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55 31 99704527
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Fax
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55 31 34094783
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Email
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[email protected]
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Contact person for scientific queries
Name
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Raquel Rodrigues Britto
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Address
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Rua Biagio Polizi, 176/ 301. Silveira. Belo Horizonte - Minas Gerais - 31.140-500 - Brasil
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Country
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Brazil
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Phone
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55 31 99704527
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Fax
5302
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55 31 34094783
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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