Pre-operative Inspiratory Muscle Strength Training in Total Joint Surgery

Description

The purpose of this research study is to evaluate effects of respiratory strengthening exercises on breathing function, in people who have orthopedic surgery. It is known that breathing function decreases for a few days after surgery. in In this study, we want to see if exercising before surgery strengthens the breathing muscles and improves recovery after surgery.

Conditions

Arthropathy of Knee, Arthropathy of Hip, Lower Extremity Fracture, Orthopedic Disorder

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Study Overview

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Study Details

Study overview

The purpose of this research study is to evaluate effects of respiratory strengthening exercises on breathing function, in people who have orthopedic surgery. It is known that breathing function decreases for a few days after surgery. in In this study, we want to see if exercising before surgery strengthens the breathing muscles and improves recovery after surgery.

Preoperative Inspiratory Muscle Strength Training and Pulmonary Complications After Surgery

Pre-operative Inspiratory Muscle Strength Training in Total Joint Surgery

Condition
Arthropathy of Knee
Intervention / Treatment

-

Contacts and Locations

Jacksonville

University of Florida, Jacksonville, Florida, United States, 32209

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * 18 or older
  • * History of current or previous tobacco use (including vaping containing nicotine products)
  • * One or more risk factors for post operative pulmonary complications including history of current or previous tobacco use, a clinically diagnosed lung disease, shortness of breath with minimal exertion, FEV1 or FVC less than 80% than predicted or respiratory muscles strength below lower limit of normal for age and sex.
  • * History of smoking related lung disease
  • * Projected surgical time \> 30 minutes
  • * Ability to follow instructions to complete IMT exercises
  • * Ability to communicate adverse effects such as pain or fatigue or the need for assistance
  • * American Society of Anesthesiologists physical status classification of 4 or greater .
  • * Recent history of acute pneumonia or lower respiratory infection in the previous two weeks requiring acute corticosteroid or antibiotic medication,
  • * Preoperative dependence on continuous supplemental oxygen dependence.
  • * Preoperative dependence on positive pressure breathing support while awake and upright (night time CPAP permitted),
  • * Diagnosis of a neurologic condition (i.e. MS, ALS, Parkinson's, stroke),
  • * Participating in a pulmonary rehabilitation program
  • * Severe obstructive pulmonary disease (Classification of Global Initiative for Chronic Obstructive Lung Disease (GOLD) 3 or higher, indicating FEV1\<50% predicted.
  • * Patients with an infectious disease requiring isolation (i.e. COVID-19).

Ages Eligible for Study

18 Years to 100 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Florida,

Stefan Braunecker, MD, PRINCIPAL_INVESTIGATOR, University of Florida College of Medicine-Jacksonville

Barbara Smith, PhD, PRINCIPAL_INVESTIGATOR, University of Florida, College of Public Health and Health Professions - Gainesville

Study Record Dates

2025-08