Breathing exercises before joint surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effects of preoperative inspiratory muscle training (IMT) on breathing function in patients undergoing total joint arthroplasty or lower extremity orthopedic surgery. Participants will be randomized into three groups: those completing daily IMT, those receiving a single acute IMT session before surgery, and those receiving standard surgical care. The study aims to determine if preoperative IMT can reduce post-operative declines in breathing function and minimize pulmonary complications. Assessments will be made before surgery and during the first 24 hours post-operation to evaluate outcomes.

Why it matters

Who can join: the full rules

Inclusion 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

Exclusion Criteria:

* 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).

Where it's running

• University of Florida
  Jacksonville, Florida, United States Recruiting

Study contacts

• Principal investigator: Barbara Smith, PhD — University of Florida, College of Public Health and Health Professions - Gainesville
• Study coordinator: Maribel Z Ciampitti
• Email: maribel.ciampitti@jax.ufl.edu
• Phone: 904-891-6403

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Mako-MORE Registry: Real-world Outcomes After Knee and Hip Arthroplasty

  This registry collects real-world data from adults having hip or knee joint replacement with or without the Mako robotic system to see how they do over up to five years.

  Recruiting at 2 sites Stryker Orthopaedics · Jacksonville, Florida and 4 other locations · NCT07647354

• Constipation Prevention Checklist in hip surgery patients

  A simple checklist is used to see if hip surgery patients can stay regular by staying hydrated, eating well, moving early, and using abdominal massage.

  Recruiting Cumhuriyet University · Sivas · NCT07895316

• Spinal anesthesia with intrathecal morphine vs PENG block (with or without dexamethasone) for hip replacement

  In people aged 60 and older undergoing total hip arthroplasty, this study tests whether three anesthesia approaches provide better pain control and fewer side effects: spinal with intrathecal morphine, spinal with a PENG block, or spinal with a PENG block plus dexamethasone.

  Recruiting Poznan University of Medical Sciences · Poznan · NCT07584200

• Total knee replacement with a polyethylene tibial component to see how long it lasts and how patients do

  This study tests the 5-year survival and clinical outcomes of a total knee replacement using an all-polyethylene tibial component in people aged 50–85 with knee osteoarthritis or related conditions.

  Recruiting Istituto Ortopedico Rizzoli · Bologna · NCT07544264

• PENG Block or Periarticular Injection for Hip Surgery in Older Adults

  This study tests three pain-relief approaches after hip surgery in adults 65 and older to see which best eases pain while keeping movement safe.

  Recruiting Poznan University of Medical Sciences · Poznan · NCT07327892

• PENG nerve block plus dexmedetomidine for hip surgery pain in older adults

  This will test whether adding a small dose of dexmedetomidine to a PENG nerve block gives longer, better pain relief and reduces opioid need for people 65 and older having hip surgery.

  Recruiting Poznan University of Medical Sciences · Poznan · NCT07327372

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.