Can targeted breathing exercises help ventilator patients regain diaphragm strength?
NCT ID NCT07709793
First seen Jul 17, 2026 · Last updated Jul 17, 2026
Summary
This study investigates whether high- or low-intensity inspiratory muscle training (IMT) better improves diaphragm function in patients who have been on mechanical ventilation for over 21 days. Using ultrasound, researchers will measure changes in diaphragm movement and thickness over up to two weeks of training. The goal is to determine which intensity level may lead to successful weaning from the ventilator.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- inspiratory muscle training (IMT) as a procedure
- What this could lead to
- If successful, this could help identify the best intensity of breathing exercises to help patients on ventilators regain diaphragm strength and breathe on their own sooner.
- What could go wrong
- This is a small, early-stage study with only 36 participants, so results may not apply to all patients. The training may not improve outcomes or could cause discomfort.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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36 people
The number who actually took part.
- Started
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Mar 2023
- Finished
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Jun 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Willing and able to provide written informed consent. 2. Adults aged \>20 years. 3. Patients requiring mechanical ventilation for \>21 days and admitted to the Respiratory Care Center (RCC). 4. Hemodynamically stable and not receiving vasopressor therapy. 5. Clinically stable and considered by the attending physician to be ready to begin weaning from mechanical ventilation. Ventilator settings must meet all of the following criteria: (1) Fraction of inspired oxygen (FiO₂) \< 0.60. (2) Positive end-expiratory pressure (PEEP) ≤10 cmH₂O. (3) Able to trigger spontaneous breaths on the ventilator. (4) Respiratory rate \<25 breaths/min. (5) Respiratory muscle weakness confirmed by maximal inspiratory pressure (MIP), defined as MIP \<30 cmH₂O. Exclusion Criteria: 1. Hemodynamic instability, including cardiac arrhythmia, decompensated heart failure, or acute coronary syndrome. 2. Active hemoptysis. 3. Presence of a chest tube. 4. Use of home mechanical ventilation. 5. Uncontrolled pain or dyspnea. 6. Patients determined to be ventilator-dependent and requiring long-term mechanical ventilation. 7. Patients or their legally authorized representatives who are unwilling or unable to provide written informed consent.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Linkou Gung Memorial Hospital
Taoyuan, Taiwan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New weaning protocol offers hope for Ventilator-Dependent patients