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Patients will train for 365 days following hospital discharge due to an acute exacerbation of COPD:\n\n* Intensive phase (Day 0-90): 2 daily sessions, each consisting of 30 breaths against an inspiratory load set by thetelemonitor, with regular online supervised IMT sessions, 7 sessions in total\n* Maintenance phase (Day 91-180): One daily session of 30 breaths, with sporadic online supervised IMT sessions, 2 sessions in total.\n* Follow-up phase (Day 181-365): Participants may continue IMT unsupervised. Supervision includes both in-person sessions at hospital visits and online sessions with telemonitors.",[9],[24],{"name":25,"affiliation":5,"role":26},"Daniel Langer, PhD","PRINCIPAL_INVESTIGATOR",[28,33],{"name":29,"role":30,"phone":31,"phoneExt":11,"email":32},"Marine Van Hollebeke, PhD","CONTACT","0032498606820","marine.vanhollebeke@kuleuven.be",{"name":25,"role":30,"phone":34,"phoneExt":11,"email":35},"0032 16 37 64 97","daniel.langer@kuleuven.be",[37,59,78,99,116,134,151,172,189,210,227,248],{"facility":38,"status":39,"city":40,"state":11,"zip":41,"country":42,"countryCode":43,"cosmosGeoPoint":44,"geoPoint":49,"contacts":50},"AZORG","RECRUITING","Aalst","9300","Belgium","BE",{"type":45,"coordinates":46},"Point",[47,48],4.0355,50.93604,{"lat":48,"lon":47},[51,55,56],{"name":52,"role":30,"phone":53,"phoneExt":11,"email":54},"Dimitri Stylemans","0032 53 72 42 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Detrembleur",{"type":26,"investigatorFullName":272,"investigatorTitle":273,"investigatorAffiliation":5,"oldNameTitle":11,"oldOrganization":11},"Daniel Langer","associate professor Faculty of Movement and Rehabilitation Sciences",[275,278,280,282,283,285,287,289,291,293,295],{"name":276,"class":277},"Hopitaux Iris Sud","UNKNOWN",{"name":279,"class":6},"Centre Hospitalier Universitaire Saint Pierre",{"name":281,"class":6},"Onze Lieve Vrouw Hospital",{"name":228,"class":6},{"name":284,"class":6},"University Hospital, Antwerp",{"name":286,"class":6},"Algemeen Ziekenhuis Maria Middelares",{"name":288,"class":6},"Grand Hôpital de Charleroi",{"name":290,"class":6},"Centre Hospitalier Universitaire UCLouvain Namur",{"name":292,"class":6},"Centre Hospitalier Universitaire de Liege",{"name":294,"class":6},"General Hospital Groeninge",{"name":296,"class":6},"University Hospital, Ghent","100609326","effect-of-imt-in-patients-after-acute-exacerbations-of-copd-100609326",false,"NCT07213128","Effect of IMT in Patients After Acute Exacerbations of COPD","The Effect of Home-based Inspiratory Muscle Training Compared to Usual Care on Readmission Rate in Patients After a Severe Acute Exacerbation of Chronic Obstructive Pulmonary Disease: a Randomised, Multicentre, Parallel Group Clinical Trial: IN-SPIRED Trial","IN-SPIRED","Inclusion Criteria:\n\n* Patients admitted to the hospital ≥3 days for AECOPD\n* Read and speak French, Dutch or English\n* Age ≥ 35 years\n* Able to provide informed consent\n* Possessing a smartphone, compatible with the tele-monitoring app and able to perform video meetings.\n\nExclusion Criteria:\n\n* Patients already performing IMT at time of inclusion\n* Patients with estimated \\\u003C90 days life expectancy\n* Non-COPD pulmonary disease as primary diagnosis\n* Active malignancy\n* Inability to perform IMT or response to questionnaires (e.g., neurological\u002Fcognitive impairment)\n* Acute instable cardiac arrythmia or ischemia\n* Acute pneumothorax\n* Planned lung volume reduction procedure \\\u003C180days\n* Waitlisted for lung transplantation\n* Patients admitted to an in-hospital rehabilitation ward\n* Patients included in other interventional trial related to COPD that would interfere with our trial outcomes.","ALL","35 Years",{"count":308,"type":309},358,"ESTIMATED","INTERVENTIONAL",[312],"NA","The goal of this clinical trial is to test whether home-based inspiratory muscle training can reduce hospital readmissions and death in patients recovering from a severe acute exacerbation of chronic obstructive pulmonary disease (AECOPD).\n\nThe main questions this study aims to answer are:\n\nDoes adding home-based inspiratory muscle training to usual care lower the risk of all-cause hospital readmission or death within 180 days after discharge? Does inspiratory muscle training improve respiratory muscle strength, symptoms of dyspnea, quality of life, and functional capacity compared to usual care?\n\nResearchers will compare patients randomized to:\n\nIntervention group: Home-based inspiratory muscle training plus usual care Control group: Usual care only\n\nto see if inspiratory muscle training leads to fewer readmissions and deaths, and better patient-reported and physiological outcomes.\n\nParticipants will:\n\nBe hospitalized for ≥3 days due to AECOPD, age ≥35 years, able to consent, and own a compatible smartphone.\n\nIn the intervention group, receives usual care and additionally inspiratory muscle training:\n\nInspiratory muscle training twice daily for 90 days, then once daily up to day 180, with remote telemonitoring via a smartphone app and online supervised sessions.\n\nThe control group will continue with usual care (pharmacological treatment, smoking cessation advice, vaccinations, and referral to pulmonary rehabilitation if available).\n\nFollow-up assessments will include hospital readmissions, survival, and quality of life questionnaires up to 12 months after discharge.",[315,316,317],"Chronic Obstructive Pulmonary Diseases","COPD","Symptom Exacerbation",[319,320,321,322],"Inspiratory muscle training","Respiratory muscle training","acute exacerbation","chronic obstructive pulmonary disease","2026-05-27",{"date":325,"type":326},"2026-05-28","ACTUAL",{"date":328,"type":326},"2026-01-06",{"date":330,"type":309},"2029-02",{"name":5,"class":6},12]