NCT07493837

Brief Summary

The aim of this study is to investigate the effects of four weeks of land- and water-based inspiratory muscle training (IMT) on performance and selected physiological variables in young swimmers. A total of 30 competitive swimmers (22 males and 8 females), who have been training regularly for at least two years, will be voluntarily recruited and assigned to three groups: Land + IMT, Swimming + IMT, and Water + IMT. To compare the effects of different training protocols and evaluate their specific contributions to performance, participants will undergo assessments before the intervention and after the completion of the four-week training period. These assessments will include anthropometric measurements, pulmonary function tests, respiratory muscle strength, 100- and 200-meter freestyle swimming performance, stroke rate and stroke efficiency, as well as cardiopulmonary capacity. Previous studies investigating the effects of inspiratory muscle training in swimmers have generally applied the intervention in land-based settings and reported positive physical and physiological adaptations. However, to the best of our knowledge, no previous study has examined the effects of IMT performed in the water in swimmers. This novel approach is expected to better simulate the actual breathing demands encountered during swimming, thereby improving respiratory control, promoting a more efficient breathing rhythm during competition, and enhancing swimming performance.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
1mo left

Started Mar 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress68%
Mar 2026Jul 2026

Study Start

First participant enrolled

March 1, 2026

Completed
12 days until next milestone

First Submitted

Initial submission to the registry

March 13, 2026

Completed
12 days until next milestone

First Posted

Study publicly available on registry

March 25, 2026

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2026

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2026

Expected
Last Updated

March 25, 2026

Status Verified

March 1, 2026

Enrollment Period

2 months

First QC Date

March 13, 2026

Last Update Submit

March 21, 2026

Conditions

Keywords

Young swimmersinspiratory muscle trainingswimming performance

Outcome Measures

Primary Outcomes (10)

  • Maximal oxygen uptake (VO₂max)

    VO₂max will be assessed during a cardiopulmonary exercise test as an indicator of aerobic performance capacity.

    Before and after 4 weeks of intervention

  • 100 m Time Trial

    The 100 m time trial is a performance test that measures the time required to complete a 100-meter swim at maximal effort.

    Before and after 4 weeks of intervention

  • 200 m Time Trial

    The 200 m time trial is a performance test that measures the time required to complete a 100-meter swim at maximal effort.

    Before and after 4 weeks of intervention

  • Stroke Rate

    Stroke rate is the number of stroke cycles performed per unit of time during swimming, usually expressed as cycles or strokes per minute.

    Before and after 4 weeks of intervention

  • FEV1/FVC

    The FEV1/FVC ratio is a number that represents the percentage of patient lung capacity patient is able to exhale in one second.

    Before and after 4 weeks of intervention

  • FEV1

    This is the amount of air with pulmonary function test that the patient can force out of their lungs in one second.

    Before and after 4 weeks of intervention

  • FVC

    This is the greatest total amount of air patient can forcefully breathe out after breathing in as deeply as possible.

    Before and after 4 weeks of intervention

  • PEF

    Peak expiratory flow is the highest flow achieved during a forceful expiration initiated after a full inspiration.

    Before and after 4 weeks of intervention

  • MIP

    Maximal inspiratory pressure (MIP) is the highest pressure generated during a maximal inspiratory effort against an occluded airway.

    Before and after 4 weeks of intervention

  • MEP

    Maximal expiratory pressure is the highest pressure generated during a maximal expiratory effort against an occluded airway.

    Before and after 4 weeks of intervention

Study Arms (3)

Land-Based IMT Group

EXPERIMENTAL

Participants in this group will perform inspiratory muscle training using a PowerBreathe device on land, in addition to their regular swimming and land-based training routines.

Device: Land-Based Inspiratory Muscle Training

Swimming-Based IMT Group

EXPERIMENTAL

Participants in this group will perform inspiratory muscle training during the warm-up period of pool training while swimming on their back using a PowerBreathe device, in addition to their regular swimming and land-based training routines.

Device: Swimming-Based Inspiratory Muscle Training

Water-Based Static IMT Group

EXPERIMENTAL

Participants in this group will perform inspiratory muscle training in the water in a static position, with the body immersed and the head above water, while standing with feet supported against the pool wall, in addition to their regular swimming and land-based training routines

Device: Water-Based Static Inspiratory Muscle Training

Interventions

Participants allocated to this group will perform inspiratory muscle training on land using a PowerBreathe device in addition to their regular swimming and land-based training routines. The intervention will be performed 5 days per week for 4 weeks, with 2 sets of 30 breaths at an intensity of 40% of maximal inspiratory pressure. The training load will be progressively increased weekly.

Land-Based IMT Group

Participants allocated to this group will perform inspiratory muscle training during the warm-up period of pool training while swimming on their back using a PowerBreathe device, in addition to their regular swimming and land-based training routines. The intervention will be performed 5 days per week for 4 weeks, with a total of 60 controlled breaths. The training load will be progressively increased weekly.

Swimming-Based IMT Group

Participants allocated to this group will perform inspiratory muscle training in water in a static position, with the body immersed up to the neck and the head above water, while the feet are supported against the pool wall. The intervention will be performed using a PowerBreathe device in addition to regular swimming and land-based training routines, 5 days per week for 4 weeks, with 2 sets of 30 breaths at an intensity of 40% of maximal inspiratory pressure. The training load will be progressively increased weekly.

Water-Based Static IMT Group

Eligibility Criteria

Age13 Years - 18 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Young competitive swimmers aged between 13 and 18 years.
  • Regular participation in swimming training for at least 2 years.
  • Participation in routine training consisting of approximately 20 hours/week of pool training and 8 hours/week of land training.
  • Being medically fit to participate in swimming training and inspiratory muscle training.

You may not qualify if:

  • Presence of any acute or chronic respiratory, cardiovascular, neurological, or musculoskeletal disorder that may affect exercise performance or respiratory function.
  • Current upper or lower respiratory tract infection at the time of assessment or intervention.
  • Use of medication that may affect respiratory or exercise performance.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ondokuz Mayıs University

Samsun, Atakum, 55200, Turkey (Türkiye)

RECRUITING

Related Publications (2)

  • Gomez-Albareda E, Viscor G, Garcia I. Inspiratory Muscle Training Improves Maximal Inspiratory Pressure Without Increasing Performance in Elite Swimmers. Int J Sports Physiol Perform. 2023 Feb 8;18(3):320-325. doi: 10.1123/ijspp.2022-0238. Print 2023 Mar 1.

    PMID: 36754056BACKGROUND
  • Carvajal-Tello N, Ortega JG, Caballero-Lozada AF, Devia-Quinonez MJ, Gonzalez-Calzada I, Rojas-Hernandez D, Segura-Ordonez A. Effects of inspiratory muscle training on lung function parameter in swimmers: a systematic review and meta-analysis. Front Sports Act Living. 2024 Sep 16;6:1429902. doi: 10.3389/fspor.2024.1429902. eCollection 2024.

    PMID: 39351143BACKGROUND

Study Officials

  • Özgür Bostancı, Prof. Dr.

    Ondokuz Mayıs University

    STUDY DIRECTOR
  • Bilgehan M Çaloğlu, MSc

    Ondokuz Mayıs University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Bilgehan M Çaloğlu, MSc

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

March 13, 2026

First Posted

March 25, 2026

Study Start

March 1, 2026

Primary Completion

May 1, 2026

Study Completion (Estimated)

July 1, 2026

Last Updated

March 25, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Locations