- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02208830
Physical Capacity in Patients With Bronchiectasis Before and After Rehabilitation Program (PCBCQ)
Effects of Pulmonary Rehabilitation Associated With Respiratory Therapy vs Physiotherapy in Physical Capacity, Peripheral Muscle Strength and Quality of Life in Patients With Bronchiectasis: a Randomized Controlled Trial.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
All patients will have their dyspnea rated according to the Medical Research Council (MRC) scale. The Saint George Respiratory Questionnaire (SGRQ) and COPD Assessment test (CAT) will also be applied.
Spirometry will be performed according to recommendations of the American Thoracic Society/European Respiratory Society. The forced vital capacity and forced expiratory volume values in the first second will be compared with those predicted for the Brazilian population.
The maximal incremental cycle ergometer test will be carried out on an electromagnetically braked cycle ergometer with gas exchange and ventilatory variables analyzed breath-by-breath. After 2 min at rest and then 2 min pedaling in freewheel, the power (W) will continuously increase in a linear "ramp" pattern (1 to 20 W/min).
The incremental treadmill test will be performed to determine aerobic training load. The modified Balke protocol, according to the basal level of physical fitness (a total time increment between eight and 12 minutes).
The incremental shuttle walking test will be conducted according to the description of Singh et al.
The daily physical activity (DPA) will be assessed with an accelerometer for three days.
Blood sample for inflammatory markers measurements will be collected to analyze of IL-1 beta, IL-6, IL-8, IL-10, TNF-alpha, using Duo Set ELISA kits from R & D Systems according to manufacturer's instructions.
Muscle strength with one repetition maximum (1RM) will be performed at middle deltoid (MD), biceps brachial (BB) and quadriceps femoris (QF). The following movements will also be evaluated: shoulder abduction, elbow flexion and knee extension.
Patients are going to be randomized to pulmonary rehabilitation or conventional physiotherapy program as follow:
Pulmonary rehabilitation: 8 week, twice weekly exercise program with aerobic treadmill and lower limb strength training.
Conventional program: 8 week, twice weekly conventional program with: L'Expiration Lente Totale Glotte Ouverte en decubitus Latéral (Eltgol), autogenous drainage (AD) and shaker with duration of 30 minutes each.
Patients will be reassessed in 1 and 3 years, measuring maximal incremental cycle ergometer test, incremental treadmill test, incremental shuttle walking test, accelerometer and muscle strength. All tests will follow the same patterns as the first assesment. Adicionally, exacerbations, hospitalization and survival in each year will be evaluated.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
São Paulo, Brazil, 01504001
- Universidade Nove de Julho
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with clinical and / or CT of bronchiectasis without cystic fibrosis
- Clinically stable (no change in symptoms of dyspnea, quantity and color of the secretion)
- Greater than 18 and / or oxygen dependent at home
- Medical Research Council MRC ≥ 1.
Exclusion Criteria:
- Smokers or smoking history> 10 pack / years,
- Cystic fibrosis (CF)
- Chronic obstructive pulmonary disease (COPD)
- Asthma
- Pulmonary fibrosis (PF)
- Musculoskeletal limitations
Study Plan
How is the study designed?
Design Details
- Primary Purpose: OTHER
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: conventional program
The conventional program is conducted with duration of 8 week, twice weekly.
The techniques used will be: expiration with the glottis open in lateral posture (Eltgol), autogenous drainage (AD) and shaker.
Each technique will last for 30 minutes.
|
The conventional program is conducted with duration of 8 week, twice weekly.
The techniques used will be: expiration with the glottis open in lateral posture (Eltgol), autogenous drainage (AD) and shaker.
Each technique will last for 30 minutes.
Other Names:
|
EXPERIMENTAL: pulmonary rehabilitation
Duration of 8 week, twice weekly exercise program with: lower limb strength training and aerobic training per 30 minutes.
|
Pulmonary rehabilitation: 8 week, twice weekly exercise program with aerobic treadmill training and lower limb strength training.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The change in exercise capacity in patients with bronchiectasis
Time Frame: Up to 36 months
|
Exercise capacity is measured by maximal cardiopulmonary exercise test on a cycle ergometer.
The protocol will be used in ramp.
|
Up to 36 months
|
Pulmonary Function
Time Frame: Up to 36 months
|
For the cohort follow up, forced expiratory volume in the first second will be primary outcome
|
Up to 36 months
|
Exacerbations and Hospitalizations per year
Time Frame: Up to 36 months
|
For the cohort follow up, the frequency of exacerbations and hospitalizations will be evaluated
|
Up to 36 months
|
Survival in months
Time Frame: Up to 36 months
|
For the cohort follow up, the survival will be evaluated in months.
|
Up to 36 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Peripheral muscle function is measured by
Time Frame: Up to 36 months
|
The maximal voluntary contraction in upper and lower limb was applied during the visits.
|
Up to 36 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Anderson Alves de Camargo, master's, University of Nove de Julho
- Principal Investigator: Rejane Agnelo Silva de Castro, Student, University of Nove de Julho
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- BCQPC
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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