- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02371733
Aerobic Exercise Training in Pulmonary Arterial Hypertension
Effects of Upper Extremity Aerobic Exercise Training on Functional Exercise Capacity in Patients With Pulmonary Arterial Hypertension
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Ankara, Turkey, 06500
- Gazi University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Clinically stable
- Under standard medication
- Group 1 pulmonary arterial hypertension patients
- Having no exacerbation or infection
Exclusion Criteria:
- Cognitive disorders
- Orthopedic and neurological problems
- Pneumonia or acute infection
- Stage 4 heart failure
- Having no comorbidity to avoid performing evaluation and training
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Training Group
Intervention:Training group will receive upper extremity aerobic exercise training using arm ergometer and breathing exercises.
|
Training group will receive upper extremity aerobic exercise training using arm ergometer at 50-80% of maximal heart rate and breathing exercises. Training will exercise with arm ergometer 3days/week, for 6 weeks with the assistance of a physiotherapist. Training workload will be undercontrol both using target heart rate and Modified Borg dyspnea scale. Training group will also perform breathing exercises 120 times/day, 7 days/week, for 6 weeks. |
|
Sham Comparator: Control Group
Sham: Control group will receive alternative upper extremity exercises and breathing exercises.
|
Control group will receive alternative upper extremity exercises and breathing exercises. Control group will perform alternative upper extremity exercises 3days/week, for 6 weeks and also breathing exercises 120 times/day, 7 days/week, for 6 weeks. Control group will be followed-up by telephone once a week. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Functional exercise capacity (Oxygen consumption measurement during test)
Time Frame: 6 weeks
|
Six minute walk test (6MWT)
|
6 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Peripheral muscle strength
Time Frame: 6 weeks
|
Hand held dynamometer
|
6 weeks
|
|
Depression
Time Frame: 6 weeks
|
Montgomery Asberg Depression Rating Scale (MADRS) (Turkish versions of all scales)
|
6 weeks
|
|
Generic quality of life
Time Frame: 6 weeks
|
Short Form (SF-36) Health Survey
|
6 weeks
|
|
Maximum inspiratory and expiratory muscle strength (MIP, MEP)
Time Frame: 6 weeks
|
Mouth pressure device
|
6 weeks
|
|
Fatigue
Time Frame: 6 weeks
|
Fatigue Severity Scale (FSS)
|
6 weeks
|
|
Dyspnea
Time Frame: 6 weeks
|
Modified Borg and Modified Medical Research Council (MMRC) dyspnea scales
|
6 weeks
|
|
Pulmonary functions
Time Frame: 6 week
|
Spirometry
|
6 week
|
|
Physical activity
Time Frame: 6 weeks
|
Activity monitor
|
6 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Meral Boşnak Güçlü, PhD, Gazi University
- Study Chair: Burcu Camcıoğlu, MSc, Gazi University
- Principal Investigator: Gülten Aydoğdu Taçoy, MD, Gazi University
- Principal Investigator: Atiye Çengel, MD, Gazi University
Publications and helpful links
General Publications
- Mereles D, Ehlken N, Kreuscher S, Ghofrani S, Hoeper MM, Halank M, Meyer FJ, Karger G, Buss J, Juenger J, Holzapfel N, Opitz C, Winkler J, Herth FF, Wilkens H, Katus HA, Olschewski H, Grunig E. Exercise and respiratory training improve exercise capacity and quality of life in patients with severe chronic pulmonary hypertension. Circulation. 2006 Oct 3;114(14):1482-9. doi: 10.1161/CIRCULATIONAHA.106.618397. Epub 2006 Sep 18.
- D'Alonzo GE, Gianotti LA, Pohil RL, Reagle RR, DuRee SL, Fuentes F, Dantzker DR. Comparison of progressive exercise performance of normal subjects and patients with primary pulmonary hypertension. Chest. 1987 Jul;92(1):57-62. doi: 10.1378/chest.92.1.57.
- Riley MS, Porszasz J, Engelen MP, Shapiro SM, Brundage BH, Wasserman K. Responses to constant work rate bicycle ergometry exercise in primary pulmonary hypertension: the effect of inhaled nitric oxide. J Am Coll Cardiol. 2000 Aug;36(2):547-56. doi: 10.1016/s0735-1097(00)00727-0.
- Deboeck G, Niset G, Lamotte M, Vachiery JL, Naeije R. Exercise testing in pulmonary arterial hypertension and in chronic heart failure. Eur Respir J. 2004 May;23(5):747-51. doi: 10.1183/09031936.04.00111904.
- McKeough ZJ, Bye PT, Alison JA. Arm exercise training in chronic obstructive pulmonary disease: a randomised controlled trial. Chron Respir Dis. 2012 Aug;9(3):153-62. doi: 10.1177/1479972312440814. Epub 2012 Mar 27.
- Nyquist-Battie C, Fletcher GF, Fletcher B, Carlson JM, Castello R, Oken K. Upper-extremity exercise training in heart failure. J Cardiopulm Rehabil Prev. 2007 Jan-Feb;27(1):42-5. doi: 10.1097/01.hcr.0000265019.18661.82.
- Yilmaz BC, Guclu MB, Keles MN, Tacoy GA, Cengel A. Effects of upper extremity aerobic exercise training on oxygen consumption, exercise capacity, dyspnea and quality of life in patients with pulmonary arterial hypertension. Heart Lung. 2020 Sep-Oct;49(5):564-571. doi: 10.1016/j.hrtlng.2020.04.006. Epub 2020 May 24.
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Gazi University2
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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