- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02509299
Effect of Physiotherapy in Hospitalized COPD Patients
Effect of Different Physiotherapy Treatments in Hospitalized COPD Patients
Chronic obstructive pulmonary disease (COPD) impacts negatively on the balance and strength of patients. Several studies have shown that acute exacerbations (AEs) decrease, pulmonary function and survival of COPD patients, and there are a lot of physiotherapy interventions to improve it during the hospital stay.
The objective of the present study is to examine the effects of a physical therapy program on balance and strength in COPD patients hospitalized due to acute exacerbation.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide. It is a progressive disease, characterized by lung function impairment with airway obstruction.
Patients with COPD suffer exacerbations; the frequency of these exacerbations increases with the severity of the disease. It has been previously shown that the level of health-related quality of life of COPD subjects deteriorates considerably with increasing severity of disease and that the deterioration is linearly related to a decrease in FEV1 % predicted normal values.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Granada, Spain, 18071
- Department of Physical Therapy
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- COPD diagnosis with exacerbation.
- No contraindication of physiotherapy.
- Signed written consent.
- Medical approval for inclusion.
Exclusion Criteria:
- Contraindications for physiotherapy
- Neurological, orthopedic or heart disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental group 1
patients will be involved in the Physiotherapy program 1.
The program included 15 minutes of deep breathing exercises and 20-30 minutes of limb exercises.
The exercises included global active range of motion (ROM) exercises and muscle strengthening like upper and lower limbs flexion-extension do single-leg stance, and sit to stand exercises added to standard treatment.
|
The standard medical treatment and additionally they will receive physiotherapy.
The program will be performed every day during the hospital stay and it will include global active range of motion (ROM) exercises and muscle strengthening like upper and lower limbs flexion-extension do single-leg stance, and sit to stand exercises.
Other Names:
|
Experimental: Experimental group 2
patients will be involved in the physiotherapy program 2. The program was a combined intervention including the Control Group treatment plus neuromuscular stimulation therapy on quadriceps accompanied by lower limb exercises.
|
COPD patients included in this group will receive the standard medical treatment and additionally, they will receive a physiotherapy program.
The program will be performed every day during the hospital stay and included neuromuscular stimulation therapy on quadriceps accompanied by lower limbs exercises
Other Names:
|
Other: Control group
patients will receive standard medical treatment without physiotherapy intervention.
|
The standard medical treatment consists on:
Inhaled glucocorticoids including beclomethasone dipropionate, budesonide, flunisolide, fluticasone propionate and triamcinolone acetonide, depending on the expert criteria. - Antibiotics: The antibiotics were administered according to the GOLD criteria including the β-lactamase inhibitor and fluoroquinolones.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Lower limb strength
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 9 days.
|
Lower limb strength was evaluated by a dynamometer.
The assessor placed the limb to be examined in the starting position (a knee flexion of 90º) and instructed each participant to hold the limb in that position against the increasing resistance applied to it by the examiner.
During each test the assessor counted out loud for seconds and at the end of the test period advised the participant to relax the limb.
|
Participants will be followed for the duration of hospital stay, an expected average of 9 days.
|
Balance
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 9 days.
|
Balance was evaluated by the one-leg standing balance test, that measured the time that the patient balance on one leg as long as possible.
We asked the subject being tested to choose a leg to stand on (whichever he felt more comfortable with), flex the opposite knee allowing the foot to clear the floor, and balance on one leg as long as possible
|
Participants will be followed for the duration of hospital stay, an expected average of 9 days.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Respiratory function
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 9 days.
|
Spirometry is regarded as the gold standard measure of respiratory function.
The indicators of forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) will be tested.
Spirometry will be performed according to American Thoracic Society (ATS) criteria.
|
Participants will be followed for the duration of hospital stay, an expected average of 9 days.
|
Anxiety and depression
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 9 days.
|
The hospital anxiety and depression scale (HADS) will be used to evaluate psychological status.
HADS is a 14-items self-report questionnaire designed to detect psychological morbidity in medically ill patients.
It contains depression and anxiety subscales, each with scores ranging from 0 to 21.
|
Participants will be followed for the duration of hospital stay, an expected average of 9 days.
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
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
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on COPD
-
University Medical Center GroningenCompleted
-
Istituto Nazionale di Ricovero e Cura per AnzianiRecruiting
-
Bio-Sensing Solutions S.L. (DyCare)Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau; Centre...Not yet recruiting
-
Sir Run Run Shaw HospitalRecruiting
-
University Hospital, BrestRecruiting
-
The First Affiliated Hospital of Guangzhou Medical...Recruiting
-
Association des Réseaux BronchioliteLaboratoire Système et Matériaux pour la Mécatronique (SYMME)Recruiting
-
Baylor Research InstituteNot yet recruiting
-
Polytechnic Institute of PortoNippon Gases PortugalRecruiting
Clinical Trials on Physiotherapy program 1
-
Eastern Mediterranean UniversityUnknownLumbar Disc HerniationCyprus
-
University of MalagaCompletedMuscular Dystrophy, Duchenne and Becker TypesSpain
-
Nigde Omer Halisdemir UniversityCompleted
-
Hacettepe UniversityUnknown
-
University of MelbourneNational Health and Medical Research Council, AustraliaCompleted
-
Cairo UniversityRecruiting
-
NHS LothianCompleted
-
Marmara UniversityCompletedOsteo Arthritis KneeTurkey
-
University of JazanCompletedCoronary Artery Disease | ObesitySaudi Arabia
-
University of MalagaCompleted