- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03100214
Effects of an Early Rehabilitation Program During Hospitalization in Patients With Cystic Fibrosis
Effects of an Early Rehabilitation Program During Hospitalization in Adolescents and Adults Patients With Cystic Fibrosis: Randomized Clinical Trial
Studies demonstrate that exercise increases the maximal oxygen uptake, peak oxygen consumption, reduce effort-induced lactic acid production, and increase skeletal muscle oxidative capacity, as well as psychological aspects such as increased self-esteem and improvement of the quality of life.
In the literature there is only one study involving rehabilitation in hospitalized pediatric patients with cystic fibrosis. Thus, more information on in-hospital rehabilitation is required in adult cystic fibrosis patients.
The present study aims to evaluate the effects of an early rehabilitation program, based on aerobic training and muscle strength training, in adolescent and adult patients with cystic fibrosis hospitalized at Hospital de Clinicas de Porto Alegre for exacerbation of lung disease.
Study Overview
Detailed Description
After completing the study inclusion criteria, the individual will be invited to participate and will receive the consent form for signature.
The patient will be submitted to the following evaluations: quality of life questionnaire for cystic fibrosis, spirometry, Shwachman-Kulczycki score, modified dyspnea questionnaire (Modified Medical Research Council), maximum repetition test, six minute walk test and blood sample for the determination of inflammatory markers. These evaluations should be performed within the first 48 hours of hospitalization, and will be repeated on the last day of hospitalization.
In the period up to 48 hours after hospital admission, patients will be randomized to either the intervention group or the control group.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Rio Grande Do Sul
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Porto Alegre, Rio Grande Do Sul, Brazil
- Paulo de Tarso Dalcin
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients aged 16 years and older,
- Regularly followed up in the Hospital de Clinicas de Porto Alegre Program for Adolescents and Adults with Cystic Fibrosis with a diagnosis of cystic fibrosis confirmed according to the consensus criteria,
- Admitted to hospital admission due to exacerbation of lung disease.
- Hospital stay will be defined as the stay equal to or greater than 24 hours in any Hospital de Clinicas de Porto Alegre unit.
Exclusion Criteria:
- Patients with cardiac, orthopedic or trauma complications that make it impossible to perform the proposed exercises;
- Pregnant patients;
- Patients with hemodynamic instability, massive hemoptysis, pneumothorax, and continuous use of noninvasive ventilation.
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 |
---|---|
Active Comparator: Control
Patients randomized to the control group will continue to receive the physiotherapeutic follow-up performed by the physiotherapist of the Program for Adults with CF during the hospitalization period.
Supervision includes respiratory physiotherapy involving inhalation therapy and techniques for removal of secretions.
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Patients randomized to the control group will continue to receive the physiotherapeutic follow-up performed by the physiotherapist of the Program for Adults with CF during the hospitalization period.
Supervision includes respiratory physiotherapy involving inhalation therapy and techniques for removal of secretions
|
Experimental: Exercise
Patients randomized to the intervention group, in addition to routine physical therapy follow-up, will receive an early rehabilitation program, which will begin within the first 48 hours after admission.
The patient will perform physical training (aerobic and anaerobic) 5 times a week during the hospitalization period, with sessions about an hour.
The professional who supervises the training will be blinded to the results of the measurements.
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Patients randomized to the intervention group, in addition to routine physical therapy follow-up, will receive an early rehabilitation program, which will begin within the first 48 hours after admission.
The patient will perform physical training (aerobic and anaerobic) 5 times a week during the hospitalization period, with sessions about an hour.
The professional who supervises the training will be blinded to the results of the measurements.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Distance walked during the six minute walk test
Time Frame: up to 14 days
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The six-minute walk test will be performed at hospital discharge.
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up to 14 days
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Forced expiratory volume in the first second
Time Frame: up to 14 days
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The spirometry will be performed at hospital discharge.
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up to 14 days
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Cystic fibrosis quality of life questionary
Time Frame: up to 14 days
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Cystic fibrosis quality of life questionary will be performed at hospital discharge.
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up to 14 days
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C-reative protein
Time Frame: up to 14 days
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C-reative protein will be performed at hospital discharge.
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up to 14 days
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Interleukin-6
Time Frame: up to 14 days
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Interleukin-6 will be performed at hospital discharge.
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up to 14 days
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Interleukin-8
Time Frame: up to 14 days
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Interleukin-8 will be performed at hospital discharge.
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up to 14 days
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Tumor necrosis factor
Time Frame: up to 14 days
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Tumor necrosis factor will be performed at hospital discharge.
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up to 14 days
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Collaborators and Investigators
Investigators
- Study Director: Paulo de Tarso R Dalcin, PhD, Hospital de Clinicas de Porto Alegre
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 (Actual)
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
- 150443
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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