The Effects of Creative Dance Based Exercise Training on Respiratory, Balance and Cognitive Functions, Respiratory and Peripheral Muscle Strength and Functional Capacity in Patients With Chronic Obstructive Pulmonary Disease (COPD)

COPD is a common, preventable and treatable disease associated with an increased chronic inflammatory response of the airways and lungs to harmful gases and particles and characterized by progressive airflow restriction, which is usually progressive. Exercise intolerance is one of the most important outcomes of COPD. Dyspnea and leg fatigue are the main symptoms that limit exercise and patients restrict their activity to avoid these disturbing conditions. Exercise training is the most appropriate method for improving exercise tolerance and muscle function. It is considered and recommended by ERS and ATS as an essential component of PR. Endurance training is considered to be one of the most important components of the PR program. Walking, running, cycling, stair climbing, dancing are examples of endurance exercises. Dance-based exercise training; It is an entertaining method that increases physical, functional, cognitive, emotional and social integration. This alternative method has frequently been tried in the literature in the treatment of Parkinson's, cancer and psychiatric diseases and its effects on functional capacity, balance, and quality of life have been demonstrated. The importance of our research; This is the first study to apply dance based exercise training in chronic respiratory diseases.

The aim of this study was to investigate the effect of creative dance based exercise training on respiratory, balance and cognitive functions, respiratory and peripheral muscle strength and functional capacity in COPD patients.

Study Overview

• Status: Completed
• Conditions: COPD
• Intervention / Treatment: Other: Conventional Chest Physiotherapy; Other: Creative Dance Based Exercise Training

• Study Type: Interventional
• Enrollment (Actual): 24
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Istanbul, Turkey
    • Bezmialem Vakif University, Department of Physiotheraphy and Rehabilitation

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Having FEV1 / FVC <70% from pulmonary function test
• Being older than 18 years
• To be able to read and understand Turkish

Exclusion Criteria:

• No exacerbation in 8 weeks.
• Attending current or regular exercise training in the last 1 year
• Having diagnosed vision, hearing, vestibular or neurological problems that may affect balance
• Having orthopedic, musculoskeletal or cardiovascular comorbid conditions that may affect ambulation
• Being on long-term oxygen therapy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: DOUBLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
ACTIVE_COMPARATOR: Control Group; Patients in this group will receive conventional chest physiotherapy, two times a day, 5 days a week for 8 week. All exercise sessions will be performed at home.	Other: Conventional Chest Physiotherapy; Conventional chest physiotherapy programme will include diaphragmatic breathing exercise, thoracic expansion exercises, incentive spirometer exercise (Triflo), teaching of respiratory control, relaxing and coughing techniques.
EXPERIMENTAL: Training Group; In addition to conventional chest physiotherapy programme, patients in this group will also receive creative dance based exercise training for 60 minutes, 2 times in a week for 8 weeks. All exercise sessions will be supervised in a clinic per week.	Other: Conventional Chest Physiotherapy; Conventional chest physiotherapy programme will include diaphragmatic breathing exercise, thoracic expansion exercises, incentive spirometer exercise (Triflo), teaching of respiratory control, relaxing and coughing techniques.; Other: Creative Dance Based Exercise Training; Creative dance based exercise training will be given under the supervision of a physiotherapist who takes creative dance instructor training 2 days and 60 minutes per week.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Respiratory Function Test	Change from baseline forced vital capacity (FVC) at 8 weeks.	Eight weeks
Respiratory Function Test	Change from baseline forced forced expiratory volume in 1 second at 8 weeks.	Eight weeks
Respiratory Function Test	Change from baseline peak expiratory flow (PEF) at 8 weeks.	Eight weeks
COPD Assessment Test (CAT)	Change from baseline CAT score at 8 weeks.	Eight weeks
BODE Index	Change from baseline BODE score at 8 weeks.	Eight weeks
Balance	Change from baseline postural stability test score in BIODEX Balance System at 8 weeks.	Eight weeks
Balance	Change from baseline limits of stability test score in BIODEX Balance System at 8 weeks.	Eight weeks
Respiratory Muscle Strength	Change from baseline maximum inspiratory pressure at 8 weeks.	Eight weeks
Respiratory Function Test	Change from baseline maximum expiratory pressure at 8 weeks.	Eight weeks
Functional Capacity	Change from baseline distance covered in six minute walk test at 8 weeks.	Eight weeks
Change from baseline handgrip strength at 8 weeks.	Change from baseline m. quadriceps strength at 8 weeks.	Eight weeks
Change from baseline handgrip strength at 8 weeks.	Change from baseline m. biceps strength at 8 weeks.	Eight weeks
Change from baseline handgrip strength at 8 weeks.	Change from baseline handgrip strength at 8 weeks.	Eight weeks

Collaborators and Investigators

• Sponsor: Bezmialem Vakif University

Study record dates

Study Major Dates

• Study Start (ACTUAL): September 1, 2019
• Primary Completion (ACTUAL): January 31, 2021
• Study Completion (ACTUAL): January 31, 2021

Study Registration Dates

• First Submitted: July 26, 2019
• First Submitted That Met QC Criteria: July 30, 2019
• First Posted (ACTUAL): July 31, 2019

Study Record Updates

• Last Update Posted (ACTUAL): February 5, 2021
• Last Update Submitted That Met QC Criteria: February 4, 2021
• Last Verified: February 1, 2021

More Information

Terms related to this study

• Keywords: COPD; Exercise Training; Muscle Strength; Postural Stability; Cognitive Functions; Pulmonary Function Test; 6 Minute Walk Test; Creative Dance
• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Lung Diseases; Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
• Other Study ID Numbers: bvumkaya01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No