- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04684966
Combined Neuromuscular Electrical Stimulation for Quadriceps and Triceps During Pulmonary Rehabilitation in COPD (COMBIELEC)
Interest of Adding Neuromuscular Electrical Stimulation for Quadriceps Femoris and Triceps Surae Muscles to Pulmonary Rehabilitation in COPD : Randomized Clinical Trial
Patients with COPD frequently have muscle disorders. Pathogenic mechanisms generate significant pathophysiological changes in the locomotor muscles structure, leading to decreased strength, decreased endurance and limited exercise capacity.
Pulmonary rehabilitation is the first choice therapy and training overall lower limb endurance is a priority. Even if the effects of pulmonary rehabilitation are no longer to be demonstrated, it is still necessary to optimize the modalities of muscular strengthening. In fact, it is recommended to associate to this global endurance training a specific strengthening of the muscles of the lower limbs. Neuromuscular electrostimulation (NMES) is a muscular strengthening technique, but this method is not used in usual practice in pulmonary rehabilitation and often only the quadriceps are concerned. In a pulmonary rehabilitation program, including sessions of NMES of the quadriceps femoris and triceps surae could increase its effectiveness.
Recent studies suggest that NMES can improve muscle function, exercise tolerance, dyspnea and quality of life in COPD patients.
A pilot study compared the effects of the combined quadriceps femoris and triceps surae versus quadriceps alone. The final evaluation showed a greater improvement in exercise capacity in favour of the combined NMES group. Only two studies with small numbers of patients evaluated the effect of combined quadriceps femoris and triceps surae NMES in pulmonary rehabilitation, with encouraging results in terms of functional gain. Further larger studies seem necessary to evaluate the effects of combined quadriceps femoris and triceps surae NMES in pulmonary rehabilitation. The objective of the study is to show that combined quadriceps femoris and triceps surae NMES during a pulmonary rehabilitation program provides a more significant improvement in exercise capacity compared to a standard pulmonary rehabilitation program.
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Loïc Peran
- Phone Number: 02 98 62 61 60
- Email: lperan@ch-morlaix.fr
Study Contact Backup
- Name: Marc BEAUMONT
- Phone Number: 02 98 62 61 60
- Email: mbeaumont@ch-morlaix.fr
Study Locations
-
-
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Brest, France, 29200
- Recruiting
- CHU La Cavale Blanche
-
Contact:
- Francis COUTURAUD, PHD
- Phone Number: 02 98 22 33 33
- Email: francis.couturaud@chu-brest.fr
-
Contact:
- Christophe GUT-GOBERT, PHD
- Phone Number: 02 98 34 73 65
- Email: chritophe.gut-gobert@chu-brest.fr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient with COPD stages 2 to 4 (A to D) admitted to the Pulmonary Rehabilitation Department of the "Centre Hospitalier des Pays de Morlaix" or the "CHRU of Brest".
- Patient aged 18 years or older.
- Patient able to consent and having signed a consent form.
Exclusion Criteria:
- Patient with a history of pneumonectomy, lobectomy dated less than 6 months old
- Patient with an inability to complete a respiratory rehabilitation program in its entirety
- Patient under guardianship or curatorship
- Person equipped with electronic devices such as pacemakers and intracardiac defibrillators.
- Skin lesions and infectious foci on the area where the electrodes.
- Pregnant or breastfeeding women
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental group (EG)
Randomized intervention in the NMES (GE) group: Patients in the NMES group will receive, in addition to conventional rehabilitation, combined quadriceps femoris and triceps surae NMES. Detail of the NMES :
|
Standart pulmonary rehabilitation with combined quadriceps and triceps surae ESNM using two identical electrotherapy devices allowing simultaneous stimulation of the quadriceps and triceps (EG group).
|
Sham Comparator: Control group (CG)
Patients in the control group (GC) will receive, in addition to the classical rehabilitation, the combined sham NMES of the quadriceps femoris and triceps surae. Detail of the NMES :
|
Standart pulmonary rehabilitation with combined sham NMES of the quadriceps and triceps surae performed using two identical electrotherapy devices allowing simultaneous stimulation of the quadriceps and triceps (CG group)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Walking distance change
Time Frame: Day 0 and Day 28
|
Assessment of the walking distance (in meters) covered during the 6-minute walking test before and after rehabilitation (between D0 and D28± 4 days).
The main endpoint is the change (in meters) between Day 0 and Day 28.
|
Day 0 and Day 28
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maximal isometric voluntary quadriceps strengh
Time Frame: Day 0 and Day 28
|
Maximal isometric voluntary quadriceps strengh assessment (in newton) with handheld dynamometer
|
Day 0 and Day 28
|
Maximal isometric voluntary endurance change
Time Frame: Day 0 and Day 28
|
Maximal isometric voluntary endurance assessment with handheld dynamometer
|
Day 0 and Day 28
|
Maximal isometric voluntary triceps surae strengh change
Time Frame: Day 0 and Day 28
|
Maximal isometric voluntary triceps surae strengh assessment (in newton) with dynamometer type MICROFET 2 before and after rehabilitation.
|
Day 0 and Day 28
|
Exercise capacity change with the 1 min sit to stand test
Time Frame: Day 0 and Day 28
|
Exercise capacity assessment during the 1 min sit to stand test before and after rehabilitation.
|
Day 0 and Day 28
|
Exercise capacity change with the 6 min step test
Time Frame: Day 0 and Day 28
|
Exercise capacity assessment during the 6 min step test before and after rehabilitation.
|
Day 0 and Day 28
|
Exercise capacity change with the incremental shuttle test
Time Frame: Day 0 and Day 28
|
Exercise capacity assessment during the incremental shuttle test before and after rehabilitation.
|
Day 0 and Day 28
|
Exercise capacity change with the endurance shuttle walk test
Time Frame: Day 0 and Day 28
|
Exercise capacity assessment during the endurance shuttle walk test before and after rehabilitation. before and after rehabilitation. |
Day 0 and Day 28
|
Dyspnea change during the 6-minute walking test
Time Frame: Day 0 and Day 28
|
Dyspnea assessment at the end of the 6-minute walking test, with the Borg scale, before and after rehabilitation
|
Day 0 and Day 28
|
Dyspnea change during the 6-minute walking test
Time Frame: Day 0 and Day 28
|
Dyspnea assessment at the end of the 6-minute walking test, with the Multidimensional dyspnea profile questionnaire, before and after rehabilitation
|
Day 0 and Day 28
|
Isotime dyspnea change with the endurance shuttle walk test
Time Frame: Day 28
|
Isotime dyspnea assessment during the endurance shuttle walk test, using Borg scale after rehabilitation.
|
Day 28
|
Dyspnea change with the mMRC (modified Medical Research Council) scale
Time Frame: Day 0 and Day 28
|
Assessment of dyspnea with the mMRC scale (min : 0 ; max : 4), before and after rehabilitation.
|
Day 0 and Day 28
|
Dyspnea change with the LCADL (London Chest Activity of Daily Living) questionnaire
Time Frame: Day 0 and Day 28
|
Assessment of dyspnea with the LCADL questionnaire (better score : 0; worse score: 5), before and after rehabilitation.
|
Day 0 and Day 28
|
Dyspnea change with the Dyspnea-12 questionnaire
Time Frame: Day 0 and Day 28
|
Assessment of dyspnea with the Dyspnea-12 questionnaire, before and after rehabilitation.
|
Day 0 and Day 28
|
Quality of life change with the St George's Respiratory Questionnaire
Time Frame: Day 0 and Day 28
|
Quality of life assessment with the St George's Respiratory Questionnaire, before and after rehabilitation.
|
Day 0 and Day 28
|
Quality of life change with the CAT (COPD Assessment Test) Questionnaire
Time Frame: Day 0 and Day 28
|
Quality of life assessment with COPD Assessment Test (better : 0; worse : 5), before and after rehabilitation.
|
Day 0 and Day 28
|
Fear of fall change with the FES (Falls Efficacy Scale) questionnaire
Time Frame: Day 0 and Day 28
|
Fear of fall (FES-I Questionnaire) assessment (better : 1; worse : 4), before and after rehabilitation.
|
Day 0 and Day 28
|
Anxiety disorder change
Time Frame: Day 0 and Day 28
|
Anxiety disorder assessment (HAD questionnaire) (better : 0; worse : 3) before and after rehabilitation.
|
Day 0 and Day 28
|
Depressive disorder change
Time Frame: Day 0 and Day 28
|
Depressive disorder assessment (HAD questionnaire) (better : 0; worse : 3) before and after rehabilitation.
|
Day 0 and Day 28
|
Non fat mass index change
Time Frame: Day 0 and Day 28
|
Assessment of the non fat mass index with impedancemetry , before and after rehabilitation.
|
Day 0 and Day 28
|
Self esteem change
Time Frame: Day 0 and Day 28
|
Self esteem assessment with PSI-6 (Physical Self Inventory) questionnaire (worse :0 ; better :10)
|
Day 0 and Day 28
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- 29BRC20.0249
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.
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