Physical Activity Level of Patients With COPD During Pulmonary Rehabilitation

Physical Activity Level of Patients With COPD During In-hospital Pulmonary Rehabilitation: a Pilot Study

The aim of the project was to assess the acceptability of the device as well as adherence to the study. The objective of study was to assess physical activity in patients with COPD during in-hospital pulmonary rehabilitation program. The number of steps, average energy expenditure expressed in MET and kcal, and physical activity time during the consecutive 5 days of the rehabilitation stay were analyzed. Physical activity level was continuously monitored to assess intensity during in-hospital procedures as well as during leisure time.

Study Overview

• Status: Completed
• Conditions: Chronic Obstructive Pulmonary Disease
• Intervention / Treatment: Device: Assessment of physical activity level

Detailed Description

The aim of the project was to assess the acceptability of the device as well as adherence to the study. The objective of study was to assess physical activity in patients with COPD during in-hospital pulmonary rehabilitation program. The number of steps, average energy expenditure expressed in MET and kcal, and physical activity time during the consecutive 5 days of the rehabilitation stay were analyzed. Physical activity level was continuously monitored to assess intensity during in-hospital procedures as well as during leisure time.

Patients participated in pulmonary rehabilitation program consisted of:

• specific respiratory exercises for 30 minutes - relaxation exercises for breathing muscles, strengthening exercises the diaphragm with resistance, exercises to increase costal or chest breathing, prolonged exhalation exercise, chest percussion, once a day for 30 min,
• training on a cycle ergometer, twice a day for 20-30 min.- until the Heart Rate reaches 70% of the HRmax (220-age),
• fitness exercises - coordination and balance exercises, stretching exercises using elastic bands, balls rehabilitation, sensory pillows. Performed in a standing position, kneeling, sitting, lying on side, abdomen and back, once a day for 30 min
• Schultz autogenic training, once a day 20 min.

• Study Type: Observational
• Enrollment (Actual): 13

Contacts and Locations

Study Locations

• Poland
  • Opolskie
    • Głuchołazy, Opolskie, Poland, 48-340
      • Hospital of Ministry of the Interior and Administration

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 50 years to 80 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients diagnosed with chronic obstructive pulmonary disease participating in a 3-week hospital-based pulmonary rehabilitation program

Description

Inclusion Criteria:

• Diagnosed COPD;
• Agreement to participate in the study

Exclusion Criteria:

• Pneumonia, tuberculosis and other respiratory inflammatory disease in all stages and forms
• Condition after a heart attack
• Diabetes
• State after thoracic and cardiac surgery
• Heart failure (stage III, IV ° NYHA)
• Advanced hypertension
• Diseases and injuries that can impair the function of the musculoskeletal system of transportation
• Disturbances of consciousness, psychotic symptoms or other serious psychiatric disorders;

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

Observed group; The group was monitored for physical activity levels using the SenseWear Armband device. The group was informed of the purpose of the study and asked to wear the device 24 hours a day for the next 4 days (Friday-Monday) excluding bath time, no more than 30 minutes. Patients received the device on Thursday afternoon and returned it on Tuesday. However, the days Friday-Monday were analyzed to have a record of the entire days

Device: Assessment of physical activity level; Physical activity was assessed using the Sensewear Armband device. Patients received the device on Thursday mornings, prior to exercise and treatments. The device was placed on the right arm throughout the study. Patients in whom the device monitored a minimum of 95% of the time of the study day were analyzed. Prior to the study, the devices were programmed to record a minimum level of intense (>3MET) and moderate ( >6MET) exercise.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Energy expenditure - MET	The SenseWear Armband was used to assess energy expenditure. The device was used to measure energy expenditure expressed in metabolic equivalent (MET)	up to 4 days
Energy expenditure - kcal	The SenseWear Armband was used to assess energy expenditure. The device was used to measure energy expenditure expressed in kcal	up to 4 days
Number of steps	The SenseWear Armband was used to assess number of steps	up to 4 days

Collaborators and Investigators

• Sponsor: The Opole University of Technology

Study record dates

Study Major Dates

• Study Start (ACTUAL): October 1, 2020
• Primary Completion (ACTUAL): October 8, 2020
• Study Completion (ACTUAL): January 8, 2021

Study Registration Dates

• First Submitted: January 21, 2021
• First Submitted That Met QC Criteria: January 26, 2021
• First Posted (ACTUAL): January 27, 2021

Study Record Updates

• Last Update Posted (ACTUAL): January 27, 2021
• Last Update Submitted That Met QC Criteria: January 26, 2021
• Last Verified: January 1, 2021

More Information

Terms related to this study

• Keywords: Physical Activity; COPD; SenseWear Armband
• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Lung Diseases; Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
• Other Study ID Numbers: OpoleUofTech2

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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