Determination of Posture in Patients With Restrictive and Obstructive Lung Disease

Restriktif ve Obstrüktif Akciğer Hastalıklarında Postür ve Postürle İlişkili Faktörlerin Belirlenmesi

The aim of this study is to determine posture and posture related factors in patients with restrictive and obstructive lung disease.

Study Overview

• Status: Not yet recruiting
• Conditions: Lung Diseases; Lung Diseases, Obstructive; Postural; Defect

Detailed Description

It is aimed at investigating posture and posture related factors according to both type of disease and severity of disease in patients with restrictive and obstructive lung disease. The secondary purpose is to develop a model that determines correlations between posture and functional exercise capacity, respiratory and peripheral muscle strength, tightness of muscle, balance, and physical activity for each disease that will be included in this study. In accordance with these purposes, for each group, at least 15 patients with obstructive and restrictive lung disease will be included according to the inclusion and exclusion criteria for each disease, and 15 healthy controls will be included. Tests and questionnaires will be used in order to determine the severity of diseases. Lung function test and respiratory and peripheral muscle strength test will be performed. Time and Go test (TUG) and One minute sit to stand test will be performed. To evaluate the accessory respiratory muscles, a muscle tightness test will be performed for each muscle. Six Minute Walk Test (6 MWT) will be performed with an armband that measures energy expenditure for functional exercise capacity. To evaluate posture, the Corbin Postural Assessment Scale and photographic analysis will be used. Photographical analysis using software in lateral, posterior, and anterior views will be used for the cervical, thoracic, and lumbar regions. For angular and length measurements, anatomical landmarks will be determined and calculated in the regions. According to the results to be obtained, changes in posture according to the regions and posture related factors will be determined for each disease. It will guide professional working in this field.

• Study Type: Observational
• Enrollment (Estimated): 90

Contacts and Locations

• Study Contact: Name: Aynur Demirel, PhD; Phone Number: +905545295057; Email: aynur.demirel@hacettepe.edu.tr
• Study Contact Backup: Name: Hidaye Yamikan, PT,MSc; Phone Number: +905349898724; Email: hidaye.yamikan@hacettepe.edu.tr

Study Locations

• Turkey
  • Ankara, Turkey, 06100
    • Hacettepe University
    • Sub-Investigator: irem seleoglu
    • Contact: Aynur Demirel; Phone Number: 178 +905545295057; Email: aynur.demirel@hacettepe.edu.tr
    • Contact: hidaye yamikan; Phone Number: +905349898724; Email: hidaye.yamikan@hacettepe.edu.tr
    • Sub-Investigator: hidaye yamikan
  • Ankara, Turkey, 06100
    • Aynur Demirel

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Obstructive and restrictive lung disease and healthy controls will be included in this study according to the inclusion and exclusion criteria.

Description

Inclusion Criteria:

Chronic Obstructive Pulmonary Disease Group Inclusion Criteria:

• Over 55 years old,
• Stage 1-2-3-4 according to the GOLD,
• Being clinically stable for the last 4 weeks.

Chronic Obstructive Pulmonary Disease Group Exclusion Criteria:

• Receiving long-term oxygen therapy,
• Having central and peripheral vestibular disease,
• Communication problems, known mental and cognitive problems,
• Having undergone any surgical intervention related to the spine within the last six months,

Inclusion Criteria for the Cystic Fibrosis Group:

• Being diagnosed with CF as a result of two sweat tests,
• Being over 18 years old.

Cystic Fibrosis Group Exclusion Criteria:

• Being in acute pulmonary exacerbation period,
• Receiving long-term oxygen therapy,
• Having undergone any surgical intervention related to the spine within the last six months,

Inclusion Criteria for the Asthma Group:

• Diagnosed with asthma according to the Global Strategy for the Prevention and Treatment of Asthma (GINA),
• Clinically stable for the last 1 month
• Being over 18 years old.

Asthma Group Exclusion Criteria:

• Change in medication for the last 1 month.
• Having undergone any surgical intervention related to the spine in the last six months,

Inclusion Criteria for Bronchiectasis Group:

• Being over 18 years old,
• Being diagnosed with bronchiectasis other than cystic fibrosis,
• Being clinically stable for the last 1 month.

Bronchiectasis Group Exclusion Criteria:

• Receiving long-term oxygen therapy,
• Having undergone any surgical intervention related to the spine in the last six months.

Diffuse Parenchymal Lung Diseases Inclusion Criteria:

• Being diagnosed with diffuse parenchymal lung according to American Thoracic Society/European Respiratory Society (ATS/ERS) criteria,
• Being over 18 years old,
• Having volunteered to participate in the research,
• To be clinically stable and to have comorbid conditions (such as hypertension, diabetes) under control,

Diffuse Parenchymal Lung Diseases Exclusion Criteria:

• Having undergone any surgical intervention related to the spine within the last six months,
• Having exacerbation in the last 3 months

Study Plan

How is the study designed?

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort
Group A; Patients with chronic obstructive lung disease, asthma, cystic fibrosis and bronchiectasis.
Group B; Patients with diffuse parenchymal lung diseases
control group; healthy aged matched individuals.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Posture	Posture will be examined via the Corbin Postural Assessment Scale. The total points of the Corbin Postural Assessment Scale range from 0 to 28 points. A higher point represents worse posture.	1 day
Evaluation of horizontal alignment of the head anterior view	Angle between left and right tragus and horizontal will be measured via photographic analysis	1 day
Evaluation of horizontal alignment of the trunk anterior view	Angle between left and right acromion and horizontal will be measured via photographic analysis Angle between left and right anterior superior iliac spine and horizontal will be measured via photographic analysis. Angle between left and right acromion and left and right anterior superior iliac spine will be measured via photographic analysis.	1 day
Evaluation of horizontal alignment of the head lateral view	Angle between left-right tragus and C7 spinous process and horizontal will be measured via photographic analysis.	1 day
Evaluation of vertical alignment of the head lateral view	Angle of acromion and tragus (left-right) and vertical will be measured via photographic analysis.	1 day
Evaluation of horizontal alignment of the trunk lateral view	Angle between anterior superior iliac spine and posterior superior iliac spina and horizontal will be measured via photographic analysis.	1 day
Evaluation of vertical alignment of the trunk lateral view	Angle between acromion and greater trochanter and vertical will be measured via photographic analysis.	1 day
Evaluation of horizontal asymmetry trunk in posterior view	Horizontal asymmetry of scapula in relation to T3 spinous process will be measured via photographic analysis.	1 day
Evaluation of scapulae	Investigation of posture by photographic analysis upward rotation/ anterior tilt/internal rotation of scapula, scapular elevation, and scapular abduction evaluations will be measured photographic analysis.	1 day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Functional exercise capacity	Functional exercise capacity will be determined via Six Minute Walk Test.	1 day
Respiratory Muscle Strength	Respiratory muscle strength will be assessed using a mouth pressure device according to American Thoracic Society/ European Respiratory Society guidelines.	1 day
Lung function	Lung function will be assessed via a spirometer according to American Thoracic Society/ European Respiratory Society guidelines.	1 day
Dyspnea	Dyspnea will be assessed via The Modified Medical Research Council. The Modified Medical Research Council consists of five grades. A higher grades represents severe dyspnea level.	1 day
Peripheral muscle strength	Peripheral muscle strength will be assessed via hand dynamometer.	1 day
Lower extremity capacity	One minute sit to stand test will be used for lower extremity capacity.	1 day
Energy expenditure	An armband will be used to assess energy expenditure during six minute walk test.	1 day
Balance and Fall risk	Time up and go test will be used to assess balance and fall risk	1 day
Tightness of muscle	Pectoralis minör, pectoralis majör, adductor and internal rotator muscles, sternocleidomastoideus, and trapezius muscle tightness tests will be performed during musculoskeletal examination using a tape.	1 day
Severity of disease for patients with COPD	Global Initiative for Chronic Obstructive Pulmonary Disease, Global Initiative for Chronic Obstructive Pulmonary A,B,E assessment Tool will be used for patients with COPD. According to the Global Initiative for Chronic Obstructive Pulmonary Disease, the severity of airflow limitation (Forced Expiratory Volume in 1 s) was determined as mild (≥ 80%), moderate (50-80%), severe (30-50%), and very severe (<30%). According to Global Initiative for Chronic Obstructive Pulmonary ABE assessment Tool, patients classified group A, B, and E using symptom status and airflow limitation.	1 day
Severity of disease for patients with bronchiectasis	Patients with non- cystic fibrosis bronchiectasis will be classified into three groups according to the Forced Expiratory Volume in 1 s, Age, Chronic colonisation, Extension, Dyspnea level. According to this classification system, patients will be classified as 0-2 points mild, 3-4 moderate, 5-7 severe bronchiectasis.	1 day
Diffusion capacity for patients with diffuse parenchymal lung diseases	Carbon Monoxide Diffusion Capacity test with single breath method will be used for patients with diffuse parenchymal lung diseases.	1 day
Symptoms for patients with COPD	Chronic Obstructive Pulmonary Disease Assessment Test will be used to determined symptoms in patients with COPD. The total score of Chronic Obstructive Pulmonary Disease Assessment Test changes from 0 to 40 points, and 10 points is the accepted cut-off point for COPD.	1 day

Collaborators and Investigators

• Sponsor: Hacettepe University
• Investigators: Principal Investigator: Aynur Demirel, Hacettepe University

Study record dates

Study Major Dates

• Study Start (Estimated): March 7, 2024
• Primary Completion (Estimated): March 7, 2025
• Study Completion (Estimated): March 7, 2026

Study Registration Dates

• First Submitted: February 27, 2024
• First Submitted That Met QC Criteria: March 5, 2024
• First Posted (Actual): March 12, 2024

Study Record Updates

• Last Update Posted (Actual): March 12, 2024
• Last Update Submitted That Met QC Criteria: March 5, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Lung Diseases; Lung Diseases, Obstructive
• Other Study ID Numbers: SBA 23/390

Drug and device information, study documents

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