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Isoinertial Training in Patients With COPD (ISTrainingCOPD)

26 de mayo de 2026 actualizado por: David Murcia-Lesmes, PhD, Universidad Manuela Beltrán

Effect of Isoinertial Training on Muscle Strength and Functional Capacity in Patients With Chronic Obstructive Pulmonary Disease (COPD): A Randomized Controlled Clinical Trial

Isoinertial training is emerging as a potentially effective strategy to improve strength and functionality in older people diagnosed with chronic obstructive pulmonary disease (COPD), due to its influence on muscle mass and neuromuscular efficiency. COPD is characterized by systemic alterations, including peripheral muscle dysfunction; which contributes to patient functional limitation, and reduces patients' quality of life. Isoinertial training may improve the physiological response to effort, and also promote functional performance in this population. Hence, the aim of this study is to evaluate the effect of an isoinertial training program on muscle strength and functional capacity in patients with COPD during an 8-week intervention.

Descripción general del estudio

Descripción detallada

To assess the effects of an isoinertial training programme on muscle strength and functional capacity in older people diagnosed with chronic obstructive pulmonary disease (COPD), in a randomized controlled clinical trial. Thirty participants diagnosed with moderate to severe COPD, over 50 years (50% men, 50% women), will be included to analyze possible differences in the training response compared to the control group. Participants will sign the informed consent and randomly assign to the intervention or control group. The intervention consists in a supervised isoinertial training program, while the control group will continue with the usual pulmonary rehabilitation program. Patients will be subjected to an initial assessment that include the application of tests of functional capacity, muscle strength, as well as clinical parameters and sociodemographic characteristics. The intervention will last 8 weeks, with a frequency of 2 to 3 sessions per week. The training program will include exercises aimed at strengthening the upper and lower limbs, using a isoinertial device with controlled load progression.

Tipo de estudio

Intervencionista

Inscripción (Estimado)

30

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Ubicaciones de estudio

    • Bogotá, DC
      • Bogotá, Bogotá, DC, Colombia, 110231
        • Reclutamiento
        • Universidad Manuela Beltrán
        • Investigador principal:
          • David Murcia-Lesmes, PhD
        • Sub-Investigador:
          • Edwin Fernando Gutiérrez-Reyes, MSc
    • Ibagué
      • Ibague, Ibagué, Colombia, 730006
        • Reclutamiento
        • Pulsar Unidad de Neumologia y Rehabilitación Pulmonar

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto
  • Adulto Mayor

Acepta Voluntarios Saludables

No

Descripción

Inclusion Criteria:

  • People between 50 - 80 years of age diagnosed with moderate or severe COPD
  • No acute exacerbations in the last 4 weeks
  • Sufficient functional capacity to exercise
  • Signed informed consent

Exclusion Criteria:

  • Presence of neurological, musculoskeletal, or cardiovascular diseases that significantly limit exercise performance or compromise participant safety; including uncontrolled hypertension, recent myocardial infarction, unstable angina, severe osteoarthritis, stroke sequelae, or Parkinson's disease.
  • Contraindications to exercise participation according to medical evaluation.
  • Recent surgeries in the past 3 months
  • Simultaneous participation in other exercise programs
  • Cognitive disorders

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Supervised isoinertial training
Participants will perform a supervised isoinertial training program during 8 weeks of follow-up

Supervised isoinertial training:

  • Participants will perform a supervised isoinertial training program during 8 weeks of follow-up
  • The intervention will have a frequency of 2 to 3 weekly sessions
  • The program will include exercises aimed at strengthening the upper and lower limbs using a isoinertial device
  • The training load will be progressive to each participant and adjusted according to the individual response.
  • The program will be carried out in combination with usual pulmonary rehabilitation care.
Comparador activo: Traditional rehabilitation

Participants involved in the usual pulmonary rehabilitation program

  • The usual recommendations for physical activity and clinical follow-up will be maintained
  • No isoinertial training

Traditional treatment (control group)

  • Participants involved in the usual pulmonary rehabilitation program during 8 weeks with a frequency of 2-3 sessions per week.
  • This program includes low- to moderate-intensity aerobic exercise, joint mobility activities and general strengthening exercises using conventional resources according to the clinic's rehabilitation protocol.
  • No isoinertial training

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Change in upper limb muscle strength using the Hand Grip Test (HGT)
Periodo de tiempo: Baseline and 8-week follow-up
Manual grip strength will be evaluated by dynamometry, as an indicator of peripheral muscle strength in patients with COPD.
Baseline and 8-week follow-up
Change in functional capacity by 6-minute walk test (6MWT)
Periodo de tiempo: Baseline and 8-week follow-up
The distance covered for 6 minutes will be evaluated as an indicator of exercise tolerance and functional capacity.
Baseline and 8-week follow-up
Lower limb functional performance
Periodo de tiempo: Baseline and 8-week follow-up
The number of repetitions performed in 30 seconds will be recorded as an indicator of functional strength-endurance in the lower limbs
Baseline and 8-week follow-up
Change in functional mobility using the Timed Up and Go Test (TUG)
Periodo de tiempo: Baseline and 8-week follow-up
The time needed to get up from a chair, walk, turn and sit down again will be measured, as an indicator of mobility and functional risk.
Baseline and 8-week follow-up
Change in muscle quality index (MQI)
Periodo de tiempo: Baseline and 8-week follow-up
Muscle quality will be estimated using the MQI, which evaluates the muscle power of the lower limbs considering leg length, body mass, gravitational acceleration and time required to complete 10 sit-to-stand repetitions
Baseline and 8-week follow-up

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Change in functional performance using 5 Times Sit-to-Stand Test (5STS)
Periodo de tiempo: Baseline and 8-week follow-up
Time required to perform 5 repetitions of standing and sitting will be measured, as a complementary indicator of lower limb function
Baseline and 8-week follow-up
Change in health-related quality of life through The Saint George's Respiratory Questionnaire (SGRQ)
Periodo de tiempo: Baseline and 8-week follow-up
The SGRQ will be applied to assess the symptoms, activity and impact of the respiratory disease. This score ranges from 0 to 100 points, a higher score indicates poor health.
Baseline and 8-week follow-up
Changes in Body Mass Index (BMI)
Periodo de tiempo: Baseline and 8-week follow-up
Body mass index (BMI) will be assessed to characterize participants' anthropometric status. BMI will be calculated as body weight divided by height squared and expressed in kilograms per square meter (kg/m^2).
Baseline and 8-week follow-up
Changes in heart rate
Periodo de tiempo: Baseline and 8-week follow-up
Heart rate (bpm) will be measured using an automatic monitor
Baseline and 8-week follow-up
Changes in blood pressure
Periodo de tiempo: Baseline and 8-week follow-up
Diastolic and systolic blood pressure (mmHg) will be measured using a blood pressure monitor
Baseline and 8-week follow-up
Changes in oxygen saturation (SpO2)
Periodo de tiempo: Baseline and 8 week follow-up
Oxygen saturation (Percentage, %) will be measured using an oximeter.
Baseline and 8 week follow-up

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Estimado)

7 de mayo de 2026

Finalización primaria (Estimado)

25 de julio de 2026

Finalización del estudio (Estimado)

27 de julio de 2026

Fechas de registro del estudio

Enviado por primera vez

5 de mayo de 2026

Primero enviado que cumplió con los criterios de control de calidad

19 de mayo de 2026

Publicado por primera vez (Actual)

22 de mayo de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

29 de mayo de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

26 de mayo de 2026

Última verificación

1 de mayo de 2026

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Descripción del plan IPD

Data availability to external researchers is restricted to related project proposals upon request to the PI.

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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