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Isoinertial Training in Patients With COPD (ISTrainingCOPD)

2026年5月26日 更新者：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.

調査の概要

状態

募集

条件

介入・治療

詳細な説明

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.

研究の種類

介入

入学 (推定)

30

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

研究場所

  • コロンビア
    • Bogotá, DC
      • Bogotá、Bogotá, DC、コロンビア、110231
        • 募集
        • Universidad Manuela Beltrán
        • 主任研究者：
          • David Murcia-Lesmes, PhD
        • 副調査官：
          • Edwin Fernando Gutiérrez-Reyes, MSc
    • Ibagué
      • Ibague、Ibagué、コロンビア、730006
        • 募集
        • Pulsar Unidad de Neumologia y Rehabilitación Pulmonar

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

  • 大人
  • 高齢者

健康ボランティアの受け入れ

いいえ

説明

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

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか？

デザインの詳細

  • 主な目的：処理
  • 割り当て：ランダム化
  • 介入モデル：並列代入
  • マスキング：独身

武器と介入

参加者グループ / アーム
介入・治療
実験的：Supervised isoinertial training
Participants will perform a supervised isoinertial training program during 8 weeks of follow-up
デバイス：Isoinertial training

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.
アクティブコンパレータ：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
他の：Traditional rehabilitation (control group)

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

この研究は何を測定していますか？

主要な結果の測定

結果測定
メジャーの説明
時間枠
Change in upper limb muscle strength using the Hand Grip Test (HGT)
時間枠：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)
時間枠：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
時間枠：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)
時間枠：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)
時間枠：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

二次結果の測定

結果測定
メジャーの説明
時間枠
Change in functional performance using 5 Times Sit-to-Stand Test (5STS)
時間枠：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)
時間枠：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)
時間枠：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
時間枠：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
時間枠：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)
時間枠：Baseline and 8 week follow-up
Oxygen saturation (Percentage, %) will be measured using an oximeter.
Baseline and 8 week follow-up

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

Universidad Manuela Beltrán

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (推定)

2026年5月7日

一次修了 (推定)

2026年7月25日

研究の完了 (推定)

2026年7月27日

試験登録日

最初に提出

2026年5月5日

QC基準を満たした最初の提出物

2026年5月19日

最初の投稿 (実際)

2026年5月22日

学習記録の更新

投稿された最後の更新 (実際)

2026年5月29日

QC基準を満たした最後の更新が送信されました

2026年5月26日

最終確認日

2026年5月1日

詳しくは

本研究に関する用語

キーワード

追加の関連 MeSH 用語

その他の研究ID番号

  • DCTAFD24 23

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

IPD プランの説明

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

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