High-Intensity Interval Exercise in Bronchiectasis Patients
Investigation of the Effectiveness of High-Intensity Interval Exercise in Bronchiectasis Patients
The aim of our study is to investigate the effect of high-intensity interval exercise (HIIE) on the symptoms of bronchiectasis in patients with the disease. The main questions it aims to answer are:
- Does HIIE improve respiratory function in patients with bronchiectasis?
- Does HIIE increase functional capacity, peripheral muscle strength, and quality of life in patients with bronchiectasis?
- Does HIIE reduce the severity of dyspnea, cough symptoms, and fatigue in patients with bronchiectasis?
The study was designed as a randomized controlled trial. Participants were divided into two groups: intervention and control.
Participants will:
The intervention group will receive HIIE training three days a week along with airway clearance techniques.
The control group would receive only airway clearance techniques. Airway clearance techniques will be provided clinically (three days a week) and at home, according to the needs of the individuals each day of the week.
調査の概要
状態
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前:Mustafa Ertuğrul YAŞA, Associate Professor
- 電話番号:0312 304 61 97
- メール:mustafaertugrul.yasa@sbu.edu.tr
研究場所
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Keçiören
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Ankara、Keçiören、トルコ(Türkiye)、06018
- 募集
- Gulhane Faculty of Physiotherapy and Rehabilitation
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コンタクト:
- 電話番号:0 312 567 15 00
- メール:bilgiedinme@sbu.edu.tr
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参加基準
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
説明
Inclusion Criteria:
- Being over 18 years of age
- Having a clinical and radiological diagnosis of non-cystic fibrosis bronchiectasis
- Absence of cognitive impairment (MMT>24)
- Being clinically stable (not having experienced any exacerbation in the last 4 weeks)
Exclusion Criteria:
- Presence of any disease that may affect compliance with exercise (Unstable angina (within the last month), recent myocardial infarction (heart attack), uncontrolled arrhythmias, severe aortic stenosis, decompensated heart failure, severe pulmonary hypertension, acute respiratory tract infection, severe hypoxemia at rest (<85%), orthopedic or neurological problems that impede walking, severe anemia, acute infections, very high resting blood pressure (systolic >180-200 mmHg, diastolic >100-110 mmHg), psychological issues, etc.)
- Smoking
- Chronic alcoholism that may affect exercise safety (More than 1 drink per day on average for women, more than 2 drinks per day on average for men (1 standard drink ≈ 10-14 g of alcohol)
- Presence of any respiratory tract disease other than bronchiectasis
- After incremental shuttle walk test arterial oxygen saturation <80%
- Participation in a structured exercise program within the last 6 months
研究計画
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:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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アクティブコンパレータ:Intervention
Patients in this group will perform airway clearance techniques along with high-intensity interval exercise.
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The high-intensity interval exercise (HIIE) protocol (4×4 model: 4 minutes at 85-95% maximum heart rate, with 3 minutes of active recovery at 60-70% in between), will be applied 3 days a week for 8 weeks using a treadmill or cycle ergometer, taking into account the participants' physical characteristics and safety requirements.
Among the airway clearance techniques, the active cycle of breathing techniques (ACBT) and manual techniques will be applied.
Additionally, the autogenic drainage technique will be taught to patients for them to practice at home.
Airway clearance techniques will be demonstrated to the patients practically and they will be asked to perform them daily (3 days a week in the clinic) as needed.
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アクティブコンパレータ:Control
Patients in this group will only undergo airway clearance techniques.
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Among the airway clearance techniques, the active cycle of breathing techniques (ACBT) and manual techniques will be applied.
Additionally, the autogenic drainage technique will be taught to patients for them to practice at home.
Airway clearance techniques will be demonstrated to the patients practically and they will be asked to perform them daily (3 days a week in the clinic) as needed.
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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 |
|---|---|---|
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Functional Performance
時間枠:At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study
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Functional performance will be measured using an incremental shuttle walk test.
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At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Maximal Inspiratory Pressure (PImax)
時間枠:At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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Inspiratory muscle strength will be assessed by measuring the maximal inspiratory pressure (PImax) using an electronic, portable, intraoral pressure measuring device.
PImax represents the maximum negative pressure generated during a forceful inhalation against an occluded airway.
Results will be reported in centimeters of water (cmH2O), with higher absolute values indicating greater inspiratory muscle strength.
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At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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Maximal Expiratory Pressure (PEmax)
時間枠:At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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Expiratory muscle strength will be assessed by measuring the maximal expiratory pressure (PEmax) using an electronic, portable, intraoral pressure measuring device.
PEmax represents the maximum positive pressure generated during a forceful exhalation against an occluded airway.
Results will be reported in centimeters of water (cmH2O), with higher values indicating greater expiratory muscle strength.
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At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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Forced Vital Capacity (FVC)
時間枠:At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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Forced Vital Capacity (FVC) is the total volume of air that can be exhaled forcefully and completely after a maximal inspiration.
It is measured using spirometry to assess overall lung volume and capacity.
The results will be reported as an absolute volume in Liters (L).
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At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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FEV1 (Forced Expiratory Volume in 1 Second)
時間枠:At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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Forced Expiratory Volume in 1 second (FEV1) is the volume of air forcefully exhaled during the first second after a maximal inspiration, measured using spirometry.
Outcomes are reported in absolute volume (Liters) and % to evaluate airway obstruction and overall pulmonary function.
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At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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FEV1/FVC
時間枠:At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study
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FEV1/FVC(%) will be calculated using the FEV1 and FVC values obtained from the pulmonary function test.
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At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study
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Fatigue
時間枠:At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study
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To assess the severity of fatigue and its impact on daily life, the Fatigue Severity Scale (FSS), a self-report scale, will be used.
The scale consists of 9 items, each scored between 1 (strongly disagree) and 7 (strongly agree).
The average score is calculated by dividing the total score by the number of items, with higher scores indicating more severe fatigue.
A score of 4 or higher generally indicates severe fatigue.
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At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study
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Dyspnea Severity
時間枠:At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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Dyspnea severity will be assessed using the Modified Medical Research Council dyspnea scale.
The scale classifies dyspnea on a five-point scale from 0 to 4; a score of 0 indicates dyspnea occurring only during strenuous exercise, while a score of 4 describes significant shortness of breath even during the mildest daily activities.
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At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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The Bronchiectasis Health Questionnaire
時間枠:At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study
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The Bronchiectasis Health Questionnaire (BHQ) will be used to assess disease-specific quality of life.
The BHQ is a patient-completed scale consisting of 10 items that evaluates symptom burden, physical function, and the impact of the disease on daily life.
Each item is scored between 0 and 7, and the total score ranges from 0 to 70; higher scores indicate better health status and quality of life.
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At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study
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Cough Questionnaire
時間枠:At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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The Leicester Cough Questionnaire (LCQ) is a disease-specific, patient-completed scale developed to assess the impact of cough on quality of life in individuals with chronic cough.
The LLC consists of 19 items and covers three sub-dimensions: physical, psychological, and social.
Each item is scored between 1 and 7, and the average of the sub-dimension scores is calculated and summed to obtain a total score ranging from 3 to 21; higher scores indicate better quality of life and less cough-related impact.
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At the beginning of the study, after 8 weeks of treatment, and at week 4 following the study.
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- 2026-085
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?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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