Effects of Pulmonary Rehabilitation on Cognitive Function in Patients With Severe to Very Severe Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease is a leading cause of mortality worldwide.
It is a systemic disease which includes pulmonary, cardiac, muscular, digestive and cognitive impairments.
Pulmonary rehabilitation is a symptomatic treatment to reduce dyspnea and functional incapacity. However, it effects on cognitive dysfunction are not well known.
The aim of this study is to assess the effects of a comprehensive pulmonary rehabilitation program on cognitive dysfunction in patients with severe to very severe chronic obstructive pulmonary disease using the Montreal Cognitive Assessment tool.
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Faktiske)
Registrering
Kontakter og plasseringer
Studiesteder
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Bois-Guillaume, Frankrike, 76230
- Bonnevie
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Le Havre, Frankrike, 76600
- Médrinal
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Prøvetakingsmetode
Studiepopulasjon
Beskrivelse
Inclusion Criteria:
- Age > 18years;
- Chronic obstructive pulmonary disease stade III to IV;
- Referred for pulmonary rehabilitation.
Non Inclusion Criteria:
- Pregnancy or likely to be;
- History of psychiatric, neuro-vascular, cognitive disease or cranial trauma;
- Active alcoholism;
- Guardianship;
- Hospitalisation for acute exacerbation of chronic obstructive pulmonary disease in the previous 4 weeks;
Exclusion Criteria:
- Interruption of the pulmonary rehabilitation program > 15 days;
- Disruption of the training before the 18th session;
- Less than 18 sessions in four month.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
Antall grupper / kohorter
Kohorter og intervensjoner
Gruppe / KohortGruppe / Kohort |
Intervensjon / BehandlingIntervensjon / Behandling |
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Pulmonary rehabilitation
The whole population will benefit from a comprehensive pulmonary rehabilitation program, including aerobic training, superior and inferior limb strength training, self-management and add-on to pulmonary rehabilitation as needed (i.e : electrical muscle stimulation, inspiratory muscle training, non-invasive ventilation, high flow nasal canula).
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See group description.
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Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Baseline cognitive function
Tidsramme: Cognitive function is assessed at the beginning of the rehabilitation program : day 0
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Cognitive function is assessed with the Montreal Cognitive Assessement tool
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Cognitive function is assessed at the beginning of the rehabilitation program : day 0
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Cognitive function after pulmonary rehabilitation
Tidsramme: Cognitive function is assessed at the end of the rehabilitation program : day 60
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Cognitive function is assessed with the Montreal Cognitive Assessement tool
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Cognitive function is assessed at the end of the rehabilitation program : day 60
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Cognitive function : follow up
Tidsramme: Cognitive function is assessed 3 month after rehabilitation : day 150
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Cognitive function is assessed with the Montreal Cognitive Assessement tool
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Cognitive function is assessed 3 month after rehabilitation : day 150
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Change in cognitive function from baseline to the end of pulmonary rehabilitation
Tidsramme: Change in cognitive function from baseline to the end of pulmonary rehabilitation is assessed with end of pulmonary rehabilitation minus baseline values (day 60 - day 0)
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Cognitive function is assessed with the Montreal Cognitive Assessement tool
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Change in cognitive function from baseline to the end of pulmonary rehabilitation is assessed with end of pulmonary rehabilitation minus baseline values (day 60 - day 0)
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Change in cognitive function from the end of pulmonary rehabilitation to 3 month of follow up
Tidsramme: Change in cognitive function from the end of pulmonary rehabilitation to 3 month of follow up is assessed with the 3 month of follow minus the end of pulmonary rehabilitation values (day 150 - day 60)
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Cognitive function is assessed with the Montreal Cognitive Assessement tool
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Change in cognitive function from the end of pulmonary rehabilitation to 3 month of follow up is assessed with the 3 month of follow minus the end of pulmonary rehabilitation values (day 150 - day 60)
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Anxiety and depression : baseline
Tidsramme: Anxiety and depression are assessed at the beginning of the rehabilitation program : day 0
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Anxiety and depression are assessed with the Hospital Anxiety and Depression scale (HAD).
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Anxiety and depression are assessed at the beginning of the rehabilitation program : day 0
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Anxiety and depression : end of pulmonary rehabilitation
Tidsramme: Anxiety and depression are assessed at the end of the rehabilitation program : day 60
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Anxiety and depression are assessed with the Hospital Anxiety and Depression scale (HAD).
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Anxiety and depression are assessed at the end of the rehabilitation program : day 60
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Anxiety and depression : follow up
Tidsramme: Anxiety and depression are assesses 3 month after the end of pulmonary rehabilitation program : day 150
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Anxiety and depression are assessed with the Hospital Anxiety and Depression scale (HAD).
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Anxiety and depression are assesses 3 month after the end of pulmonary rehabilitation program : day 150
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Quality of life : baseline
Tidsramme: Quality of life is assessed at the beginning of the rehabilitation program : day 0
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Quality of life is assessed using the Saint Georges Respiratory Questionnaire
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Quality of life is assessed at the beginning of the rehabilitation program : day 0
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Quality of life : end of pulmonary rehabilitation
Tidsramme: Quality of life is assessed at the end of the rehabilitation program : day 60
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Quality of life is assessed using the Saint Georges Respiratory Questionnaire
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Quality of life is assessed at the end of the rehabilitation program : day 60
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Quality of life : follow-up
Tidsramme: Quality of life is assessed 3 month after the end of the rehabilitation program : day 150
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Quality of life is assessed using the Saint Georges Respiratory Questionnaire
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Quality of life is assessed 3 month after the end of the rehabilitation program : day 150
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Functional capacity (six-minute stepper test) : baseline
Tidsramme: Functional capacity is assessed at the beginning of the rehabilitation program : day 0
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Functional capacity is assessed with the six-minute stepper test
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Functional capacity is assessed at the beginning of the rehabilitation program : day 0
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Functional capacity (six-minute stepper test) : end of pulmonary rehabilitation
Tidsramme: Functional capacity is assessed at the end of the rehabilitation program : day 60
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Functional capacity is assessed with the six-minute stepper test
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Functional capacity is assessed at the end of the rehabilitation program : day 60
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Functional capacity (six-minute walk test) : baseline
Tidsramme: Functional capacity is assessed at the beginning of the rehabilitation program : day 0
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Functional capacity is assessed with the six-minute walk test
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Functional capacity is assessed at the beginning of the rehabilitation program : day 0
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Adherence
Tidsramme: Adherence is assessed at the end of the rehabilitation program : day 60
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Adherence to the pulmonary rehabilitation program is assessed by the following equation : number of session performed divided by the number of scheduled sessions
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Adherence is assessed at the end of the rehabilitation program : day 60
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Relation between the cognitive function and the respiratory function (forced expiratory volume in 1 second)
Tidsramme: The relation is assessed between baseline demographic data at day 0
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Cognitive function is assessed with the Montreal Cognitive Assessement tool and respiratory function is assessed with spirometric evaluation
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The relation is assessed between baseline demographic data at day 0
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Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Samarbeidspartnere
Samarbeidspartnere
Etterforskere
Etterforskere
- Hovedetterforsker: Cuvelier Antoine, Prof, PhD, CHU-Hôpitaux de Rouen - Service de pneumologie, Hôpital de Bois-Guillaume, Rouen, France ; UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France.
- Studiestol: Muir Jean-François, Prof, PhD, CHU-Hôpitaux de Rouen - Service de pneumologie, Hôpital de Bois-Guillaume, Rouen, France ; UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France ; ADIR Association, Bois-Guillaume, France.
- Studiestol: Tardif Catherine, MD, CHU-Hôpitaux de Rouen - Hôpital de Bois-Guillaume, Service de physiologie urinaire, digestive, respiratoire et sportive, Bois-Guillaume, France
- Studiestol: Viacroze Catherine, MD, CHU-Hôpitaux de Rouen - Hôpital de Bois-Guillaume, Service de pneumologie, Bois-Guillaume, France
- Studiestol: Debeaumont David, MD, CHU-Hôpitaux de Rouen - Hôpital de Bois-Guillaume, Service de physiologie urinaire, digestive, respiratoire et sportive, Bois-Guillaume, France.
- Studiestol: Patout Maxime, MD, UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France ; CHU-Hôpitaux de Rouen - Hôpital de Bois-Guillaume, Service de pneumologie, Bois-Guillaume, France
- Studiestol: Lamia Bouchra, Prof, PhD, UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France ; Service de pneumologie, Hôpital de Bois-Guillaume, Rouen, France.
- Studiestol: Quieffin Jean, MD, Service de pneumologie, Hôpital Jacques Monod 76290 Montivilliers.
- Studiestol: Prieur Guillaume, PT, MsC, Service de pneumologie, Groupe Hospitalier du Havre, Fr
- Studiestol: Médrinal Clément, PT, MsC, UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France. Service de réanimation, Groupe Hospitalier du Havre, France
- Studiestol: Gravier Francis-Edouard, PT, ADIR Association, Bois-Guillaume, France
- Studiestol: Bonnevie Tristan, PT, MsC, ADIR Association, Bois-Guillaume, France ; UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France.
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Studiestart
Primær fullføring (Faktiske)
Primær fullføring
Studiet fullført (Faktiske)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
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Sist bekreftet
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