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Isoinertial Training in Patients With COPD (ISTrainingCOPD)

26 de maio de 2026 atualizado 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.

Visão geral do estudo

Descrição detalhada

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 estudo

Intervencional

Inscrição (Estimado)

30

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Contato de estudo

Locais de estudo

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

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

  • Adulto
  • Adulto mais velho

Aceita Voluntários Saudáveis

Não

Descrição

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

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Solteiro

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
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 Ativo: 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

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Change in upper limb muscle strength using the Hand Grip Test (HGT)
Prazo: 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)
Prazo: 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
Prazo: 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)
Prazo: 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)
Prazo: 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 resultados secundários

Medida de resultado
Descrição da medida
Prazo
Change in functional performance using 5 Times Sit-to-Stand Test (5STS)
Prazo: 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)
Prazo: 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)
Prazo: 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
Prazo: 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
Prazo: 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)
Prazo: Baseline and 8 week follow-up
Oxygen saturation (Percentage, %) will be measured using an oximeter.
Baseline and 8 week follow-up

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Estimado)

7 de maio de 2026

Conclusão Primária (Estimado)

25 de julho de 2026

Conclusão do estudo (Estimado)

27 de julho de 2026

Datas de inscrição no estudo

Enviado pela primeira vez

5 de maio de 2026

Enviado pela primeira vez que atendeu aos critérios de CQ

19 de maio de 2026

Primeira postagem (Real)

22 de maio de 2026

Atualizações de registro de estudo

Última Atualização Postada (Real)

29 de maio de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

26 de maio de 2026

Última verificação

1 de maio de 2026

Mais Informações

Termos relacionados a este estudo

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

NÃO

Descrição do plano IPD

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

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

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