Effect of Physiotherapy in Hospitalized COPD Patients
Effect of Different Physiotherapy Treatments in Hospitalized COPD Patients
Chronic obstructive pulmonary disease (COPD) impacts negatively on the balance and strength of patients. Several studies have shown that acute exacerbations (AEs) decrease, pulmonary function and survival of COPD patients, and there are a lot of physiotherapy interventions to improve it during the hospital stay.
The objective of the present study is to examine the effects of a physical therapy program on balance and strength in COPD patients hospitalized due to acute exacerbation.
研究概览
地位
条件
详细说明
Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide. It is a progressive disease, characterized by lung function impairment with airway obstruction.
Patients with COPD suffer exacerbations; the frequency of these exacerbations increases with the severity of the disease. It has been previously shown that the level of health-related quality of life of COPD subjects deteriorates considerably with increasing severity of disease and that the deterioration is linearly related to a decrease in FEV1 % predicted normal values.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Granada、西班牙、18071
- Department of Physical Therapy
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- COPD diagnosis with exacerbation.
- No contraindication of physiotherapy.
- Signed written consent.
- Medical approval for inclusion.
Exclusion Criteria:
- Contraindications for physiotherapy
- Neurological, orthopedic or heart disease
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Experimental group 1
patients will be involved in the Physiotherapy program 1.
The program included 15 minutes of deep breathing exercises and 20-30 minutes of limb exercises.
The exercises included global active range of motion (ROM) exercises and muscle strengthening like upper and lower limbs flexion-extension do single-leg stance, and sit to stand exercises added to standard treatment.
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The standard medical treatment and additionally they will receive physiotherapy.
The program will be performed every day during the hospital stay and it will include global active range of motion (ROM) exercises and muscle strengthening like upper and lower limbs flexion-extension do single-leg stance, and sit to stand exercises.
其他名称：
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实验性的：Experimental group 2
patients will be involved in the physiotherapy program 2. The program was a combined intervention including the Control Group treatment plus neuromuscular stimulation therapy on quadriceps accompanied by lower limb exercises.
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COPD patients included in this group will receive the standard medical treatment and additionally, they will receive a physiotherapy program.
The program will be performed every day during the hospital stay and included neuromuscular stimulation therapy on quadriceps accompanied by lower limbs exercises
其他名称：
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其他：Control group
patients will receive standard medical treatment without physiotherapy intervention.
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The standard medical treatment consists on:
Inhaled glucocorticoids including beclomethasone dipropionate, budesonide, flunisolide, fluticasone propionate and triamcinolone acetonide, depending on the expert criteria. - Antibiotics: The antibiotics were administered according to the GOLD criteria including the β-lactamase inhibitor and fluoroquinolones.
其他名称：
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Lower limb strength
大体时间：Participants will be followed for the duration of hospital stay, an expected average of 9 days.
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Lower limb strength was evaluated by a dynamometer.
The assessor placed the limb to be examined in the starting position (a knee flexion of 90º) and instructed each participant to hold the limb in that position against the increasing resistance applied to it by the examiner.
During each test the assessor counted out loud for seconds and at the end of the test period advised the participant to relax the limb.
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Participants will be followed for the duration of hospital stay, an expected average of 9 days.
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Balance
大体时间：Participants will be followed for the duration of hospital stay, an expected average of 9 days.
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Balance was evaluated by the one-leg standing balance test, that measured the time that the patient balance on one leg as long as possible.
We asked the subject being tested to choose a leg to stand on (whichever he felt more comfortable with), flex the opposite knee allowing the foot to clear the floor, and balance on one leg as long as possible
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Participants will be followed for the duration of hospital stay, an expected average of 9 days.
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Respiratory function
大体时间：Participants will be followed for the duration of hospital stay, an expected average of 9 days.
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Spirometry is regarded as the gold standard measure of respiratory function.
The indicators of forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) will be tested.
Spirometry will be performed according to American Thoracic Society (ATS) criteria.
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Participants will be followed for the duration of hospital stay, an expected average of 9 days.
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Anxiety and depression
大体时间：Participants will be followed for the duration of hospital stay, an expected average of 9 days.
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The hospital anxiety and depression scale (HADS) will be used to evaluate psychological status.
HADS is a 14-items self-report questionnaire designed to detect psychological morbidity in medically ill patients.
It contains depression and anxiety subscales, each with scores ranging from 0 to 21.
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Participants will be followed for the duration of hospital stay, an expected average of 9 days.
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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