MedPath

Nurse Managed Sequential Strength Training and Bicycle Training in Chronic Obstructive Pulmonary Disease (COPD)

Phase 2
Completed
Conditions
Chronic Obstructive Pulmonary Disease
Interventions
Behavioral: Aerobic training
Behavioral: Resistance training
Registration Number
NCT01058213
Lead Sponsor
University of Illinois at Chicago
Brief Summary

This is a 16 week exercise training program for people with severe to very severe chronic obstructive pulmonary disease (COPD). The purpose of this study is to find out if performing strength training prior to initiating exercise training on a stationary bicycle is associated with greater gains in functional status than bicycle training alone or concurrent bicycle and strength training together.

Detailed Description

Volunteers are randomly assigned to one of three groups: 1). 8 weeks of resistance (strength) training followed by 8 weeks of bicycle exercise training, 2). 8 weeks of chair exercise followed by 8 weeks of resistance (strength) training and bicycle exercise training, or 3). 8 weeks of chair exercise followed by 8 weeks of bicycle exercise training. The length of the training is 16 weeks for all 3 groups. Volunteers train 3 days per week in our lab located in the Chicagoland area and are supervised by an exercise specialist.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
354
Inclusion Criteria
  • FEV1/FVC < 70 and FEV1 < 55%,
  • > 45 years of age,
  • experience dyspnea with exertion,
  • stable clinical condition (Stable clinical condition is defined as free of respiratory tract infections for at least two months prior to enrollment, no recent change in the color, consistency, or quantity of sputum, afebrile and no recent change in medical therapy.)
Exclusion Criteria
  • evidence of restrictive lung disease or asthma,
  • acute respiratory infection,
  • taking oral corticosteroids on a regular basis,
  • >3 exacerbations in the previous year,
  • currently participating in pulmonary rehabilitation,
  • the presence of a potentially debilitating disease or the presence of a condition that would make it potentially unsafe to exercise.
  • We will adhere to the American College of Sports Medicine guidelines and exclude those who do not meet their guidelines for exercise testing and training.
  • Pregnant women or women who plan to become pregnant during the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Aerobic training aloneAerobic training8 weeks of gentle chair (sham) training followed by 8 weeks of interval aerobic training on a stationary bicycle
Sequential Resistance then Aerobic TrainingResistance training8 weeks of resistance training of the lower body followed by 8 weeks of interval aerobic training on a stationary bicycle
Sequential Resistance then Aerobic TrainingAerobic training8 weeks of resistance training of the lower body followed by 8 weeks of interval aerobic training on a stationary bicycle
Concurrent resistance and aerobic trainingResistance training8 weeks of gentle chair (sham) exercise followed by 8 weeks of concurrent resistance training of the lower body and interval aerobic training on a stationary bicycle
Concurrent resistance and aerobic trainingAerobic training8 weeks of gentle chair (sham) exercise followed by 8 weeks of concurrent resistance training of the lower body and interval aerobic training on a stationary bicycle
Primary Outcome Measures
NameTimeMethod
functional capacity for aerobic exercise and for common daily activitiesbaseline, 16 weeks
functional reserve as measured by the reduction in breathlessness and fatiguebaseline, 16 weeks
Secondary Outcome Measures
NameTimeMethod
functional performance and functional capacity utilization as measured by the Functional Performance Inventory and the CHAMPS Physical Activity Scale for Older Adultsbaseline, 16 weeks

Trial Locations

Locations (1)

University of Illinois at Chicago

🇺🇸

Chicago, Illinois, United States

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