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Effectiveness of pulmonary rehabilitation: The role of interval and continuous endurance exercise training, lower and upper extremity strengthening and other intervention modalities

Not Applicable
Completed
Conditions
Comorbidities in chronic obstructive pulmonary disease.
Respiratory
Chronic obstructive pulmonary disease
Registration Number
ISRCTN14648515
Lead Sponsor
Exercise Physiology Laboratory
Brief Summary

2019 results in https://pubmed.ncbi.nlm.nih.gov/30967792/ (added 23/11/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
32
Inclusion Criteria

1. COPD diagnosis of any stage (A, B, C, D)
2. Aged 49-76 years
3. Stable condition
4. Optimal bronchodilation therapy
5. Optimal therapy of comorbidities
6. Reduced exercise capacity
7. Full compliance to the rehabilition program and recommendations

Exclusion Criteria

1. Active or unstable cardiovascular disease (within three months: myocardial infarction, severe uncontrolled arrhythmia, symptomatic or unstable cardiovascular disease, severe heart valve disease or severe heart failure)
2. Pulmonary embolism in the last three months
3. Ischemic cardiovascular stroke or hemorrhagic stroke in the last three months
4. Non-controlled arterial hypertension
5. Large abdominal aortic aneurysm
6. Severe orthopaedic disorders
7. Severe osteoporosis
8. Any condition that does not allow the performance of aerobic exercise
9. Severe dementia
10. Severe untreated psychiatric conditions
11. Unwilling, undisciplined patient who does not comply with medical recommendations

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> 1. Arterial blood gases are measured and analysed using the GEM premier 3500 blood gas analyser at baseline and after 13 weeks<br> 2. Pulmonary function is measured using Pulmonary Function Tests (spirometry, diffusing capacity and static lung volume) at baseline and after 13 weeks<br> 3. Dyspnea is assessed using the modified Medical research Council (MRC) scale and the COPD Assessment Test at baseline and after 13 weeks<br> 4. Quality of Life is assessed by the St George Respiratory Questionnaire (SGRQ) at baseline and after 13 weeks<br>
Secondary Outcome Measures
NameTimeMethod
<br> 1. Expiratory oxygen and carbon dioxide fractions are measured using the six minute walking test (6MWT) and standard cardiopulmonary exercise test at baseline and after 13 weeks<br> 2. Work rate is measured using the six minute walking test (6MWT) and standard cardiopulmonary exercise test at baseline and after 13 weeks<br> 4. Airflow is measured using the six minute walking test (6MWT) and standard cardiopulmonary exercise test at baseline and after 13 weeks<br> 5. Cardiac frequency is measured using the six minute walking test (6MWT) and standard cardiopulmonary exercise test at baseline and after 13 weeks<br> 6. Oxygen saturation is measured using the six minute walking test (6MWT) and standard cardiopulmonary exercise test at baseline and after 13 weeks<br>
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