Examination of Respiratory Muscle Function, Diaphragm Thickness and Health Related Physical Fitness Parameters in Chronic Obstructive Pulmonary Disease Individuals
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Obstructive Pulmonary Disease
- Sponsor
- Abant Izzet Baysal University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Diaphragm Thickness
- Last Updated
- 4 years ago
Overview
Brief Summary
In the literature, studies evaluating respiratory muscle function, diaphragm thickness and health-related physical fitness parameters together are insufficient in individuals with chronic obstructive pulmonary disease. In the thesis study, it is thought that the respiratory muscle function, diaphragm thickness, health-related physical fitness parameters, physical activity and lung functions of individuals with chronic obstructive pulmonary disease can be evaluated together to contribute to the literature. The aim of this study is to evaluate diaphragm thickness, respiratory muscle strength, endurance, body composition, aerobic exercise capacity, upper and lower extremity muscle strength and endurance, grip strength, flexibility in individuals with chronic obstructive pulmonary disease and compare them with the healthy group.
Detailed Description
Breathing is the exchange of oxygen and carbon dioxide gases with inspiration (breathing in) and expiration (breathing) in order to maintain the optimum oxygen level in arterial blood. Respiration takes place through respiratory muscles. While inspiration takes place through the diaphragm and accessory respiratory muscles; Expiration takes place passively. Respiratory muscle function is determined by evaluating respiratory muscle strength and respiratory muscle endurance together. respiratory muscle dysfunction; It is a decrease in respiratory muscle strength, endurance, or both, caused by factors such as elongated diaphragm fibers, increased respiratory workload, changes in muscle mass and abdominal weight. Today, respiratory muscle strength are widely used in the evaluation of respiratory muscle function. However, evaluation of respiratory muscle endurance is more effective than respiratory muscle strength in the evaluation of submaximal respiratory muscle contraction, which is valid for daily activities, and in the clinical, functional and prognostic evaluation of respiratory muscles. In chronic obstructive pulmonary disease, respiratory muscle function is associated with pulmonary functions, symptoms, comorbidities, health status, airway obstruction, lung volumes, and physiological disorders. Respiratory muscle dysfunction in chronic obstructive pulmonary disease increases with disease progression. Dysfunction in the diaphragm, which is the most important respiratory muscle, can be evaluated with respiratory muscle strength and endurance, as well as diaphragm thickness. Diaphragm thickness provides information about disease progression in individuals with chronic obstructive pulmonary disease. It is known that diaphragm thickness is associated with respiratory muscle strength and respiratory function parameters in individuals with chronic obstructive pulmonary disease. The World Health Organization defines health as "a state of complete physical, social and mental well-being and not merely the absence of disease or infirmity". One of the important factors for maintaining health is physical fitness. physical fitness; It is the ability to perform occupational, recreational and daily activities correctly and successfully without fatigue. Physical fitness is also known as the ability to do daily tasks vigorously and carefully, without excessive fatigue, and to allocate sufficient energy for leisure and unexpected emergencies. Physical fitness is divided into two as health-related physical fitness and sports-related physical fitness. While health-related physical fitness parameters are body composition, cardiorespiratory fitness, muscular strength and endurance, flexibility; Sport-related physical fitness parameters are balance, coordination, reaction time, agility, speed and power. Decreased physical fitness in individuals with chronic obstructive pulmonary disease is associated with respiratory problems (such as airway obstruction). It is known that physical fitness is related to the ability to perform physical activity. Low physical fitness occurs in most individuals with chronic obstructive pulmonary disease due to decreased physical activity. There is an important relationship between physical fitness and lung functions. In the literature, studies evaluating respiratory muscle function, diaphragm thickness and health-related physical fitness parameters together are insufficient in individuals with chronic obstructive pulmonary disease. In the thesis study, which is planned to be done, it is thought that the respiratory muscle function, diaphragm thickness, health-related physical fitness parameters, physical activity and lung functions of individuals with chronic obstructive pulmonary disease can be evaluated together to contribute to the literature. The aim of this study is to evaluate diaphragm thickness, respiratory muscle strength, endurance, body composition, aerobic exercise capacity, upper and lower extremity muscle strength and endurance, grip strength, flexibility in individuals with chronic obstructive pulmonary disease and compare them with the healthy group.
Investigators
Eylem TÜTÜN YÜMİN
Associate Professor
Abant Izzet Baysal University
Eligibility Criteria
Inclusion Criteria
- •Individuals diagnosed with chronic obstructive pulmonary disease
- •Be between the ages of 40-65
- •No medication changes due to acute exacerbation for at least three weeks
- •Be stable
- •Volunteering to participate in research
- •To cooperate
- •Patients with written consent form
- •Healthy individuals in a similar age range without a diagnosed disease and symptoms will be included
Exclusion Criteria
- •Those with a history of chronic obstructive pulmonary disease exacerbations
- •Individuals with orthopedic disease
- •Individuals with neurological disease
- •Individuals with other co-existing lung and systemic diseases other than chronic obstructive pulmonary disease
- •Those who have had major surgery in the past few months
- •Individuals with a history of recurrent significant clinical infections
- •Have cognitive problems
- •Having had unstable angina,
- •Previous Myocardial Infarction
- •Individuals with severe congestive heart failure refractory to medical therapy, individuals with uncontrolled hypertension
Outcomes
Primary Outcomes
Diaphragm Thickness
Time Frame: 5 minutes
Diaphragm thickness will be measured by ultrasound. Diaphragm thickness will be measured twice, when the person fully exhales and fully fills their lungs with air. Diaphragm thickness will be measured at the 8th or 9th intercostal space. Decreased diaphragm thickness indicate impaired respiratory muscle function; being in the normal range indicates good respiratory muscle function.
Diaphragm Mobility
Time Frame: 5 minutes
Diaphragm mobility will be measured by ultrasound. Diaphragm mobility will be done by using the total amount of movement of the diaphragm until the individual breathes completely from the point of exhalation. Diaphragm mobility will be performed at the intersection of the medial axillary line and the costal line. Decreased diaphragm mobility indicate impaired respiratory muscle function; being in the normal range indicates good respiratory muscle function.
Secondary Outcomes
- Measurement of Maximal Inspiratory Pressure(5 minutes)
- Chronic Obstructive Pulmonary Disease Assessment Test (CAT)(2 minutes)
- Incremental Threshold Load Endurance Test(10 minutes)
- Body Composition: Lean Body Mass Percentage(2 minutes)
- International Physical Activity Assessment Questionnaire(2 minutes)
- Modified Medical Research Council Dyspnea Scale(2 minutes)
- Trunk Lateral Flexion Test:(1 minute)
- 30 Second Modified Push Up Test(1 minute)
- Sit to Stand Test(1 minute)
- Pulmonary Function Test(5 minutes)
- Back Scratching Test(1 minute)
- Sit-Reach Test(1 minute)
- Six Minute Walk Test(10 minutes)
- Modified Borg Scale (MBS)(2 minutes)
- Sit Up Test(1 minute)
- Hand Grip Strength(1 minute)