Determination of Factors Related With Daily Living Activities in Severe COPD
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- COPD
- Sponsor
- Halic University
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Activities of daily living
- Status
- Completed
- Last Updated
- 8 months ago
Overview
Brief Summary
The main purpose of chronic obstructive pulmonary disease (COPD) rehabilitation applications is to increase the functional capacity of the patients and improve the quality of life in daily living activities (ADL). Therefore, the investigators planned the study to determine the influence of ADL and related factors in severe COPD.
GOLD C and D COPD patients admitted to Bezmialem Vakif University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation, Pulmonary Rehabilitation Application and Research Laboratory will be included in this study on a voluntary basis. Individuals who have experienced exacerbations of COPD in the last 6 weeks, have comorbidities affecting ambulation and have cognitive impairment will be excluded. Physical and sociodemographic characteristics of all participants will be recorded. Spirometric measurement will used to evaluate pulmonary functions, London Chest Activities Scale (LCADL) will used to evaluate daily living activities, six minute walking test (6MWT) will used to evaluate functional capacity, and mouth pressure will measured to evaluate respiratory muscle strength. (MIP: maximal inspiratory pressure, MEP: maximal expiratory pressure). Saint George Respiratory Questionnaire (SGRQ) for assessing quality of life, International Physical Activity Questionnaire (IPAQ) for assessing physical activity, COPD Assessment Test (CAT) for symptom assessment, and Hospital Anxiety and Depression Scale (HAD) for anxiety and depression assessment will be applied. SPSS 22.0 package program will be used in statistical analysis. For descriptive statistics, mean ± standard deviation values will be calculated and Pearson correlation test will be used in correlation analysis. p <0.05 will be the level of significance.
Investigators
Seda Saka
Vice-dean of Faculty of Health Sciences (PhD, PT)
Halic University
Eligibility Criteria
Inclusion Criteria
- •Pulmonary function tests (PFT) value of FEV₁ / FVC \<70%,
- •Being in GOLD III-IV groups,
- •Being over 18 years old,
- •Being able to read and to understand the spoken language.
Exclusion Criteria
- •subjects have had COPD exacerbation in the last six weeks,
- •having comorbidities affecting ambulation and
- •cognitive disorders.
Outcomes
Primary Outcomes
Activities of daily living
Time Frame: 6 months
The LCADL Scale is going to used to assess dyspnea resulting from ADL . It consists of a total of 15 items within four domains: personal care (4 items), domestic (6 items), physical (2 items), and leisure (3 items). Each item is graded from 0 to 5 with higher scores indicating more difficulty performing ADL. The scale can be evaluated as total score, domain scores, and item scores. The maximum total score is 75. There is also a single question that assesses to what degree dyspnea perception affects daily life in general. This item is answered by selecting one of three responses: 'a lot', 'a little', or 'not at all'
Secondary Outcomes
- FEV1 (liter)(6 months)
- Pulmonary Function Test(6 months)
- Symptoms(6 months)
- FVC (liter)(6 months)
- FEV1 (%-percentage)(6 months)
- FEV1/FVC (percentage)(6 months)
- Expiratory muscle test(6 months)
- Inspiratory muscle test(6 months)
- Functional capacity(6 months)
- Physical activity(6 months)