Impact of Occupational Therapy With Breathing Control Exercises in Patients With Chronic Obstructive Pulmonary Disease.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Change in St George's Respiratory Questionnaire score
研究概览
简要总结
The purpose of this study is to test whether breathing control exercises embedded in occupational therapy sessions have an impact on quality of life and dyspnea in patients with chronic obstructive pulmonary disease (COPD).
详细描述
Dyspnea is one of the most important and debilitating symptoms in patients with COPD and is often the starting point to the vicious cycle of physical inactivity. As a consequence of increased dyspnea, patients adapt themselves by reducing the amount of all activities of daily living performed, with a consequent reduction in quality of life.
Occupational therapists are involved in pulmonary rehabilitation programs aiming to improve the biopsychosocial condition of COPD patients. However, the specific roles and intervention of occupational therapists are not well-defined, and standardized protocols are lacking. The implementation of breathing control exercises in occupational therapy sessions, aiming among other things to regulate patient's breathing during their activities of daily living, could be a starting point for a more effective management of patients with COPD. This could ultimately participate in the improvement of quality of life in patients with COPD.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Confirmed diagnostic of COPD
- •Severity of COPD: global initiative for chronic obstructive lung disease (GOLD) classification III or IV
- •Undergoing a pulmonary rehabilitation program in J. Bracops Hospital
排除标准
- •Cardiac or orthopedic complications limiting participation in occupational therapy sessions
- •Active smoking
- •Inability to understand the French language orally or in writing
- •Cognitive impairments limiting understanding of instructions and participation in occupational therapy sessions
结局指标
主要结局
Change in St George's Respiratory Questionnaire score
时间窗: At baseline and after 6 weeks of pulmonary rehabilitation
Overall health, daily life, and perceived well-being are assessed via the St George's Respiratory Questionnaire and its three domains: "symptoms", "activities" and "impact". The score for each domain and the total score ranged from 0 to 100, with 100 indicating a very poor quality of life.
次要结局
- Change in health-related quality of life(At baseline and after 6 weeks of pulmonary rehabilitation)
- Change in functional capacity(At baseline and after 6 weeks of pulmonary rehabilitation)
- Change in dyspnea(At rest and after the effort, at baseline as well as after 6 weeks of pulmonary rehabilitation)
- Change in hand grip strength(At baseline and after 6 weeks of pulmonary rehabilitation)
研究者
William Poncin, PT, PhD
Principal Investigator
Cliniques universitaires Saint-Luc- Université Catholique de Louvain