Respiratory Rehabilitation Exercises in Older Adults With Acute Exacerbations of Chronic Obstructive Pulmonary Disease

Not Applicable

Completed

• Conditions: Chronic Obstructive Pulmonary Disease (COPD)
• Interventions: Behavioral: Respiratory rehabilitation exercise training

• Registration Number: NCT02329873
• Lead Sponsor: Chest Hospital, Ministry of Health and Welfare, Taiwan

Brief Summary

The purpose of this randomized controlled trial was to evaluate the effects of a respiratory rehabilitation exercise training package on dyspnea, cough, exercise tolerance, and sputum expectoration of hospitalized elderly patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Using purposive sampling, 61 participants were recruited and randomly assigned to either the experimental group (n = 30) or the control group (n = 31). The experimental group participants received the respiratory rehabilitation exercise training twice a day and 10-30 minutes per session for four days. The control group participants received usual care and health education. Data were collected at baseline and at the end of the four-day intervention.

Detailed Description

The respiratory rehabilitation exercise training package included: (a) Disease awareness: The doctor explained the disease to patients and their families through the chest X-ray, (b) Sputum clearance treatments: Easily understood postural drainage cards were provided to the patients and families to assist with proper sputum clearance procedures, (c) Pursed lip breathing training: Devices were provided to the patients to ensure that the breathing exercises were completed properly, (d) Upper-limb exercise with breathing pranayama: Towels were provided to the patients to assist with upper-limb exercises properly, (e) Walking training with breathing pranayama: Legs were elevated while inhaling, and returned to the position while exhaling, and (f) Assign a pulmonary rehabilitation program coordinator: Coordinators were assigned to assist the patients in nutrition management and health education.

Study Timeline

• Study Start: 2011-11
• Primary Completion: 2012-12
• Study Completion: 2012-12
• Status Verified: 2014-12
• Study First Submitted: 2014-12-15
• Study First Submitted QC: 2014-12-30
• Last Update Submitted: 2014-12-30
• Study First Posted: 2015-01-01
• Last Update Posted: 2015-01-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 61

Inclusion Criteria

Not provided

Exclusion Criteria

1. unstable vital signs
2. blood oxygen concentration lower than 90%
3. unstable psychological status, hemoptysis, pneumothorax, pulmonary edema, or using the respirator

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental group	Respiratory rehabilitation exercise training	Respiratory rehabilitation exercise training 2 times/day, 10-30 minutes per session for 4 days.

Primary Outcome Measures

Name	Time	Method
Change from baseline in dyspnea at 4th day	At baseline and at the 4th day of the study	Measured by the Borg Rating of Perceived Exertion Scale.

Secondary Outcome Measures

Name	Time	Method
Change from baseline in cough severity at 4th day	At baseline and at the 4th day of the study	Measured by the visual analog scale.
Change from baseline in exercise tolerance at 4th day	At baseline and at the 4th day of the study	Measured by the 6-minute walk distance
Change from baseline in sputum expectoration at 4th day	At baseline and at the 4th day of the study	Assessed by recording the patients' feelings regarding sputum expectoration during the previous day.

Trial Locations

Locations (1)

Chest Hospital, Ministry of Health and Welfare; 🇨🇳 Kaohsiung, Taiwan