Effects of Treadmill Versus Cycling Endurance Training in Patients With COPD
- Conditions
- Chronic Obstructive Pulmonary Disease
- Interventions
- Other: cycling endurance trainingOther: treadmill endurance training
- Registration Number
- NCT03120169
- Lead Sponsor
- Schön Klinik Berchtesgadener Land
- Brief Summary
Aim of this study is to investigate the effects of treadmill versus cycling endurance training on Balance, gait performance and exercise capacity in patients with severe chronic obstructive pulmonary disease. Patients will be recruited during a 3-week inpatient pulmonary rehabilitation program and will be randomized into one of two intervention groups. Walking intensity in the treadmill group will be set at 80 percent of the average speed of the 6-minute walking test. The cycling group will exercise at an intensity of 60 percent according to an Initial incremental cycling test.
Patients will perform 5 to 6 training sessions per week. The total exercise duration will be progressively increased from 10 to 30 minutes. Walking or cycling intensity will also be progressively increased if perceived exertion during exercise is rated below 3 on the modified 10-point Borg scale.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- COPD Stage III or IV according to the global initiative for chronic obstructive lung disease
- impaired exercise capacity (6 Minute walk distance of less than 70% of the reference values from Troosters et al.)
- acute, severe exacerbation of COPD
- carbon dioxide of more than 45 mmHg at rest
- any disabilities that prevent patient form walking or cycling
- Patient is not able to walk 20 meters without any aid (for example rollator)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description cycling endurance training cycling endurance training - treadmill endurance training treadmill endurance training -
- Primary Outcome Measures
Name Time Method Change in step symmetry during 20m walking measurement on day 1 and 21 Patients walk 20m while wearing the Mc Roberts move test device (triaxial accelerometer) which performs a gait analysis
- Secondary Outcome Measures
Name Time Method Change in balance performance during Romberg stance measurement on day 1 and 21 patients stand still for 10 seconds on a force platform that measures absolute path length of the center of force.
Change in muscle power during counter movement jump measurement on day 1 and 21 patients jump on a force platform as high as possible. The Outcome is Watt per Kilogram Body weight
Change in 1 Minute sit to stand test measurement on day 1 and 21 Patients try to perform as many repetitions as possible of standing up and sitting down from a chair with crossed arms on a force platform during 1 minute
Change in peak muscle strength measurement on day 1 and 21 isometric peak torque of the knee extensor muscles are measured in 90° knee angle
Change in 5 Repetition sit to stand test measurement on day 1 and 21 Patients try to perform 5 repetitions of standing up and sitting down from a chair with crossed arms on a force platform as quick as possible
Change in 6-minute Walk test measurement on day 1 and 21 the best out of two 6- Minute Walk Tests will be used for analysis
Change in Hospital anxiety and Depression scale measurement on day 1 and 21 the Hospital anxiety and Depression scale is a questionnaire that evaluates signs of anxiety or depression
Change in balance performance during semi-tandem stance measurement on day 1 and 21 patients stand still for 10 seconds on a force platform that measures absolute path length of the center of force.
Change in balance performance during single leg stance measurement on day 1 and 21 patients stand still for 10 seconds on a force platform that measures absolute path length of the center of force.
Change in 4 meter gait Speed test measurement on day 1 and 21 patients have to walk 4 meters at their usual Speed. Outcome is the average Speed during the 4m walk.
Trial Locations
- Locations (1)
Schoen Klinik Berchtesgadener Land
🇩🇪Schoenau Am Koenigssee, Germany