Effects of a Three Week Treadmill Versus Cycling Endurance Training on Balance, Gait Performance and Exercise Capacity in Patients With Chronic Obstructive Pulmonary Disease - a Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Change in step symmetry during 20m walking
研究概览
简要总结
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.
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
- 50 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.)
排除标准
- •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)
研究组 & 干预措施
treadmill endurance training
干预措施: treadmill endurance training (Other)
cycling endurance training
干预措施: cycling endurance training (Other)
结局指标
主要结局
Change in step symmetry during 20m walking
时间窗: measurement on day 1 and 21
Patients walk 20m while wearing the Mc Roberts move test device (triaxial accelerometer) which performs a gait analysis
次要结局
- Change in balance performance during Romberg stance(measurement on day 1 and 21)
- Change in muscle power during counter movement jump(measurement on day 1 and 21)
- Change in 1 Minute sit to stand test(measurement on day 1 and 21)
- Change in peak muscle strength(measurement on day 1 and 21)
- Change in 5 Repetition sit to stand test(measurement on day 1 and 21)
- Change in 6-minute Walk test(measurement on day 1 and 21)
- Change in Hospital anxiety and Depression scale(measurement on day 1 and 21)
- Change in balance performance during semi-tandem stance(measurement on day 1 and 21)
- Change in balance performance during single leg stance(measurement on day 1 and 21)
- Change in 4 meter gait Speed test(measurement on day 1 and 21)
研究者
Klaus Kenn
Head physican (department of pneumology)
Schön Klinik Berchtesgadener Land