Comparison of the Effectiveness of Home and Supervised Pulmonary Rehabilitation in Candidate Patients With Bronchoscopic Lung Volume Reduction
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 66
- 试验地点
- 2
- 主要终点
- Change from baseline distance covered in six-minute walk test at 8 weeks
研究概览
简要总结
The recent years, the use of bronchoscopic lung volume reduction in emphysema patients instead of surgical operations has become widespread. Before this procedure, the implementation of Pulmonary Rehabilitation became a necessity. The inadequacy of the number of Pulmonary Rehabilitation Centers in our country and in our city and the increasing number of mentioned operations have increased the need for different exercise program applications. Prior to valve and coil applications in our study, changes in clinical conditions of patients will be examined if Pulmonary Rehabilitation is performed at home or in a hospital.
详细描述
The records of emphysema patients referred to the Pulmonary Rehabilitation Unit for prophylactic pulmonary rehabilitation prior to bronchoscopic lung volume reduction will be recorded prospectively. Two parallel groups will be formed from patients with hospital-based pulmonary rehabilitation (Group 1) and those with home-based pulmonary rehabilitation (Group 2). The patient will receive an 8-week Pulmonary Rehabilitation Exercise Program and will be reevaluated after 8 weeks. The differences in the parameters of initial and rehabilitation end-tracing and the differences between the groups will be examined.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with emphysema and bronchoscopic lung volume reduction procedures decided by chest physician
- •Acceptance of participation in a 2-month Pulmonary Rehabilitation program.
排除标准
- •Possible orthopedic, cardiovascular or psychological disturbance that may prevent exercising.
研究组 & 干预措施
Hospital-based PR group
The patient will receive an 8-week supervised Pulmonary Rehabilitation Exercise Program at hospital
干预措施: Hospital-based pulmonary rehabilitation (Other)
Home-based PR group
The patient will receive an 8-week Pulmonary Rehabilitation Exercise Program at home
干预措施: Home-based pulmonary rehabilitation (Other)
结局指标
主要结局
Change from baseline distance covered in six-minute walk test at 8 weeks
时间窗: 8 weeks
Change from baseline modified Medical Council Dyspnea score at 8 weeks
时间窗: 8 weeks
The scale will rate the sensation of dyspnea as the person perceives it.The severity of dyspnea is rated on a scale of 0 to 4."0 point" means no dyspnea perception and "4point" means severe dyspnea perception.
Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeks
时间窗: 8 weeks
Change from baseline Chronic Obstructive Airway Disease assesment test(CAT) score at 8 weeks
时间窗: 8 weeks
The COPD Assessment Test (CAT) is a questionnaire for people with COPD. It is designed to measure the impact of COPD on a person's life, and how this changes over time. Range of CAT scores from 0-40. Higher scores denote a more severe impact of COPD on a patient's life.
次要结局
未报告次要终点
研究者
esra pehlivan
Principal Investigator
Istanbul Medipol University Hospital