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EFFECT OF EXERCISE FOR REDUCING ROUNDED SHOULDER ON RESPIRATORY FUNCTION IN COPD PATIENTS

Not Applicable
Recruiting
Conditions
Chronic Obstructive Pulmonary Disease (COPD)
COPD
Registration Number
TCTR20180525001
Lead Sponsor
Faculty of Physical Therapy
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Male
Target Recruitment
30
Inclusion Criteria

1. 60-90 years old
2. Stable mild to moderate COPD as from GOLD Guildline, 2017. The participant will be diagnosis by physician
3. Stable hemodynamic

Exclusion Criteria

1. BMI > 30 kg/m2
2. Receive long-term oxygen therapy or on mechanical ventilator within 4 weeks before starting experiment
3. Acute exacerbation within 3 months before staring the experiment
4. Medical diagnosis of heart failure, unstable angina, recent myocardial infraction, and aortic aneurysm
5. Uncontrolled hypertension
6. Scoliosis
7. Unable to follow the command
8. Chronic neck and/or shoulder pain over 6 months or VAS > 4
9. Fracture at clavicle, scapula, humerus, sternum or spine within 1 month
10. Severe musculoskeletal problems that cannot participate exercise program i.e. shoulder tendinitis, Osteoarthritis, Bursitis, Herniated nucleus pulposus (protrusion)
11. Severe neurological problem i.e. Head injury, Spinal injury, Peripheral nerve disorder
12. Thoracic outlet syndrome, recently complaint of numbness or tingling in the upper extremity

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pulmonary function before starting the intervention and at 4, 8 weeks after end of the intervention Pulmonary function test,Respiratory muscle strength before starting the intervention and at 4, 8 weeks after end of the intervention Respiratory pressure meter,Respiratory muscle strength before starting the intervention and at 4, 8 weeks after end of the intervention Respiratory pressure meter,Chest expansion before starting the intervention and at 4, 8 weeks after end of the intervention Tape measurement,forward shoulder posture before starting the intervention and at 4, 8 weeks after end of the intervention using vernier height gauge caliper ,pectoralis minor index before starting the intervention and at 4, 8 weeks after end of the intervention measure the length of pectoralis minor by vernier caliper and calculate to pectoralis minor index
Secondary Outcome Measures
NameTimeMethod
COPD Assessment Test (CAT score) before and after the end of intervention questionare,mMRC (Modified Medical Research Council) Dyspnea Scale before and after the end of intervention questionare
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