EFFECT OF EXERCISE FOR REDUCING ROUNDED SHOULDER ON RESPIRATORY FUNCTION IN COPD PATIENTS
- 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
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
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
Name Time Method 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
Name Time Method 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