Efficiency of Home-Based Pulmonary Rehabilitation in Adults With Asthma
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
- Dyspnoea
研究概览
简要总结
Asthma is a serious global health problem affecting people of all ages in every country in the world. Despite the presence of effective medications, many studies have reported poor asthma control in patients. Therefore, new approaches are needed to improve asthma control. Pulmonary rehabilitation is recommended as an alternative approach in patients with chronic lung disease including asthma. Also, home-based type of pulmonary rehabilitation can be preferred because it is more cost-effective and patients can spend more time with their families. There are a limited number of studies in the literature evaluating the efficacy of home-based pulmonary rehabilitation in asthmatic patients. The aim of this study was to investigate the efficacy of home-based pulmonary rehabilitation program with simple equipment in asthmatic patients.
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
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with asthma
- •Acceptance of persons to participate in the study
- •Being in the 18-65 age range
排除标准
- •Presence of an orthopedic, neurological, systemic disease that prevents the exercise
- •Having mental, communicative and behavioral disorders that may cause problems in understanding commands and questions or practicing exercises.
- •Exercising 3 or more days a week
研究组 & 干预措施
Intervention group
A home-based pulmonary rehabilitation program for 8 weeks, with a minimum of 3 days per week and one session of this is under the supervision of a physiotherapist.
干预措施: Home-based Pulmonary Rehabilitation (Other)
Control group
A training session about the disease and the correct inhaler use, booklets that include physical activity recommendations.
干预措施: Education and Recommendations (Other)
结局指标
主要结局
Dyspnoea
时间窗: 8 weeks
Change of Medical Research Council Scale results from baseline to 8 weeks. The Medical Research Council Scale (MRCS) is a five-item scale based on various physical activities that produce dyspnea. Here, patients are asked to mark the level of activity that causes dyspnea in themselves. On the scale, 0 describes the best 4 dyspnea and the worst.
Peak Expiratory Flow
时间窗: 8 weeks
Change of Expiratory Flow (PEF) from baseline to 8 weeks.
Forced Expiratory Volume in 1 second
时间窗: 8 weeks
Change of Forced Expiratory Volume in 1 second (FEV1) from baseline to 8 weeks.
Control of Asthma
时间窗: 8 weeks
Change of Asthma Control Test from baseline to 8 weeks. The Asthma Control Test is a 5-item questionnaire that enables the patient to assess his / her own level of exposure to asthma activities, frequency of day and night asthma symptoms, need for rescue medication, and disease control. Patients will be asked to answer the asthma control test, which includes scores associated with the answer to each question, and the total score will be 25 if complete control, 20-24 as partial control, and \<19 as uncontrolled.
Functional Capacity
时间窗: 8 weeks
Change of Six-Minute Walking Test Distance from baseline to 8 weeks.The distance covered in meters in a straight corridor of 30 meters will be recorded as fast as possible but without running for 6 minutes. The distance that normal individuals should take in this period is 400-700 meters. In addition, oxygen saturation and heart rate, resting fatigue and dyspnea levels will be evaluated with pulse oximetry before and after testing. Modified Borg Dyspnea and Fatigue Scales will be used to determine resting dyspnea and fatigue levels.
次要结局
- Health Related Quality of Life(8 weeks)
- Activity of Daily Living(8 weeks)
- Lower Extremity Strength and Dynamic Balance(8 weeks)
研究者
Ayşe Sena Manzak
Research Asisstant, PhD
Bezmialem Vakif University