Effects of Whole-Body Vibration Training Versus Balance Training in Patients With Severe Chronic Obstructive Pulmonary Disease
- Conditions
- Chronic Obstructive Pulmonary Disease
- Interventions
- Other: Conventional Balance trainingOther: Balance Training on a vibration platform
- Registration Number
- NCT03157986
- Lead Sponsor
- Schön Klinik Berchtesgadener Land
- Brief Summary
Aim of this study is to compare the effects of whole-body Vibration Training versus conventional Balance Training on Balance performance, gait quality 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. On top of a standardized endurance and strength Training program (5 days per week) patients in both groups will perform an additional Balance Training (on 3 days per week). Patients in both Groups will perform the same 4 different Balance exercises (2x1 Minute each): dynamic squats with closed eyes, heel raise, semi-Tandem stance and single leg stance but on a different surface. The Vibration Training Group will perform the exercises on a side-alternating Vibration platform (Galileo) at frequencies between 15 to 26 Hertz and the control Group will perform exercises on instable objects like Balance pads. The degree of difficulty in both Groups will be individually adjusted and will be progressively increased, if possible.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 48
- 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 value from Troosters et al.)
- current acute exacerbation of COPD
- carbon dioxide pressure of more than 45 mmHg at rest
- any contraindication for vibration Training (e.g. acute deep vein thrombosis)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Conventional Balance training Conventional Balance training Balance Training on a Balance board Whole Body Vibration training Balance Training on a vibration platform Balance Training on a Vibration platform
- Primary Outcome Measures
Name Time Method Change in Balance Performance during semi Tandem stance measurement on Day 1 and 21 patients stand still for 10 seconds with closed eyes on a force platform that measures absolute path length of the center of force.
- Secondary Outcome Measures
Name Time Method Change in Peak muscle strength of the knee Flexion muscles measurement on Day 1 and 21 isometric peak torque of the knee flexor muscles are measured in 90° knee angle
Change in step symmetry during 20m walking measurement on Day 1 and 21 Patients walk 20m while wearing the Mc Roberts move test device (triaxial accelerometer) which performs a gait analysis
Change in muscle power during counter movement jump measurement on Day 1 and 21 patients jump on a force platform as high as possible. The Outcome is Watt per Kilogram Body weight
Change in performance of the 5-Repetition-Raise-Test measurement on Day 1 and 21 Patients try to perform 5 repetitions of standing up and sitting down from a chair with crossed arms on a force platform as quick as possible
Change in performance of the 1-Minute-Chair-Rise-Test measurement on Day 1 and 21 Patients try to perform as many repetitions as possible of standing up and sitting down from a chair with crossed arms on a force platform during 1 minute
Change in Peak muscle strength of the knee Extension muscles measurement on Day 1 and 21 isometric peak torque of the knee extensor muscles are measured in 90° knee angle
Change in 6-minute Walk Distance measurement on Day 1 and 21 patients are advised to walk as far as possible on a 30m track
Change in 4m Gait Speed Test measurement on Day 1 and 21 patients have to walk 4 meters at their usual Speed. Outcome is the average Speed during the 4m walk.
Change in Hospital anxiety and Depression scale measurement on Day 1 and 21 the Hospital anxiety and Depression scale is a questionnaire that evaluates signs of anxiety or depression
Change in balance performance during Romberg stance measurement on Day 1 and 21 patients stand still for 10 seconds with closed eyes on a force platform that measures absolute path length of the center of force.
Change in Balance Performance during 1-leg stance measurement on Day 1 and 21 patients stand still for 10 seconds with closed eyes on a force platform that measures absolute path length of the center of force.
Trial Locations
- Locations (1)
Schön Klinik Berchtesgadener Land
🇩🇪Schoenau Am Koenigssee, Bavaria, Germany