Effect of Different Physiotherapy Treatments in Hospitalized COPD Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 49
- 试验地点
- 1
- 主要终点
- Lower limb strength
研究概览
简要总结
Chronic obstructive pulmonary disease (COPD) impacts negatively on the balance and strength of patients. Several studies have shown that acute exacerbations (AEs) decrease, pulmonary function and survival of COPD patients, and there are a lot of physiotherapy interventions to improve it during the hospital stay.
The objective of the present study is to examine the effects of a physical therapy program on balance and strength in COPD patients hospitalized due to acute exacerbation.
详细描述
Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide. It is a progressive disease, characterized by lung function impairment with airway obstruction.
Patients with COPD suffer exacerbations; the frequency of these exacerbations increases with the severity of the disease. It has been previously shown that the level of health-related quality of life of COPD subjects deteriorates considerably with increasing severity of disease and that the deterioration is linearly related to a decrease in FEV1 % predicted normal values.
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
- Single (Investigator)
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •COPD diagnosis with exacerbation.
- •No contraindication of physiotherapy.
- •Signed written consent.
- •Medical approval for inclusion.
排除标准
- •Contraindications for physiotherapy
- •Neurological, orthopedic or heart disease
研究组 & 干预措施
Experimental group 1
patients will be involved in the Physiotherapy program 1. The program included 15 minutes of deep breathing exercises and 20-30 minutes of limb exercises. The exercises included global active range of motion (ROM) exercises and muscle strengthening like upper and lower limbs flexion-extension do single-leg stance, and sit to stand exercises added to standard treatment.
干预措施: Physiotherapy program 1 (Other)
Experimental group 2
patients will be involved in the physiotherapy program 2. The program was a combined intervention including the Control Group treatment plus neuromuscular stimulation therapy on quadriceps accompanied by lower limb exercises.
干预措施: Physiotherapy program 2 (Other)
Control group
patients will receive standard medical treatment without physiotherapy intervention.
干预措施: Standard medical treatment (Drug)
结局指标
主要结局
Lower limb strength
时间窗: Participants will be followed for the duration of hospital stay, an expected average of 9 days.
Lower limb strength was evaluated by a dynamometer. The assessor placed the limb to be examined in the starting position (a knee flexion of 90º) and instructed each participant to hold the limb in that position against the increasing resistance applied to it by the examiner. During each test the assessor counted out loud for seconds and at the end of the test period advised the participant to relax the limb.
Balance
时间窗: Participants will be followed for the duration of hospital stay, an expected average of 9 days.
Balance was evaluated by the one-leg standing balance test, that measured the time that the patient balance on one leg as long as possible. We asked the subject being tested to choose a leg to stand on (whichever he felt more comfortable with), flex the opposite knee allowing the foot to clear the floor, and balance on one leg as long as possible
次要结局
- Respiratory function(Participants will be followed for the duration of hospital stay, an expected average of 9 days.)
- Anxiety and depression(Participants will be followed for the duration of hospital stay, an expected average of 9 days.)
研究者
Marie Carmen Valenza
PhD
Universidad de Granada