Spinal Structure and Mobility in Chronic Obstructive Pulmonary Disease

Completed

• Conditions: Respiratory Function Impaired; Dyspnea; COPD; Postural; Defect
• Interventions: Other: Postural Assessment

• Registration Number: NCT05021068
• Lead Sponsor: Izmir Katip Celebi University

Brief Summary

In recent studies with musculoskeletal system disorders in chronic respiratory patients, it has been reported that postural control is affected in COPD patients.

The aim of this study to investigate relationship between spinal structure and mobility an severity of dyspnea in patients with COPD.

Detailed Description

Chronic Obstructive Pulmonary Disease (COPD) is a preventable and treatable disease characterized by irreversible airway limitation. In recent studies with musculoskeletal system disorders in chronic respiratory patients, it has been reported that postural control is affected in COPD patients.It has been observed that balance systems, functional balance tests, posturography, posture assessment systems, force platform and inclinometer measurements are used in studies on postural control assessment in COPD patients.There are a limited number of studies in which devices that objectively present the degree of deviation in spinal curves are used in patients with COPD, and posture and lung volume and capacities are evaluated.

Therefore, the aim of this study is to investigate the changes in spine structure and mobility in COPD patients and to reveal their relationship with static and dynamic lung volumes and capacities.

Study Timeline

• Study Start: 2018-03-01
• Primary Completion: 2021-03-01
• Study Completion: 2021-03-01
• Status Verified: 2021-08
• Study First Submitted: 2021-08-19
• Study First Submitted QC: 2021-08-19
• Last Update Submitted: 2021-08-24
• Study First Posted: 2021-08-25
• Last Update Posted: 2021-08-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 98

Inclusion Criteria

• Volunteer to participate in the study
• Be over 18 years old
• Being clinically stable
• Not having a COPD attack in the last 3 months at least

Exclusion Criteria

• Refusing to participate in the research
• Having had spinal surgery Presence of back and shoulder pain
• Idiopathic scoliosis
• Ankylosing spondylitis
• Presence of respiratory disease other than COPD
• Difficulty understanding verbal commands

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
COPD Patients	Postural Assessment	The respiratory functions of the participants will be measured in accordance with the ATS-ERS criteria. After measurement; forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC, total lung capacity (TLC), residual volume (RV), inspiratory capacity (IC), vital capacity (VC) parameters will be recorded. Spinal structure and mobility will be evaluated with the Spinal Mouse device in the sagittal and frontal planes in standing and sitting positions. For the sagittal plane, the measurements were first in the neutral, then in the maximum flexion and extension positions, for the frontal plane; neutral, right and left lateral flexions will be performed. Patients will be asked to mark the level of activity that causes dyspnea on the Medical Council Research Scale (MMRC) Dyspnea Score.
Control Group	Postural Assessment	The respiratory functions of the participants will be measured in accordance with the ATS-ERS criteria. After measurement; forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC, total lung capacity (TLC), residual volume (RV), inspiratory capacity (IC), vital capacity (VC) parameters will be recorded. Spinal structure and mobility will be evaluated with the Spinal Mouse device in the sagittal and frontal planes in standing and sitting positions. For the sagittal plane, the measurements were first in the neutral, then in the maximum flexion and extension positions, for the frontal plane; neutral, right and left lateral flexions will be performed. Patients will be asked to mark the level of activity that causes dyspnea on the Medical Council Research Scale (MMRC) Dyspnea Score.

Primary Outcome Measures

Name	Time	Method
Spinal Structure and Mobility	15 minutes (single application)	Spinal mouse measurement

Secondary Outcome Measures

Name	Time	Method
Pulmonary Functions	10 minutes (single application)	Respiratory Function Test
Dyspnea Severity	5 minutes (single application)	Modified Medical Research Dyspnea Scale

Trial Locations

Locations (1)

Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital; 🇹🇷 İzmir, Turkey