Comparison of Supervised Ground Walk Training and Treadmill Walk Training in COPD Patients

Not Applicable

Completed

• Conditions: Chronic Obstructive Pulmonary Disease (COPD)
• Interventions: Behavioral: Supervised Treadmill Walk training; Behavioral: Ground walk training

• Registration Number: NCT02218918
• Lead Sponsor: PSG Hospitals

Brief Summary

Pulmonary Rehabilitation became a vital part of management in COPD patients in form of activity modification, dietary and pharmacological optimisation. But access to traditional supervised aerobic (treadmill) walking is debatable fact due to economical and staffing expertise in developing countries like India. The investigators designed a randomised controlled trial to evaluate the effectiveness of ground based walking over traditional treadmill walking in improving quality of life in COPD patients.

Detailed Description

Background: COPD is increasing mortality and morbidity globally. Pulmonary rehabilitation is a promising management in COPD management. Exercise training in form of aerobic (walking, cycling) and strength training is an important part of pulmonary rehabilitation. However access to traditional supervised exercise programs is questionable debate even in developed western countries. Unsupervised ground walk programs are often told by physicians but not properly prescribed.

Objective: To assess whether ground or treadmill walk is better in improving functional capacity and quality of life in COPD patients Design: Randomised controlled trial Procedure: Two arms 1) supervised ground walk training 2) supervised treadmill walk training. The intensity and progression of walk is based on 6 minute walk test. Quality of life will be gauged through Chronic respiratory questionnaire and functional capacity through 6 minute walk test.

Statistical analysis: Descriptive analysis for characterisation. Normality though Kolmogorov and Variables will be compared through paired and unpaired student t tests

Study Timeline

• Study Start: 2014-07
• Study First Submitted: 2014-08-11
• Study First Submitted QC: 2014-08-14
• Study First Posted: 2014-08-18
• Primary Completion: 2016-08
• Study Completion: 2016-10
• Status Verified: 2017-10
• Last Update Submitted: 2017-10-19
• Last Update Posted: 2017-10-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• stable COPD
• Stage II - IV
• Both genders

Exclusion Criteria

• Cardiovascular diseases uncompensated
• uncompensated pleural diseases
• uncompensated liver diseases
• Recent surgeries less than 3 weeks
• malignancy receiving chemo and radiotherapy
• Recent exacerbations less than 3 months

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Supervised Treadmill Walk Training	Supervised Treadmill Walk training	Based on 6 minute walk distance, treadmill speed initiated and progression on basis new 6 minute walk distance every 2 weeks
Supervised Ground walk training	Ground walk training	Ground walk training progressed on the basis of 6 minute walk distance (70 - 90%), Weekly 3 days and for 6 weeks

Primary Outcome Measures

Name	Time	Method
Quality of Life (Chronic Respiratory Questionnaire)	Baseline, 6 weeks	CRQ - interviewer based
Functional Capacity (6 MINUTE WALK TEST)	Baseline, 6 weeks	6 minute walk test according to standardisation of ATS

Trial Locations

Locations (1)

PSG Hospitals; 🇮🇳 Coimbatore, Tamilnadu, India