A clinical trial to study the effect of exercises to improve quality of life in patients with COPD.

Phase 3

Not yet recruiting

Brief Summary: â€œThe purpose of our study is to compare the effects of upper limbs endurance exercise training versus upper limbs strength exercise training in improving dyspnoea, FEV1, arm activity levels, exercise capacity, functional outcomes and HRQoL in patients with COPD during pulmonary rehabilitation program. In patients with COPD, Pulmonary rehabilitation plays a very important role. When a person with COPD performs exercises regularly thereâ€™s some improvement in the breathlessness and strength and endurance to perform their daily life activities, and their health related quality of life improved by improvement in the exercise capacity .Thus on account of this, we want to study and compare the effectiveness of upper limb endurance training and upper limb strength training and will help them to improve their quality of life and reduces their hospital stay and somehow will improve their anxiety and depression state of mind. Patients have to perform some exercises according to their health status for 4weeks, 3times a week for atleast 90min and have to fill different scales/parameters prior to training and after 4 weeks of training.

Recruitment & Eligibility

Inclusion Criteria

Men and women diagnosed with COPD according to GOLD criteria above the age of 40 years old will be recruited from OPD of Pt. B.D.S. PGIMS Rohtak.
COPD stages from 2 to 4 (A-D) diagnosed according to GOLD criteria.
FEV1/FVC <0.7 and FEV1 <80% of predicted value.
Subjects undergoing stable respiratory medication with no exacerbations.
Patients willing to participate and given informed consent.

Exclusion Criteria

Subjects with acute exacerbation.
Have severe cognitive or psychotic impairment.
Musculoskeletal or neurological conditions that prevent exercise.
Unstable cardiovascular disease (e.g., unstable angina, aortic valve disease, unstable pulmonary hypertension).
Patients requiring oxygen supplementation during exercise.
Patients with incapacity to follow a standard rehabilitation program.
Patients with shoulder pain, shoulder osteoarthritis, or shoulder surgery.
Pregnant or breastfeeding women.
H/O pneumonectomy or lobectomy in past 6month 11.
Non-cooperative patients or patients under tutorship or curatorship.
Suffering from another disease like pulmonary hypertension or lung cancer.
Uncontrolled comorbidity on physician discretion.

Primary Outcome Measures

Name	Time	Method
1. Pulmonary functions-	Baseline readings will be taken prior to intervention at 1st week of intervention and then same parameters on end of 4th week and on 8th week of intervention on follow up.
FEV1/FVC	Baseline readings will be taken prior to intervention at 1st week of intervention and then same parameters on end of 4th week and on 8th week of intervention on follow up.
Forced Expiratory Volume in 1 second (FEV1)	Baseline readings will be taken prior to intervention at 1st week of intervention and then same parameters on end of 4th week and on 8th week of intervention on follow up.
Forced Vital Capacity (FVC)	Baseline readings will be taken prior to intervention at 1st week of intervention and then same parameters on end of 4th week and on 8th week of intervention on follow up.
2. Dyspnoea- Modified Borgâ€™s scale (Hindi version)	Baseline readings will be taken prior to intervention at 1st week of intervention and then same parameters on end of 4th week and on 8th week of intervention on follow up.

Secondary Outcome Measures

Name	Time	Method
1. Quality of life and dyspnoea associated with activities of daily living assessment	-SGRQ Hindi version

Locations (1): Pt. B.D. Sharma, PGIMS,UHS Rohtak
🇮🇳
Rohtak, HARYANA, India
Pt. B.D. Sharma, PGIMS,UHS Rohtak
🇮🇳Rohtak, HARYANA, India
Dr Pawan Kumar Singh
Principal investigator
8437013094
ga.ps.complete@gmail.com