Intra- and Inter-evaluator Reproducibility of Upper Limb Strength Measures With Handheld Dynamometer, in Patients With COPD
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 57
- 试验地点
- 1
- 主要终点
- Change isometric voluntary muscle strength measure, with hand held dynamometer
研究概览
简要总结
According to the recommendations of French and international learned societies, respiratory rehabilitation is part of the care of patients with Chronic Obstructive Pulmonary Disease (COPD). Indeed, scientific work carried out for more than 10 years on the respiratory rehabilitation of patients suffering from COPD shows that respiratory rehabilitation allows a reduction of the handicap caused by the disease and an improvement in the quality of life of the patients.
A respiratory rehabilitation program (PRR) includes: individual exercise re-training, therapeutic education, respiratory physiotherapy, help with smoking cessation and nutritional and psychosocial care. Exercise retraining includes training the muscles of the lower limbs in endurance and strength combined with training the muscles of the upper limbs. Strengthening the upper limbs helps reduce dyspnea in patients with COPD. In order to determine a precise muscle building protocol, it is necessary to assess at the start of the program the maximum voluntary strength (FMV) of the different muscle groups of the upper limbs. Measuring FMV quantifies a possible frequent strength deficit in patients with COPD and the effects of the strengthening program. Currently, tests to assess FMV using isokinetic dynamometers are used as a benchmark. However, this material is little used in current practice. Portable dynamometers are used to perform simple tests and to obtain muscle strength measurements. However, the reliability of the maximum voluntary force measurements of the different muscle groups of the upper limb has not been evaluated. Studies seem necessary to determine the reproducibility of the measurement in intra and inter-examiner (Schrama 2014) and to assess its sensitivity to change during a respiratory rehabilitation program. The objectives of this study are to study the reproducibility, validity and sensitivity to change of the measurement of FMV using a portable dynamometer.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient with COPD stages 2 to 4 (A to D) admitted to the pulmonary rehabilitation unit of Centre Hospitalier des Pays de Morlaix (4 weeks)
- •Patient able to consent and having signed a consent form
- •Patient 18 years of age or older
排除标准
- •Patient with pain, arthritis, prosthetics, shoulder or elbow surgery.
- •Patient with a history of pneumonectomy, lobectomy less than 6 months old
- •Refusal to participate
- •Patient with an inability to follow a full respiratory rehabilitation program
- •Patient under guardianship or curatorship
研究组 & 干预措施
Pulmonary rehabilitation
In addition to the usual evaluation, other tests will be carried out in addition and specifically for this study:
- the strength' measure of the deltoids, triceps and brachial biceps will be carried out by another technique: the 1-RM technique (with dumbbells);
- 2 other times, the strength' measure of the deltoids, triceps and brachial biceps will be carried out by handheld dynaometry.
干预措施: pulmonary rehabilitation (Other)
结局指标
主要结局
Change isometric voluntary muscle strength measure, with hand held dynamometer
时间窗: up to 4 weeks
the strength of the deltoid, biceps, triceps muscles is measured with handheld dynamometer, 3 times
次要结局
- Fear of falling(up to 4 weeks)
- The dyspnea sensation by LCADL questionnaire(up to 4 weeks)
- isometric voluntary muscle strength measure, with hand held dynamometer(4 weeks)
- 1-minute sit to stand test(up to 4 weeks)
- Quality of life by CAT questionnaire(up to 4 weeks)
- The dyspnea sensation by Modified Medical Research Council scale(up to 4 weeks)
- isometric voluntary muscle strength measure, with the one repetition of maximal resistance (1-MR) test (with dumbbells)(up to 4 weeks)
- the 6-minute walk test(up to 4 weeks)
- The voluntary force of the quadriceps(up to 4 weeks)
- he endurance time of quadriceps(up to 4 weeks)
- the dyspnea sensation by dypsnea-12 scale(up to 4 weeks)
- Quality of life by St Georges questionnaire(up to 4 weeks)
- Self-esteem(up to 4 weeks)
- the dyspnea sensation by MDP questionnaire(up to 4 weeks)
- Anxiety and depression(up to 4 weeks)
- Evolution of the non fat mass index(up to 4 weeks)