To study the effects of pulmonary rehabilitation on daily physical activity in patients with COPD and CHF.It seems reasonable to hypothesize that an improved sub-maximal performance capacity following pulmonary rehabilitation and the correct use of…
ID
Source
Brief title
Condition
- Heart failures
- Bronchial disorders (excl neoplasms)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The difference in ventilation and oxygen uptake during the performance of ADL
before and after rehabilitation.
Secondary outcome
-Difference in physical activity
-Difference in heart rate
-Difference in time to accomplish the ADLs
-Difference in Borg symptom scores after the performance of ADLs
-Differences in COPM (patients scores on performance and satisfaction)
Background summary
The degree and impact of dyspnea during ADLs in patients with COPD and CHF is
worse compared to healthy elderly subjects. Various non-pharmacological
interventions, like exercise training and energy conservation techniques, can
be considered to reduce the task-related dyspnea sensation and, in turn,
improve the performance of ADLs in COPD and CHF. However, its effects have
never been studied.
Therefore, there is a clear rationale to study the effects on the performance
of domestic ADLs in patients with COPD and CHF after a program of
high-intensity interval training in combination with occupational therapy.
Study objective
To study the effects of pulmonary rehabilitation on daily physical activity in
patients with COPD and CHF.
It seems reasonable to hypothesize that an improved sub-maximal performance
capacity following pulmonary rehabilitation and the correct use of ECTs will
result in a lower task-related metabolic load and reduce the burden of ADLs in
patients with COPD and CHF.
Study design
Longitudinal observational design.
Intervention
regular rehabilitation
Study burden and risks
All intervention take place at Ciro+ in Horn as part of regular pulmonary
rehabilitation. In addition, patients will perform 3 ADL-tests. The risks of
participation in the study are almost zero.
Hornerheide 1
6085 NM Horn
NL
Hornerheide 1
6085 NM Horn
NL
Listed location countries
Age
Inclusion criteria
- Patients with COPD as a primary diagnosis according to the Global Initiative For Chronic Obstructive Pulmonary Lung Disease (GOLD) definition: *Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease with some significant extrapulmonary effects that may contribute to the severity in individual patients. Its pulmonary component is characterized by airflow limitation that is not fully reversible.The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lung to noxious particles or gases*. COPD is diagnosed by a chest physician. Patients with mild (GOLDI; FEV1/FVC<70% and FEV1>=80% of predicted value) to very severe (GOLDIV; FEV1/FVC<70% and FEV1<30% of predicted value) COPD will be included in the study.
OR
- Patients with CHF as a primary diagnosis according to the American College of Cardiology and American Heart Association definition: *Heart failure is a complex clinical syndrome that can resultfrom any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with or eject blood*. CHF is diagnosed by a cardiologist. Patients with mild (NYHA class I) to severe (NYHA class IV) will be included in the study.
- Clinically stable on the basis of clinical picture by chest physician or cardiologist.
- Treated according to the current international guidelines.
- Permission for voluntary participation. Patients will be asked after baseline assessment and have to sign an informed consent.
Exclusion criteria
-Neuromuscular co-morbidities. Patients with neuromuscular co-morbidities can experience problems, not caused by COPD or CHF, during the performance of the activities of daily life.
-Lack of motivation for voluntary participation in this study.
-Patients with long-term oxygen therapy use will be excluded for measurements of metabolic load.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL36564.068.11 |