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Chronic Obstructive Pulmonary DiseaseNCT01295359

Impact of a Hospital Physical Therapy Program on Chronic Obstructive Pulmonary Disease (COPD) Patients

A study testing Ground Walking Program in people with Chronic Obstructive Pulmonary Disease, run by Universidade Federal de Sao Carlos at 1 site in Brazil.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The Chronic Obstructive Pulmonary Disease is a leading global cause of morbidity and mortality, so it's important to find actions that could improve quality of life and decrease the mortality. Read more about this study

Who is it for?
Ages 50 to 85 years
Conditions the study is for
Chronic Obstructive Pulmonary Disease
What is being tested?
Ground Walking Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteBrazil
Study dates
Mar 2011to Aug 2012
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • COPD Patients (FEV1/FVC < 0,70; FEV1 > 30% and < 80%)
  • Hospitalized for exacerbation of COPD

Who cannot join

  • Conditions that could restrict walking
  • Skeletal-muscle and joint disturbs
  • Extreme Obesity (BMI > 35kg/m²)
  • Heart Failure (New York Heart Association class III and IV)
  • Uncontrolled infection (fever > 38ºC and leukocytosis > 10000 cels/dl)
  • Need of Invasive Mechanical Ventilation after the beginning of the program
Show all 16Show fewer
  • Previous Diagnosis of:
  • Stroke
  • Epilepsy
  • Coagulation disorders (INR > 1,5 or platelets < 50.000/m³)
  • Psychiatric Disorders or severe agitation
  • Cardiac or respiratory instability
  • Oxygen therapy > 3L/min at rest
  • Respiratory Rate > 30 breaths/min at rest
  • Tachycardia and Bradycardia
  • Vasoactive Drugs need

Trial locations and contacts

1 site in 1 country.

Juliano Ferreira Arcuri, Especialist contact

+55 (16) 97838283

julianoarcuri@gmail.com

Adriana Sanches Garcia de Araujo, Masters contact

+55 (16) 81587480

garciadrica@hotmail.com

Brazil1 site, 1 recruiting
  • Hospital Escola Municipal "Dr Horácio Carlos Panepucci

    São Carlos, São Paulo, 13566-488

    Mariza Borges Brito de Souza, PhD, 33625555, souzamar@ufscar.br

    Juliano Ferreira Arcuri, Especialist

    Recruiting

Other trials in Brazil

About this study

Official title: Impact of a Hospital Physical Therapy Program on Exacerbated Chronic Obstructive Pulmonary Disease Patients: A Randomized Controlled Trial

The Chronic Obstructive Pulmonary Disease is a leading global cause of morbidity and mortality, so it's important to find actions that could improve quality of life and decrease the mortality. The objective of this study is to verify if a ground walking program applied to hospitalized exacerbated COPD patients has effects in quality of life, exercise capacity, airways obstruction, body composition, heart rate variability, quadriceps isometric force and in the "Body-mass index, Airway Obstruction, Dyspnea, Exercise Capacity index" (BODE index). An evaluators-blinded randomized controlled study will be conducted in "Hospital Escola Municipal de São Carlos" where forty patients will be recruited to participate. The volunteers will be randomized in two groups with twenty patients, the usual care group, that will receive only the usual care of the hospital; and the trained group that will receive the same care, but will also participate in a ground walking program associated with respiratory exercises. It will be evaluated, in the start and at the end of the program, the health related and general quality of life and the Barthel index. Daily, the patient will be submitted to the Six Minute Walk Test, to a body composition analysis, to a hand grip test and to a dyspnea assessment, and will be calculated its BODE index. All patients will be invited to a follow up in the 12th and 24th weeks after hospital discharge, when they would receive the same evaluation of the last day in the hospital. All the collected data will be expressed in means and standard deviations or medians and range when appropriated. It will be chosen appropriated tests to compare and correlate them.

Being tested
Ground Walking Program
Keywords
Chronic Obstructive Pulmonary Disease, Walking, Hospital, Exercise Tolerance, Physical Therapy
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ground Walking ProgramOther

    Also called Physical Therapy, Respiratory Rehabilitation

    The patients will walk on a corridor, for 40min, once a day. The speed will be controlled through a metronome, that will be programed to a frequency of steps/min determinated as 80% of the mean frequency of steps performed in six minutes walk test of that day. The 40min will be divided in 3min of walk and 2min of rest, totalizing 24min of exercise and 16min of rest. Furthermore, these patients, in sitting position, will receive orientation to do calm and slow inspirations and expirations, associated with pursed lips expiration. They will try to maintain its Respiratory Rate in 6bpm, during four minutes.

Study groups in NCT01295359
Study groupRoleWhat they receive
Trained GroupExperimentalThis group will receive the usual care of the hospital and a ground walking training program associated with respiratory exercises.
Receives: Other: Ground Walking Program
Usual Care GroupNo interventionThis group will only receive the usual care of the hospital, including physical therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Exercise Capacity

    It will be evaluated through the six minutes walking distance, performed according to ATS rules.

    Measured: Daily, as soon as medically appropriated, during the hospitalization

  2. Change in BODE index

    The Body-Mass Index, Airways Obstruction, Dyspnea, Exercise Capacity (BODE) index. This is a multidimensional evaluation that includes Forced Expiratory Volume in the first second, Body-Mass Index, 6 Minutes Walking Distance and mMRC score. It is an index to predict mortality.

    Measured: Daily, as soon as medically appropriated, during the hospitalization

Secondary outcomes (12)
  1. Change in Perceived Dyspnea

    Dyspnea during the six minutes walk test through the BORG CR10 scale

    Measured: Daily, as soon as medically appropriated, during the hospitalization

  2. Change in Perceived discomfort in lower limbs

    Evaluated during the six minutes walk test through the BORG CR10 scale

    Measured: Daily, as soon as medically appropriated, during the hospitalization

  3. Change in Variation in Heart Rate

    It will be evaluated the variation in the Heart Rate during the six minutes walk test (Exercise Peak - rest)

    Measured: Daily, as soon as medically appropriated, during the hospitalization

  4. Change in the need of oxygen therapy

    Will be evaluated the need of oxygen therapy during the six minutes walk test

    Measured: Daily, as soon as medically appropriated, during the hospitalization

  5. Change in Handgrip Isometric Force

    It will be evaluated through a hand grip dynamometer.

    Measured: Daily, as soon as medically appropriated, during the hospitalization

  6. Change in General Quality of Life

    It will be evaluated through the SF-36 questionnaire

    Measured: first day of the protocol and at the day of discharge

  7. Change in Body Composition

    It will be performed through a body composition monitor, evaluating weight, body Fat percentage, Muscle Mass, Basal Metabolic Rate, Bone Mass and Total Body Water Percentage.

    Measured: Daily, as soon as medically appropriated, during the hospitalization

  8. Change in Forced Expiratory Volume in the First Second

    It will be evaluated through espirometry

    Measured: Daily, as soon as medically appropriated, during the hospitalization

  9. Days in hospital

    Measured: At the discharge

  10. Change in Reported Dyspnea

    It will be evaluated through the Modified Medical Research Concil Questionnaire

    Measured: Daily, as soon as medically appropriated, during the hospitalization

  11. Change in Heart Rate Variability

    It will be recorded through a cardiac monitor, and analized in the time and frequency domain, and non-linear analysis.

    Measured: first day of the protocol and at the day of discharge

  12. Quadriceps Isometric Force

    It will be evaluated through a hand held dynamometer.

    Measured: first day of the protocol and at the day of discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Feb 2011 (estimated)
  2. Study startMar 2011
  3. Primary completionAug 2012 (estimated)
  4. Study completionAug 2012 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01295359
Sponsor's protocol ID
DPOCexacaminhada
Status last verified
Feb 2011
First submitted
11 Feb 2011
Last updated
21 Mar 2011
Results posted
No
Data monitoring committee
No

Publications

  • Anderson D, Macnee W. Targeted treatment in COPD: a multi-system approach for a multi-system disease. Int J Chron Obstruct Pulmon Dis. 2009;4:321-35. doi: 10.2147/copd.s2999. Epub 2009 Sep 1.

    PubMed 19750192
  • ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7. doi: 10.1164/ajrccm.166.1.at1102. No abstract available.

    PubMed 12091180
  • Behnke M, Taube C, Kirsten D, Lehnigk B, Jorres RA, Magnussen H. Home-based exercise is capable of preserving hospital-based improvements in severe chronic obstructive pulmonary disease. Respir Med. 2000 Dec;94(12):1184-91. doi: 10.1053/rmed.2000.0949.

    PubMed 11192954
  • Burtin C, Clerckx B, Robbeets C, Ferdinande P, Langer D, Troosters T, Hermans G, Decramer M, Gosselink R. Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med. 2009 Sep;37(9):2499-505. doi: 10.1097/CCM.0b013e3181a38937.

    PubMed 19623052
  • Burge S, Wedzicha JA. COPD exacerbations: definitions and classifications. Eur Respir J Suppl. 2003 Jun;41:46s-53s. doi: 10.1183/09031936.03.00078002.

    PubMed 12795331
  • Celli BR, Cote CG, Marin JM, Casanova C, Montes de Oca M, Mendez RA, Pinto Plata V, Cabral HJ. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med. 2004 Mar 4;350(10):1005-12. doi: 10.1056/NEJMoa021322.

    PubMed 14999112
  • Eaton T, Young P, Fergusson W, Moodie L, Zeng I, O'Kane F, Good N, Rhodes L, Poole P, Kolbe J. Does early pulmonary rehabilitation reduce acute health-care utilization in COPD patients admitted with an exacerbation? A randomized controlled study. Respirology. 2009 Mar;14(2):230-8. doi: 10.1111/j.1440-1843.2008.01418.x.

    PubMed 19272084
  • Faganello MM, Tanni SE, Sanchez FF, Pelegrino NR, Lucheta PA, Godoy I. BODE index and GOLD staging as predictors of 1-year exacerbation risk in chronic obstructive pulmonary disease. Am J Med Sci. 2010 Jan;339(1):10-4. doi: 10.1097/MAJ.0b013e3181bb8111.

    PubMed 19926966
  • Gerardi DA, Lovett L, Benoit-Connors ML, Reardon JZ, ZuWallack RL. Variables related to increased mortality following out-patient pulmonary rehabilitation. Eur Respir J. 1996 Mar;9(3):431-5. doi: 10.1183/09031936.96.09030431.

    PubMed 8730000
  • Kovelis D, Segretti NO, Probst VS, Lareau SC, Brunetto AF, Pitta F. Validation of the Modified Pulmonary Functional Status and Dyspnea Questionnaire and the Medical Research Council scale for use in Brazilian patients with chronic obstructive pulmonary disease. J Bras Pneumol. 2008 Dec;34(12):1008-18. doi: 10.1590/s1806-37132008001200005. English, Portuguese.

    PubMed 19180335
  • Iucif N Jr, Rocha JS. [Study of inequalities in hospital mortality using the Charlson comorbidity index]. Rev Saude Publica. 2004 Dec;38(6):780-6. doi: 10.1590/s0034-89102004000600005. Epub 2004 Dec 10. Portuguese.

    PubMed 15608895
  • MacNee W, Tuder RM. New paradigms in the pathogenesis of chronic obstructive pulmonary disease I. Proc Am Thorac Soc. 2009 Sep 15;6(6):527-31. doi: 10.1513/pats.200905-027DS.

    PubMed 19741262
  • Mathers CD, Boerma T, Ma Fat D. Global and regional causes of death. Br Med Bull. 2009;92:7-32. doi: 10.1093/bmb/ldp028.

    PubMed 19776034
  • Nasis IG, Vogiatzis I, Stratakos G, Athanasopoulos D, Koutsoukou A, Daskalakis A, Spetsioti S, Evangelodimou A, Roussos C, Zakynthinos S. Effects of interval-load versus constant-load training on the BODE index in COPD patients. Respir Med. 2009 Sep;103(9):1392-8. doi: 10.1016/j.rmed.2009.03.003. Epub 2009 Apr 5.

    PubMed 19349153
  • Murphy N, Bell C, Costello RW. Extending a home from hospital care programme for COPD exacerbations to include pulmonary rehabilitation. Respir Med. 2005 Oct;99(10):1297-302. doi: 10.1016/j.rmed.2005.02.033. Epub 2005 Mar 31.

    PubMed 16140230

Questions about this trial

What is this clinical trial studying?

A study testing Ground Walking Program in people with Chronic Obstructive Pulmonary Disease, run by Universidade Federal de Sao Carlos at 1 site in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 21 Mar 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Juliano Ferreira Arcuri, Especialist (+55 (16) 97838283, julianoarcuri@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Exercise Capacity (time frame: Daily, as soon as medically appropriated, during the hospitalization). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01295359, which also lists 23 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Mar 2011.

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