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COPD (Chronic Obstructive Pulmonary Disease)NCT07122544

Pulmonary Rehabilitation in Salt Chambers for Patients With COPD

A study testing Therapeutic stay in subterranean sanatorium chambers (microclimate therapy), Breathing exercises and General fitness exercises in people with COPD (Chronic Obstructive Pulmonary Disease), run by University School of Physical Education, Krakow, Poland at 1 site in Poland.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Title: The Impact of Pulmonary Rehabilitation Conducted in Therapeutic Salt Chambers on the Clinical Condition of Patients with Chronic Obstructive Pulmonary Disease Background and Rationale: Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory disorder that significantly reduces patients' quality… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Therapeutic stay in subterranean sanatorium chambers (microclimate therapy), Breathing exercises and General fitness exercises
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 sitePoland
Study dates
1 Sep 2025to 1 Jan 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • COPD diagnosis confirmed by a pulmonology specialist according to the 2025 GOLD guidelines.
  • FEV1 ≥ 30% of the predicted value.
  • FEV1/FVC < 0.7 after bronchodilator administration in spirometry.
  • Negative bronchodilator reversibility test.
  • Voluntary written consent to participate in the study.

Who cannot join

  • COPD exacerbation.
  • Active cancer or a history of cancer within the past five years.
  • Musculoskeletal disorders preventing independent movement and participation in exercise tests and training included in the study protocol.
  • Recent (within six months) surgical procedure or trauma to the chest, abdomen, skull, brain, or eye area.
  • Severe valvular heart disease.
  • Implanted cardioverter-defibrillator.
Show all 17Show fewer
  • Diagnosed arrhythmias posing a risk of loss of consciousness.
  • Acute coronary artery disease.
  • Epilepsy.
  • Uncontrolled arterial hypertension despite medication.
  • Primary or secondary immunodeficiencies.
  • Respiratory failure requiring chronic or intermittent oxygen therapy.
  • Infectious diseases with fever during the experiment or within two weeks before the study.
  • Claustrophobia.
  • Pregnancy.
  • Simultaneous participation in another rehabilitation program.
  • Significant changes in pharmacological treatment during the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Poland1 site, 1 recruiting
  • AKF Kraków

    Krakow, Małopolska, 30-009

    Paweł Janus, master, *48 502189055, pawel.janus@doctoral.awf.krakow.pl

    Recruiting

Other trials in Poland

About this study

Official title: The Impact of Pulmonary Rehabilitation Conducted in Therapeutic Salt Chambers on the Clinical Status of Patients With Chronic Obstructive Pulmonary Disease (COPD)

Title: The Impact of Pulmonary Rehabilitation Conducted in Therapeutic Salt Chambers on the Clinical Condition of Patients with Chronic Obstructive Pulmonary Disease

Background and Rationale:

Read more

Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory disorder that significantly reduces patients' quality of life and functional capacity. In the search for supportive therapeutic strategies, there is growing interest in unconventional therapeutic environments such as therapeutic salt chambers. The underground climate of the "Wieliczka" Salt Mine in Poland - characterized by humidity 60-75%, temperature 12.9-14.5°C, high air purity and ionization - has shown therapeutic potential. However, the clinical effects of pulmonary rehabilitation conducted in such an environment in COPD patients remain insufficiently documented.

Study Objective:

To evaluate the effect of pulmonary rehabilitation and climatic therapy conducted in underground salt chambers on the clinical condition of patients with stable COPD.

Research Question:

Does pulmonary rehabilitation conducted in a subterranean salt mine environment offer measurable clinical benefits compared to standard surface-based rehabilitation?

Study Design and Methods:

This is a randomized, controlled, four-arm interventional study including 80 adult patients with a confirmed diagnosis of COPD according to the GOLD 2025 criteria. Participants will be randomly assigned to one of four groups:

Group A: Pulmonary rehabilitation in underground therapeutic salt chambers (physical training + microclimate exposure).

Group B: Pulmonary rehabilitation in a surface-level gymnasium (physical training without microclimate exposure).

Group C: Passive stay in underground salt chambers (microclimate exposure without physical training).

Group D: Health education only (control group, surface level).

The intervention program consists of 16 consecutive working days of 3-hour daily sessions. The content of the rehabilitation varies depending on the assigned group and includes general conditioning exercises, respiratory exercises, relaxation training, and health education.

Outcome Measures and Assessment Tools:

Clinical assessments will be conducted at three time points: prior to the intervention (T0), immediately after the intervention (T1), and at a 3-month follow-up (T2 - for Groups A and B only). The monitored variables include:

Exercise Tolerance: Incremental Shuttle Walk Test (ISWT)

Health-Related Quality of Life: St. George's Respiratory Questionnaire

COPD Symptoms and Risk Indexes: COPD Assessment Test (CAT), BODE Index

Muscle Strength: Deadlift test, hand dynamometer, 30-second Chair Stand Test

Respiratory Muscle Strength: Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP)

Body Composition: Bioelectrical Impedance Analysis (BIA)

Dyspnea Scales: Borg Scale, modified Medical Research Council (mMRC) scale

Chest Mobility: Measuring tape assessment

The study is designed to evaluate both the immediate and long-term effects of different pulmonary rehabilitation models on clinical outcomes in COPD patients, with a focus on whether the underground environment enhances rehabilitation efficacy.

Being tested
Therapeutic stay in subterranean sanatorium chambers (microclimate therapy), Breathing exercises, General fitness exercises, Relaxation training, Health education
Keywords
speleotherapy
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.

  • Therapeutic stay in subterranean sanatorium chambers (microclimate therapy)Behavioural

    Characteristics of the underground environment in the Wieliczka sanatorium chambers:

    Stable climatic conditions: relative humidity ranging from 60-75%, temperature between 12.9-14.5°C; High chemical and biological air purity; Mineral content in the air: 2.7-8.1 mg/m³, consisting mainly of chloride, sodium, potassium, calcium, and fluoride ions; Air ionization: 1,200-4,700 aeroions/cm³ of air. Elevated atmospheric pressure: increased by approximately 16-20 mmHg compared to surface conditions.

  • Breathing exercisesBehavioural

    30 minutes daily. Breathing exercises will include active respiratory exercises, drainage and effective coughing techniques, resistance training of the respiratory muscles, chest mobilization and relaxation exercises, breathing through pursed lips, as well as short and prolonged exhalation exercises.

  • General fitness exercisesBehavioural

    30 minutes daily. General conditioning exercises will incorporate components aimed at improving overall aerobic capacity (e.g., walking-based activities, dance routines, step exercises), flexibility and coordination (e.g., stretching and balance exercises), and strength (e.g., exercises using resistance bands or dumbbells). The training will be conducted in interval, circuit, and free-form formats. Resistance levels will be individually adjusted to the patient's capacity.

  • Relaxation trainingBehavioural

    30 minutes, once during the entire cycle. Relaxation training will include rest in a seated position, with dimmed lighting and calming music.

  • Health educationBehavioural

    Educational materials in printed form for distribution covering the following topics:

    COPD - information about the disease;

    Breathing exercises and bronchial hygiene;

    Benefits of physical activity, including examples of exercises that can be performed at home.

Study groups in NCT07122544
Study groupRoleWhat they receive
Pulmonary Rehabilitation in Salt ChambersExperimentalParticipants undergo a 16-day pulmonary rehabilitation program conducted in therapeutic salt chambers. The intervention includes general fitness, respiratory and relaxation exercises, health education. Conducted under supervision of a multidisciplinary team (physiotherapist, nurse, dietitian, physician). Sessions take place in the underground salt chambers of the "Wessel" complex (Salt Mine 'Wieliczka', Wieliczka, Poland).
Receives: Behavioral: Therapeutic stay in subterranean sanatorium chambers (microclimate therapy); Behavioral: Breathing exercises; Behavioral: General fitness exercises; Behavioral: Relaxation training; Behavioral: Health education
Surface RehabilitationActive comparatorParticipants undergo the same 16-day pulmonary rehabilitation program as in Arm 1, but conducted in standard surface conditions without exposure to salt chamber microclimate.
Receives: Behavioral: Breathing exercises; Behavioral: General fitness exercises; Behavioral: Relaxation training; Behavioral: Health education
Passive Stay in Salt ChambersExperimentalParticipants attend daily 180-minutes passive sessions in therapeutic salt chambers for 16 days, without any physical exercise component.
Receives: Behavioral: Therapeutic stay in subterranean sanatorium chambers (microclimate therapy); Behavioral: Health education
Health education onlyActive comparatorParticipants receive printed materials and general health education related to COPD management. No supervised exercise or microclimatic exposure is included.
Receives: Behavioral: Health education

What is being measured

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

  1. Change in exercise tolerance (ISWT distance)

    Incremental Shuttle Walk Test (ISWT) used to assess functional exercise tolerance in COPD patients. Measured as distance walked in meters. Evaluates change from baseline to post-intervention and at 3-month follow-up to assess immediate and sustained effects of rehabilitation.

    Measured: Baseline (Day 1), Post-intervention (Day 18), 3 months follow-up (Day 108)

  2. Change in quality of life (SGRQ-C total score)

    St. George's Respiratory Questionnaire version COPD (SGRQ-C) measures disease-specific quality of life.

    Measured: Baseline (Day 1), Post-intervention (Day 18), 3 months follow-up (Day 108)

Secondary outcomes (6)
  1. Change in Respiratory Muscle Strength

    Respiratory Muscle Strength: Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP)

    Measured: Baseline (Day 1), Post-intervention (Day 18), 3 months follow-up (Day 108)

  2. Change in Chest Mobility

    Measured using thoracic expansion assessment during respiration.

    Measured: Baseline (Day 1), Post-intervention (Day 18), 3 months follow-up (Day 108)

  3. Change in COPD Symptoms Severity

    Evaluated using the COPD Assessment Test (CAT).

    Measured: Baseline (Day 1), Post-intervention (Day 18), 3 months follow-up (Day 108)

  4. Change in Dyspnea Severity

    Measured using the Modified Medical Research Council (mMRC) Dyspnea Scale and Borg Dyspnea Scale.

    Measured: Baseline (Day 1), Post-intervention (Day 18), 3 months follow-up (Day 108)

  5. Change in Muscle Strength

    Assessed with the 30-Second Chair Stand Test (30sCST), handgrip dynamometry, and deadlift strength test.

    Measured: Baseline (Day 1), Post-intervention (Day 18), 3 months follow-up (Day 108)

  6. Thigh circumference

    Circumferential measurement of both thighs at their widest point with a tailor's tape measure.

    Measured: Baseline (Day 1), Post-intervention (Day 18), 3 months follow-up (Day 108)

Timeline

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

  1. First posted14 Aug 2025
  2. Study start1 Sep 2025
  3. Primary completion1 Jan 2027 (estimated)
  4. Study completion1 Jan 2028 (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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07122544
Sponsor's protocol ID
169/MN/SD/2025
Status last verified
Jul 2025
First submitted
30 Jul 2025
Last updated
26 Nov 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Therapeutic stay in subterranean sanatorium chambers (microclimate therapy), Breathing exercises and General fitness exercises in people with COPD (Chronic Obstructive Pulmonary Disease), run by University School of Physical Education, Krakow, Poland at 1 site in Poland.

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 5 inclusion and 17 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: looking for participants now, as of the sponsor's last update on 26 Nov 2025. 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 Poland. 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?

This study is still under way. Results are not available in the source record yet.

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

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in exercise tolerance (ISWT distance) (time frame: Baseline (Day 1), Post-intervention (Day 18), 3 months follow-up (Day 108)). 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?
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 26 Nov 2025.

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