Single Leg Cycling in COPD: Knowledge Translation to Pulmonary Rehabilitation
Pulmonary rehabilitation (PR) with supervised exercise training is a key part of care for patients with chronic lung disease (COPD). Patients can improve their shortness of breath, walking distance and quality of life. However, many patients do not improve their overall fitness. They are too breathless to train at a high enough intensity. In a laboratory training study, patients with COPD improved their overall fitness by using single leg cycling. Despite this knowledge, single leg cycling has not been used clinically. The objective of this project is to use and assess single leg cycling in a clinical setting. Single leg cycling can be incorporated into a clinical service (replacing traditional two legged cycling) as the predominant aerobic training strategy, resulting in improvements in cardio-respiratory fitness (peak oxygen uptake).
|Study Design:||Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Single Leg Cycling in COPD: Knowledge Translation to Pulmonary Rehabilitation|
- Change in peak oxygen uptake achieved by incremental cycle ergometry [ Time Frame: Measured at the end of an average of eight weeks of pulmonary rehabilitation compared to baseline ] [ Designated as safety issue: No ]A full incremental cardiopulmonary exercise test will be performed on a cycle ergometer to symptom limitation with expiratory gas analysis.
|Study Start Date:||July 2011|
|Estimated Study Completion Date:||September 2013|
|Estimated Primary Completion Date:||September 2013 (Final data collection date for primary outcome measure)|
Experimental: Pulmonary Rehabilitation
Patients will undergo the usual pulmonary rehabilitation programme but instead of two-legged cycling they will undergo single leg cycling where they cycle with one leg for 10-15mins and then the other in the same session.
Other: Pulmonary Rehabilitation
Pulmonary Rehabilitation (PR) is a short course 6-12 weeks of supervised exercise training and education for patients with COPD. This is part of their usual treatment. This study is replacing two-legged cycling with single leg training. Patients will have the usual PR outcome measures assessed but in addition will have a laboratory exercise test.
|Contact: Roger S Goldstein, MBChB||RGoldstein@westpark.org|
|Contact: Julia Romano, MScemail@example.com|
|West Park Healthcare Centre||Recruiting|
|Toronto, Ontario, Canada, M6M 2J5|
|Contact: Roger S Goldstein, MBChB firstname.lastname@example.org|
|Contact: Julia Romano, MSc email@example.com|
|Principal Investigator: Roger S Goldstein, MBChB|
|Sub-Investigator: Tom E Dolmage, MSc|
|Sub-Investigator: Julia Romano, MSc|
|Sub-Investigator: Rachael A Evans, MBChB|
|Sub-Investigator: Suzanna Mangovski-alzamora, PT|
|Sub-Investigator: Dina Brooks, PT, PhD|
|Principal Investigator:||Roger S Goldstein, MBChB||West Park Healthcare Centre|