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Respiratory Rehabilitation Exercises in Older Adults With Acute Exacerbations of Chronic Obstructive Pulmonary Disease

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ClinicalTrials.gov Identifier: NCT02329873
Recruitment Status : Completed
First Posted : January 1, 2015
Last Update Posted : January 1, 2015
Sponsor:
Information provided by (Responsible Party):
Lin-Yu Liao, Chest Hospital, Ministry of Health and Welfare, Taiwan

Brief Summary:
The purpose of this randomized controlled trial was to evaluate the effects of a respiratory rehabilitation exercise training package on dyspnea, cough, exercise tolerance, and sputum expectoration of hospitalized elderly patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Using purposive sampling, 61 participants were recruited and randomly assigned to either the experimental group (n = 30) or the control group (n = 31). The experimental group participants received the respiratory rehabilitation exercise training twice a day and 10-30 minutes per session for four days. The control group participants received usual care and health education. Data were collected at baseline and at the end of the four-day intervention.

Condition or disease Intervention/treatment Phase
Chronic Obstructive Pulmonary Disease (COPD) Behavioral: Respiratory rehabilitation exercise training Not Applicable

Detailed Description:
The respiratory rehabilitation exercise training package included: (a) Disease awareness: The doctor explained the disease to patients and their families through the chest X-ray, (b) Sputum clearance treatments: Easily understood postural drainage cards were provided to the patients and families to assist with proper sputum clearance procedures, (c) Pursed lip breathing training: Devices were provided to the patients to ensure that the breathing exercises were completed properly, (d) Upper-limb exercise with breathing pranayama: Towels were provided to the patients to assist with upper-limb exercises properly, (e) Walking training with breathing pranayama: Legs were elevated while inhaling, and returned to the position while exhaling, and (f) Assign a pulmonary rehabilitation program coordinator: Coordinators were assigned to assist the patients in nutrition management and health education.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 61 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Efficacy of the Respiratory Rehabilitation Exercise Training Package in Hospitalized Elderly Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Randomized Control Trial
Study Start Date : November 2011
Actual Primary Completion Date : December 2012
Actual Study Completion Date : December 2012

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Experimental group
Respiratory rehabilitation exercise training 2 times/day, 10-30 minutes per session for 4 days.
Behavioral: Respiratory rehabilitation exercise training
The respiratory rehabilitation exercise training package was conducted twice a day and 10-30 minutes per session for 4 days: (a) disease awareness, (b) sputum clearance treatments, (c) pursed lip breathing training, (d) upper-limb exercise with breathing pranayama, (e) walking training with breathing pranayama, and (f) assign a pulmonary rehabilitation program coordinator.
Other Name: Respiratory rehabilitation

No Intervention: Control group
Control group received usual care and health education.



Primary Outcome Measures :
  1. Change from baseline in dyspnea at 4th day [ Time Frame: At baseline and at the 4th day of the study ]
    Measured by the Borg Rating of Perceived Exertion Scale.


Secondary Outcome Measures :
  1. Change from baseline in cough severity at 4th day [ Time Frame: At baseline and at the 4th day of the study ]
    Measured by the visual analog scale.

  2. Change from baseline in exercise tolerance at 4th day [ Time Frame: At baseline and at the 4th day of the study ]
    Measured by the 6-minute walk distance

  3. Change from baseline in sputum expectoration at 4th day [ Time Frame: At baseline and at the 4th day of the study ]
    Assessed by recording the patients' feelings regarding sputum expectoration during the previous day.



Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria:

  1. diagnosed with moderate COPD with moderate acute exacerbation
  2. over 65 years of age
  3. conscious clear
  4. with shortness of breath or dyspnea that was not caused by heart disease, pneumothorax, or pulmonary edema
  5. had received bronchodilator aerosol therapy or antibiotic treatment, but had not been treated with an antitussive

Exclusion Criteria:

  1. unstable vital signs
  2. blood oxygen concentration lower than 90%
  3. unstable psychological status, hemoptysis, pneumothorax, pulmonary edema, or using the respirator

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02329873


Locations
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Taiwan
Chest Hospital, Ministry of Health and Welfare
Kaohsiung, Taiwan, 71742
Sponsors and Collaborators
Chest Hospital, Ministry of Health and Welfare, Taiwan
Investigators
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Principal Investigator: Lin-Yu Liao, MS Chest Hospital, Ministry of Health and Welfare, Taiwan
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Lin-Yu Liao, Head Nurse, Chest Hospital, Ministry of Health and Welfare, Taiwan
ClinicalTrials.gov Identifier: NCT02329873    
Other Study ID Numbers: ER-100-202
First Posted: January 1, 2015    Key Record Dates
Last Update Posted: January 1, 2015
Last Verified: December 2014
Keywords provided by Lin-Yu Liao, Chest Hospital, Ministry of Health and Welfare, Taiwan:
Acute exacerbation of chronic obstructive pulmonary disease
Older adults
Respiratory rehabilitation exercise
Additional relevant MeSH terms:
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Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Respiratory Tract Diseases