Physical Training Program in Patients Hospitalized for Community-acquired Pneumonia

NCT02103400 | Completed DMC

• 1 other identifier: CAP2014
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Hospitalized patients with community-acquired pneumonia (CAP) have reduced functional capacity, peripheral muscle strength and quality of life. Despite the high incidence and severity has not yet been demonstrated whether a physical training program can change these outcomes. Objectives: To evaluate the effects of an exercise training program in patients hospitalized for CAP, to compare this effects with traditional physical therapy and assess whether the inflammatory markers correlate with the functional status of the patient and type of treatment. Methods: A controlled, prospective, randomized clinical trial. Patients hospitalized for CAP, adults, conscious, hemodynamically stable and independent to walk will be studied. In the first day, a medical history, measured dyspnea, incremental shuttle walk test, Glittre test, measurement of peripheral muscle strength, spirometry, and the application of quality of life questionnaire Shor Form 36 will be held. The measurement of inflammatory markers (C-reactive protein and tumor necrosis factor) will also be held. Patients will be randomized into two groups: one will perform a program of physical training (stretching, active resistance exercises and aerobic exercises) and the other group held the traditional physical therapy (bronchial hygiene, breathing exercises and walking) for eight days. On the tenth day the same assessment will be carried out initially described.

Conditions

Pneumonia

Outcome Measures

Primary Outcomes (1)

• Glittre test

  up to 9 months

Secondary Outcomes (1)

• Shuttle test

  up to 9 months

Study Arms (2)

Experimental group

EXPERIMENTAL

Patients hospitalized for community-acquired pneumonia

Other: Experimental group

Control group

ACTIVE COMPARATOR

Patients hospitalized for community-acquired pneumonia

Other: Control group

Interventions

Experimental group OTHER

Exercise Training Group

Also known as: -heating: exercise of free movement of upper and lower limbs, -stretching: stretching various muscle groups, -cardio training walk: 15 minute walk with a high speed, -peripheral muscle strength: exercises using Theraband (R)

Experimental group

Control group OTHER

Exercise control group

Also known as: -chest percussion: manual chest percussion, -vibrocompression: manual therapy to the chest, -cough: request for coughing, -breathing exercises: exercises for lung expansion, -Walk: 15 minutes of light walking

Control group

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinical diagnosis of pneumonia
• Must be able to walk
• Time less than 48 hours of hospitalization
• Age above 18 years
• Conscious and oriented
• Hemodynamically stable

You may not qualify if:

• Patients with other respiratory diseases
• Osteoarticular or cognitive disorders
• Patients who refuse to participate or complete the procedures

Sponsors & Collaborators

• University of Nove de Julho: lead

Study Sites (1)

Universidade Nove de Julho

São Paulo, São Paulo, Brazil

Location

Related Publications (1)

• Jose A, Dal Corso S. Inpatient rehabilitation improves functional capacity, peripheral muscle strength and quality of life in patients with community-acquired pneumonia: a randomised trial. J Physiother. 2016 Apr;62(2):96-102. doi: 10.1016/j.jphys.2016.02.014. Epub 2016 Mar 17.

  PMID: 26996093 DERIVED

MeSH Terms

Conditions

Pneumonia

Interventions

Walking; Control Groups; Breathing Exercises

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Lung Diseases; Respiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Locomotion; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise; Motor Activity; Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods; Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities

Study Officials

• Simone Dal Corso, PhD

  University of Nove de Julho

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof.

Study Record Dates

• First Submitted: March 22, 2014
• First Posted: April 3, 2014
• Study Start: March 1, 2014
• Primary Completion: November 1, 2014
• Study Completion: February 1, 2015
• Last Updated: March 31, 2016

Record last verified: 2016-03

Locations

BR (1)