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

NCT02329873 | Completed

• 1 other identifier: ER-100-202
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

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.

Conditions

Chronic Obstructive Pulmonary Disease (COPD)

Keywords

Acute exacerbation of chronic obstructive pulmonary disease; Older adults; Respiratory rehabilitation exercise

Outcome Measures

Primary Outcomes (1)

• Change from baseline in dyspnea at 4th day

  Measured by the Borg Rating of Perceived Exertion Scale.

  At baseline and at the 4th day of the study

Secondary Outcomes (3)

• Change from baseline in cough severity at 4th day

  At baseline and at the 4th day of the study

• Change from baseline in exercise tolerance at 4th day

  At baseline and at the 4th day of the study

• Change from baseline in sputum expectoration at 4th day

  At baseline and at the 4th day of the study

Study Arms (2)

Experimental group

EXPERIMENTAL

Respiratory rehabilitation exercise training 2 times/day, 10-30 minutes per session for 4 days.

Behavioral: Respiratory rehabilitation exercise training

Control group

NO INTERVENTION

Control group received usual care and health education.

Interventions

Respiratory rehabilitation exercise training BEHAVIORAL

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.

Also known as: Respiratory rehabilitation

Experimental group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Chest Hospital, Ministry of Health and Welfare, Taiwan: lead

Study Sites (1)

Chest Hospital, Ministry of Health and Welfare

Kaohsiung City, 71742, Taiwan

Location

Related Publications (1)

• Liao LY, Chen KM, Chung WS, Chien JY. Efficacy of a respiratory rehabilitation exercise training package in hospitalized elderly patients with acute exacerbation of COPD: a randomized control trial. Int J Chron Obstruct Pulmon Dis. 2015 Aug 27;10:1703-9. doi: 10.2147/COPD.S90673. eCollection 2015.

  PMID: 26345529 DERIVED

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Lin-Yu Liao, MS

  Chest Hospital, Ministry of Health and Welfare, Taiwan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head Nurse

Study Record Dates

• First Submitted: December 15, 2014
• First Posted: January 1, 2015
• Study Start: November 1, 2011
• Primary Completion: December 1, 2012
• Study Completion: December 1, 2012
• Last Updated: January 1, 2015

Record last verified: 2014-12

Locations

TW (1)