Energy Conservation Technique in COPD Patients

NCT03564028 | Completed

• 1 other identifier: 2018-A00566-49
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic obstructive pulmonary disease (COPD) is characterised by non-reversible bronchial obstruction associated with systemic disorders and comorbid factors. Dynamic hyperinflation during an exercise increase dyspnea and can reduce exercise capacity. Stair climbing is associated with prolonged dynamic hyperinflation and severe dyspnea in COPD patients. The aim of this study is to carry out the effect of an energy conservation technique on dyspnea to facilitate stair climbing.

Conditions

Chronic Obstructive Pulmonary Disease

Keywords

COPD; daily activity; stair climbing; rehabilitation

Outcome Measures

Primary Outcomes (1)

• Difference in Dyspnea at iso time and at time limit between the two sessions

  Difference in dyspnea using Modified Borg Scale (0 - 10 points) 0=no dyspnea ; 10 = maximal effort

  The outcome will be measured before, at the end and every one minute during the stair climbing sessions. The two stair climbing sessions will perform the same day, separate from 30 minutes minimum for a total time frame of 1 day.

Secondary Outcomes (8)

• difference in time required for the patient to climb the 6 floors

  The outcome will be collected at the end of each sessions. The two stair climbing sessions will perform the same day, separate from 30 minutes minimum for a total time frame of 1 day.

• Difference in respiratory rate

  Data will be continuously collected during every sessions. The two stair climbing sessions will perform the same day, separate from 30 minutes minimum for a total time frame of 1 day.

• Difference in inspiratory capacity

  The outcome will be collected before and at the end of each sessions (within 2 minutes after the end). The two stair climbing sessions will perform the same day, separate from 30 minutes minimum for a total time frame of 1 day.

• Difference in Cardiac Frequency

  Data will be continuously collected during every sessions. The two stair climbing sessions will perform the same day, separate from 30 minutes minimum for a total time frame of 1 day.

• Difference in Oxygen Saturation

  Data will be continuously collected during every sessions. The two stair climbing sessions will perform the same day, separate from 30 minutes minimum for a total time frame of 1 day.

Study Arms (2)

energy conservation technique

EXPERIMENTAL

Patients will perform one session of stair climbing of 108 steps (corresponding to 6 floors).

Other: energy conservation technique

Control session

OTHER

Patients will perform one session of stair climbing of 108 steps (corresponding to 6 floors).

Other: control session

Interventions

energy conservation technique OTHER

During the session of stair climbing, patients will perform a break at least of 5 seconds every 3 steps.

energy conservation technique

control session OTHER

Patients will realize one session of stair climbing at their own pace

Control session

Eligibility Criteria

• Age: 35 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• a diagnosis of COPD
• Dyspnea in daily living (2-4 on the modified medical research council dyspnea scale)
• clinically stable

You may not qualify if:

• exercise contraindication Any musculoskeletal problems, cardiovascular or neurological comorbidities that limits exercise.
• exacerbation during the study
• inability to climb 6 floors

Sponsors & Collaborators

• Groupe Hospitalier du Havre: lead

Study Sites (1)

Groupe Hospitalier du Havre

Le Havre, Normandy, 76290, France

Location

Related Publications (1)

• Prieur G, Combret Y, Medrinal C, Arnol N, Bonnevie T, Gravier FE, Quieffin J, Lamia B, Reychler G, Borel JC. Energy conservation technique improves dyspnoea when patients with severe COPD climb stairs: a randomised crossover study. Thorax. 2020 Jun;75(6):510-512. doi: 10.1136/thoraxjnl-2019-214295. Epub 2020 Mar 26.

  PMID: 32217783 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 Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Patients will perform two stair climbing sessions (each session include 108 steps) under two different conditions on the same day with at least 30 minutes of rest between the two sessions. the order of the two conditions will be randomly assigned

Study Record Dates

• First Submitted: June 11, 2018
• First Posted: June 20, 2018
• Study Start: July 23, 2018
• Primary Completion: March 29, 2019
• Study Completion: March 29, 2019
• Last Updated: April 3, 2019

Record last verified: 2019-04

Data Sharing

• IPD Sharing: Will share

Locations

FR (1)