The Effects of Creative Dance Based Exercise Training on Respiratory, Balance and Cognitive Functions, Respiratory and Peripheral Muscle Strength and Functional Capacity in Patients With Chronic Obstructive Pulmonary Disease (COPD)

NCT04039334 | Completed

• 1 other identifier: bvumkaya01
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

COPD is a common, preventable and treatable disease associated with an increased chronic inflammatory response of the airways and lungs to harmful gases and particles and characterized by progressive airflow restriction, which is usually progressive. Exercise intolerance is one of the most important outcomes of COPD. Dyspnea and leg fatigue are the main symptoms that limit exercise and patients restrict their activity to avoid these disturbing conditions. Exercise training is the most appropriate method for improving exercise tolerance and muscle function. It is considered and recommended by ERS and ATS as an essential component of PR. Endurance training is considered to be one of the most important components of the PR program. Walking, running, cycling, stair climbing, dancing are examples of endurance exercises. Dance-based exercise training; It is an entertaining method that increases physical, functional, cognitive, emotional and social integration. This alternative method has frequently been tried in the literature in the treatment of Parkinson's, cancer and psychiatric diseases and its effects on functional capacity, balance, and quality of life have been demonstrated. The importance of our research; This is the first study to apply dance based exercise training in chronic respiratory diseases. The aim of this study was to investigate the effect of creative dance based exercise training on respiratory, balance and cognitive functions, respiratory and peripheral muscle strength and functional capacity in COPD patients.

Conditions

COPD

Keywords

COPD; Creative Dance; Exercise Training; 6 Minute Walk Test; Pulmonary Function Test; Postural Stability; Cognitive Functions; Muscle Strength

Outcome Measures

Primary Outcomes (13)

• Respiratory Function Test

  Change from baseline forced vital capacity (FVC) at 8 weeks.

  Eight weeks

• Respiratory Function Test

  Change from baseline forced forced expiratory volume in 1 second at 8 weeks.

  Eight weeks

• Respiratory Function Test

  Change from baseline peak expiratory flow (PEF) at 8 weeks.

  Eight weeks

• COPD Assessment Test (CAT)

  Change from baseline CAT score at 8 weeks.

  Eight weeks

• BODE Index

  Change from baseline BODE score at 8 weeks.

  Eight weeks

• Balance

  Change from baseline postural stability test score in BIODEX Balance System at 8 weeks.

  Eight weeks

• Balance

  Change from baseline limits of stability test score in BIODEX Balance System at 8 weeks.

  Eight weeks

• Respiratory Muscle Strength

  Change from baseline maximum inspiratory pressure at 8 weeks.

  Eight weeks

• Respiratory Function Test

  Change from baseline maximum expiratory pressure at 8 weeks.

  Eight weeks

• Functional Capacity

  Change from baseline distance covered in six minute walk test at 8 weeks.

  Eight weeks

• Change from baseline handgrip strength at 8 weeks.

  Change from baseline m. quadriceps strength at 8 weeks.

  Eight weeks

• Change from baseline handgrip strength at 8 weeks.

  Change from baseline m. biceps strength at 8 weeks.

  Eight weeks

• Change from baseline handgrip strength at 8 weeks.

  Change from baseline handgrip strength at 8 weeks.

  Eight weeks

Study Arms (2)

Control Group

ACTIVE COMPARATOR

Patients in this group will receive conventional chest physiotherapy, two times a day, 5 days a week for 8 week. All exercise sessions will be performed at home.

Other: Conventional Chest Physiotherapy

Training Group

EXPERIMENTAL

In addition to conventional chest physiotherapy programme, patients in this group will also receive creative dance based exercise training for 60 minutes, 2 times in a week for 8 weeks. All exercise sessions will be supervised in a clinic per week.

Other: Conventional Chest Physiotherapy; Other: Creative Dance Based Exercise Training

Interventions

Conventional Chest Physiotherapy OTHER

Conventional chest physiotherapy programme will include diaphragmatic breathing exercise, thoracic expansion exercises, incentive spirometer exercise (Triflo), teaching of respiratory control, relaxing and coughing techniques.

Control Group; Training Group

Creative Dance Based Exercise Training OTHER

Creative dance based exercise training will be given under the supervision of a physiotherapist who takes creative dance instructor training 2 days and 60 minutes per week.

Training Group

Eligibility Criteria

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

You may qualify if:

• Having FEV1 / FVC \<70% from pulmonary function test
• Being older than 18 years
• To be able to read and understand Turkish

You may not qualify if:

• No exacerbation in 8 weeks.
• Attending current or regular exercise training in the last 1 year
• Having diagnosed vision, hearing, vestibular or neurological problems that may affect balance
• Having orthopedic, musculoskeletal or cardiovascular comorbid conditions that may affect ambulation
• Being on long-term oxygen therapy

Sponsors & Collaborators

• Bezmialem Vakif University: lead

Study Sites (1)

Bezmialem Vakif University, Department of Physiotheraphy and Rehabilitation

Istanbul, Turkey (Türkiye)

Location

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: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Asistant, PT

Study Record Dates

• First Submitted: July 26, 2019
• First Posted: July 31, 2019
• Study Start: September 1, 2019
• Primary Completion: January 31, 2021
• Study Completion: January 31, 2021
• Last Updated: February 5, 2021

Record last verified: 2021-02

Locations

TU (1)