NCT04254159

Brief Summary

The aim of the randomized controlled study is to investigate the effects of NMES superimposed on voluntary contraction combined with patient education and exercise training program in patients with chronic obstructive pulmonary disease.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for not_applicable asthma

Timeline
Completed

Started Dec 2019

Shorter than P25 for not_applicable asthma

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 5, 2019

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

February 2, 2020

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 2, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

February 5, 2020

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 22, 2020

Completed
Last Updated

February 10, 2022

Status Verified

February 1, 2022

Enrollment Period

2 months

First QC Date

February 2, 2020

Last Update Submit

February 9, 2022

Conditions

Keywords

AsthmaNeuromuscular Electrical StimulationQuadriceps Muscle StrengthQuality of Life

Outcome Measures

Primary Outcomes (4)

  • Sit to Stand Test

    Quadriceps muscle endurance will be evaluated with this test

    8 weeks

  • Muscle Strength Test

    Jtech Commander Power Track Muscle Testing Dynamometer, USA which quantifies muscle power will be used to assess the maximum voluntary contractions of quadriceps muscle in pound meter.

    8 weeks

  • Six Minute Walking Test

    Six-Minute Walking Test (6MWT) was used to evaluate functional capacity of volunteers.

    8 weeks

  • Asthma Quality of Life Scale (AQOL)

    Asthma quality of life questionnaire will utilize to assess quality of life of participants over two weeks prior to interview which is validated in Turkish population by Alpaydın et al.

    8 weeks

Secondary Outcomes (5)

  • Modified Medical Research Council (MMRC) Dyspnea Scale

    8 weeks

  • Physical Activity Questionnaire for Elderly (PASE)

    8 weeks

  • Time Up and Go Test

    8 weeks

  • Pulmonary Function Test

    8 weeks

  • Respiratory Muscle Strength Testing

    8 weeks

Study Arms (2)

Neuromuscular Electrical Stimulation Group

EXPERIMENTAL

Asthma Education Aerobic Exercise Quadriceps Strengthening by superimposed NMES

Other: Superimposed Neuromuscular Electrical StimulationBehavioral: Patient Education ProgramOther: Aerobic Exercise Training

Control Group

ACTIVE COMPARATOR

Asthma Education Aerobic Exercise Quadriceps Strengthening

Other: Quadriceps StrengtheningBehavioral: Patient Education ProgramOther: Aerobic Exercise Training

Interventions

NMES will be applied during each strengthening exercise session. A dual channel NMES stimulation device will be used with biphasic symmetric constant current impulses with a pulse width 300ms, a frequency of 50 Hz and a duty cycle of 10s on and 20s off protocol for 3 days a week for eight weeks.

Neuromuscular Electrical Stimulation Group

Quadriceps strength training will be done with resistive elastics bands for 3 days a week for eight weeks.

Control Group

The aim of patient education is to increase awareness of patients about COPD and develop skills to better manage their disease. The patient education will be performed at least once via face to face interview. Education topics will be covered basic information about COPD, environmental risk factors, monitoring and managing the signs and symptoms of their disease, energy conservation techniques and relaxation positions to reduce dyspnea and usage of a specific inhaler.

Control GroupNeuromuscular Electrical Stimulation Group

Exercise training will be comprised of cardiovascular endurance training with cycle ergometer and lower extremity strength training. The exercises will be done 3 days a week at the clinic under the supervision of physiotherapist. Total duration of exercise training will last for 8 weeks

Control GroupNeuromuscular Electrical Stimulation Group

Eligibility Criteria

Age65 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • Having stable asthma
  • Participating to the study in a voluntary basis
  • Being 65 - 75 years old
  • Having 2 point or over score from "Modified Medical Research Council (MMRC)" Dyspnea Scale
  • Being motivated to participate and follow exercise program

You may not qualify if:

  • Having an asthma exacerbation in a last month
  • Other respiratory problems
  • Ischemic heart disease
  • Congestive heart disease
  • Pacemaker
  • Acute Cor Pulmonale
  • Neurological Diseases
  • Osteoporosis
  • Smoking

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Kadıköy Municipality Social Life Center

Istanbul, Kadıköy, 34736, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Asthma

Condition Hierarchy (Ancestors)

Bronchial DiseasesRespiratory Tract DiseasesLung Diseases, ObstructiveLung DiseasesRespiratory HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Physiotherapist

Study Record Dates

First Submitted

February 2, 2020

First Posted

February 5, 2020

Study Start

December 5, 2019

Primary Completion

February 2, 2020

Study Completion

May 22, 2020

Last Updated

February 10, 2022

Record last verified: 2022-02

Locations