Effects of Tai Chi for Early Pulmonary Rehabilitation in Elderly Patients With AECOPD

NCT05986448 | Completed

• 1 other identifier: 2022-35
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn about the therapeutic effect of Chinese traditional exercise Tai Chi in elderly acute exacerbation of chronic obstructive pulmonary disease (AECOPD) with malnutrition. The main questions it aims to answer are:

1. 1.Improvement of pulmonary function in patients with Tai Chi exercise;
2. 2.Improvement of pulmonary function in patients with Tai Chi exercise.
3. 3.Providing basic nursing care and protection for patients according to their needs, paying attention to the care of patients' airways, and providing relevant protection and auxiliary interventions according to the needs of patients when carrying out nebulized inhalation interventions;
4. 4.Customized nutritional supplementation recipes by specialists in clinical nutrition, giving high-protein and low-carbohydrate diets, and giving enteral or parenteral nutritional support to those who have insufficient food intake through the mouth;
5. 5.Carrying out health education and psychological care to alleviate the patients' psychological burdens.

Conditions

Pulmonary Disease, Chronic Obstructive

Outcome Measures

Primary Outcomes (2)

• BODE index

  Body Mass Index (B), the degree of airflow obstruction (O), dyspnea (D), exercise capacity (E)

  Measurements of BODE index will be taken prior to the start of the trial and at 6 months after the start of the trial.

• Plasma total protein

  Measurements of plasma total protein will be taken prior to the start of the trial and at 6 months after the start of the trial.

Secondary Outcomes (2)

• Plasma albumin

  Measurements of plasma albumin will be taken prior to the start of the trial and at 6 months after the start of the trial.

• Plasma prealbumin

  Measurements of plasma prealbumin will be taken prior to the start of the trial and at 6 months after the start of the trial.

Study Arms (2)

Tai-chi group

EXPERIMENTAL

Basic care measures and Tai-chi exercise

Behavioral: Tai-chi exercise

control group

NO INTERVENTION

Basic care measures

Interventions

Tai-chi exercise BEHAVIORAL

Traditional Chinese Tai Chi Movement

Tai-chi group

Eligibility Criteria

• Age: 60 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• ≥60 and ≤85 years of age;
• Clinical diagnosis of COPD according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria;
• Patients admitted to the hospital for treatment of chronic, repetitive coughing and severe dyspnea;
• NRS-2002 Nutritional Risk Screening Scale score ≧3, suggesting malnutrition;
• Conscious, able to perform normal verbal communication and without motor dysfunction

You may not qualify if:

• People with impaired consciousness or invasive mechanical ventilation who were unable to fully understand and cooperate with the experiment;
• People with active tuberculosis, lung cancer, asthma and other diseases limiting ventilation;
• People with impaired motor function;
• People with serious life-threatening diseases of other systems and malignant tumors;
• People with heart failure (NYHA stage IV).

Sponsors & Collaborators

• Houmei SHEN: lead

Study Sites (1)

Anqing Hospital Affiliated to Anhui Medical University

Anqing, Anhui, China

Location

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Interventions

Aquatic Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Hydrotherapy; Physical Therapy Modalities; Therapeutics; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Senior nursing officer, Department of Emergency Medicine, Anqing Hospital Affiliated to Anhui Medical University, China

Study Record Dates

• First Submitted: July 22, 2023
• First Posted: August 14, 2023
• Study Start: February 1, 2022
• Primary Completion: January 1, 2023
• Study Completion: January 2, 2023
• Last Updated: August 15, 2023

Record last verified: 2023-08

Locations

CN (1)