Chronic Obstructive Pulmonary Disease Clinical Trial
Official title:
The Effect of a Respiratory Muscle Warm-up Prior to Exercise in Patients With Chronic Obstructive Pulmonary Disease (COPD)
The purpose of this study is to investigate the effects of performing a breathing muscle warm up before exercise in patients who have chronic obstructive pulmonary disease (COPD). The main aim is to see whether performing a breathing muscle warm up can improve distance walked in a 6 minute walk test and also decrease perceptions of effort and breathlessness.
The study will follow a counter-balanced repeated measures design involving six visits to
the exercise laboratory. Following pre-screening and familiarisation (visits 1 and 2),
participants will perform inspiratory warm up, expiratory warm up, combination warm up and
control trials (visits 3 - 6) in a counter-balanced order separated by at least 48 hours
between trials.
The four separate sessions will contain: lung function measurements assessed by performing
breathing manoeuvres through a mouthpiece (spirometery or body plethysmography) before
performing a breathing muscle warm up by breathing against a resistance through a small
handheld device (PowerLung). Participants will then be asked perform a second set of lung
function measurements and will then be asked to perform a 6 minute walk test wearing a face
mask and a portable device (gas analysis), a small device clipped to a finger (pulse
oximeter) and wearing a heart rate monitor. During this 6 minute walk test participants will
also be asked to rate their perceived effort and level of breathlessness at 60m intervals.
Following the test there will be a period of seated rest wearing the face mask and portable
device for up to 20 minutes with one more set of lung function measurements.
;
Allocation: Randomized, Intervention Model: Factorial Assignment, Masking: Open Label
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