Energy Conservation Technique in COPD Patients

Chronic Obstructive Pulmonary Disease Clinical Trial

— UpstAIR  

Official title:

Effects of Energy Conservation Technique During Stair Climbing in COPD Patients : a Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03564028
• Other study ID #: 2018-A00566-49
• Status: Completed
• Phase: N/A
• Start date: July 23, 2018
• Est. completion date: March 29, 2019

Study information

• Verified date: April 2019
• Source: Groupe Hospitalier du Havre
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 22
• Est. completion date: March 29, 2019
• Est. primary completion date: March 29, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 35 Years to 85 Years

Eligibility

Inclusion Criteria:

• a diagnosis of COPD

• Dyspnea in daily living (2-4 on the modified medical research council dyspnea scale)

• clinically stable

Exclusion Criteria:

• exercise contraindication Any musculoskeletal problems, cardiovascular or neurological comorbidities that limits exercise.

• exacerbation during the study

• inability to climb 6 floors

Related Conditions & MeSH terms

• Chronic Obstructive Pulmonary Disease
• Lung Diseases
• Lung Diseases, Obstructive
• Pulmonary Disease, Chronic Obstructive

Intervention

Other:
• energy conservation technique
During the session of stair climbing, patients will perform a break at least of 5 seconds every 3 steps.
• control session
Patients will realize one session of stair climbing at their own pace

Locations

Country	Name	City	State
France	Groupe Hospitalier du Havre	Le Havre	Normandie

Sponsors (1)

Lead Sponsor	Collaborator
Groupe Hospitalier du Havre

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	difference in time required for the patient to climb the 6 floors	Difference in time (seconds) will be evaluated using a stopwatch	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.
Secondary	Difference in respiratory rate	Difference in respiratory rate (cycles per minute) will be measured breath-by-breath using a Respiratory Inductive Plethysmography	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.
Secondary	Difference in inspiratory capacity	Difference in inspiratory capacity (Liters) will be measured using a portable spirometer	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.
Secondary	Difference in Cardiac Frequency	Difference in Cardiac Frequence (bpm) using a pulse oximetry	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.
Secondary	Difference in Oxygen Saturation	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.
Secondary	Difference in peripheral muscle oxygenation	Muscle oxygenation (arbitrary unit) will be evaluated using Near-infrared spectroscopy technology.	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.
Secondary	Difference in tidal volume	Difference in tidal volume (Liters) will be measured breath-by-breath using a portable spirometer	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.
Secondary	Difference in muscular fatigue	Difference in muscular fatigue using Modified Borg Scale (0 - 10 points) 0=no muscular fatigue ; 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.