Respiratory Rehabilitation Exercises in Older Adults With Acute Exacerbations of Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease (COPD) Clinical Trial

Official title:

Efficacy of the Respiratory Rehabilitation Exercise Training Package in Hospitalized Elderly Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Randomized Control Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02329873
• Other study ID #: ER-100-202
• Status: Completed
• Phase: N/A
• First received: December 15, 2014
• Last updated: December 30, 2014
• Start date: November 2011
• Est. completion date: December 2012

Study information

• Verified date: December 2014
• Source: Chest Hospital, Ministry of Health and Welfare, Taiwan
• Contact: n/a
• Is FDA regulated: No
• Health authority: Taiwan: Research Ethics Committee
• Study type: Interventional

Clinical Trial Summary

The purpose of this randomized controlled trial was to evaluate the effects of a respiratory rehabilitation exercise training package on dyspnea, cough, exercise tolerance, and sputum expectoration of hospitalized elderly patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Using purposive sampling, 61 participants were recruited and randomly assigned to either the experimental group (n = 30) or the control group (n = 31). The experimental group participants received the respiratory rehabilitation exercise training twice a day and 10-30 minutes per session for four days. The control group participants received usual care and health education. Data were collected at baseline and at the end of the four-day intervention.

Description:

The respiratory rehabilitation exercise training package included: (a) Disease awareness: The doctor explained the disease to patients and their families through the chest X-ray, (b) Sputum clearance treatments: Easily understood postural drainage cards were provided to the patients and families to assist with proper sputum clearance procedures, (c) Pursed lip breathing training: Devices were provided to the patients to ensure that the breathing exercises were completed properly, (d) Upper-limb exercise with breathing pranayama: Towels were provided to the patients to assist with upper-limb exercises properly, (e) Walking training with breathing pranayama: Legs were elevated while inhaling, and returned to the position while exhaling, and (f) Assign a pulmonary rehabilitation program coordinator: Coordinators were assigned to assist the patients in nutrition management and health education.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 61
• Est. completion date: December 2012
• Est. primary completion date: December 2012
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 65 Years and older

Eligibility

Inclusion criteria:

1. diagnosed with moderate COPD with moderate acute exacerbation

2. over 65 years of age

3. conscious clear

4. with shortness of breath or dyspnea that was not caused by heart disease, pneumothorax, or pulmonary edema

5. had received bronchodilator aerosol therapy or antibiotic treatment, but had not been treated with an antitussive

Exclusion Criteria:

1. unstable vital signs

2. blood oxygen concentration lower than 90%

3. unstable psychological status, hemoptysis, pneumothorax, pulmonary edema, or using the respirator

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Chronic Obstructive Pulmonary Disease (COPD)
• Lung Diseases
• Lung Diseases, Obstructive
• Pulmonary Disease, Chronic Obstructive

Intervention

Behavioral:
• Respiratory rehabilitation exercise training
The respiratory rehabilitation exercise training package was conducted twice a day and 10-30 minutes per session for 4 days: (a) disease awareness, (b) sputum clearance treatments, (c) pursed lip breathing training, (d) upper-limb exercise with breathing pranayama, (e) walking training with breathing pranayama, and (f) assign a pulmonary rehabilitation program coordinator.

Locations

Country	Name	City	State
Taiwan	Chest Hospital, Ministry of Health and Welfare	Kaohsiung

Sponsors (1)

Lead Sponsor	Collaborator
Chest Hospital, Ministry of Health and Welfare, Taiwan

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from baseline in dyspnea at 4th day	Measured by the Borg Rating of Perceived Exertion Scale.	At baseline and at the 4th day of the study	No
Secondary	Change from baseline in cough severity at 4th day	Measured by the visual analog scale.	At baseline and at the 4th day of the study	No
Secondary	Change from baseline in exercise tolerance at 4th day	Measured by the 6-minute walk distance	At baseline and at the 4th day of the study	No
Secondary	Change from baseline in sputum expectoration at 4th day	Assessed by recording the patients' feelings regarding sputum expectoration during the previous day.	At baseline and at the 4th day of the study	No