Pulmonary Rehabilitation Clinical Trial
— NEMS for COPDOfficial title:
Does Neuromuscular Electrical Stimulation Benefit the Functional Ability of Elderly Patients With Chronic Obstructive Lung Disease
Verified date | April 2024 |
Source | Beni-Suef University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Background: Patients with COPD often experience skeletal muscle dysfunction. For those who are unable or unwilling to undertake physical training, neuromuscular electrical stimulation (NMES) may provide an alternative method of exercise training. Objective: To investigate the effects of adding neuromuscular electrical stimulation of gluteus maximus, quadriceps and calf muscles to chest physiotherapy, compared to chest physiotherapy alone, on muscles strength (gluteus max., quadriceps, calf muscles), femoral blood flow physical and pulmonary function in severe COPD Patients.
Status | Completed |
Enrollment | 60 |
Est. completion date | August 13, 2023 |
Est. primary completion date | August 13, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years to 75 Years |
Eligibility | Inclusion Criteria: - A diagnosis of COPD with FEV1/FVC <50% predicted as per the GOLD guidelines. - Self-reported dyspnea and/or arm fatigue during at least one activity of daily living that required arm exercise. - Dyspnea and/or physical activity fatigue were self-reported by the Borg Scale. - Before entering in the study, all patients had their pulmonary function optimized with long-acting bronchodilators and corticosteroids. Exclusion Criteria: - • Patients with unstable angina pectoris. - Progressive ventricular dysrhythmia. - Intermittent claudication. - Implanted cardiac pacemakers. - Uncontrolled diabetes mellitus. - Peripheral vascular disease. |
Country | Name | City | State |
---|---|---|---|
Egypt | Department of P.T for internal medicine, Faculty of Physical Therapy, South valley university, Qena, Egypt | Qina |
Lead Sponsor | Collaborator |
---|---|
Beni-Suef University | South Valley University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Six-minute walking test (Physical function assessment | The six-minute walking distance (6MWD) was measured according to a standardized protocol.
Subjects were instructed to walk at their own pace along a 34.5-m corridor from one end to the other, covering as much ground as possible in the allotted time. Subjects were allowed to stop and rest during the test, but they were instructed to resume walking as soon as they felt able to do |
change from baseline to 3 weeks after intervention and 3 days as a follow-up | |
Primary | Pulmonary function test | Pulmonary capacity and respiratory muscle functions will be assessed using the CPFS/D USB™ 187 Spirometer (Medical Graphics-MGC, St. Paul, MN, USA) with airflow being measured by a 188 calibrated Pitot tube (PreVent, Pneumotach). The participant completed at least three acceptable maximal forced and slow expiratory maneuvers after 15 min the inhalation of 400 mg of salbutamol 190 via a metered-dose inhaler. Forced vital capacity (FVC, L), forced expiratory volume in one second (FEV1, L), FEV1/ FVC, and inspiratory capacity (IC) will be measured according to American Thoracic Society standards | change from baseline to 3 weeks after intervention and 3 days as a follow-up | |
Primary | Muscle strength measurement | To determine the maximal muscle strength the Lafayette manual muscle test system (USER MANUAL) (MMT) Model 01163, White Plains, New York (10602) of gluteus maximus, quadriceps and calf muscles will be measured on right lower limb. | change from baseline to 3 weeks after intervention and 3 days as a follow-up | |
Secondary | Blood flow velocimetry measurement | To evaluate changes in peripheral perfusion. The standard pulsed-wave Doppler velocimetry of the right femoral artery was performed using sonos 2000 echograph (Philips Envisor ) | change from baseline to 3 weeks after intervention and 3 days as a follow-up |
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