Short-and Long-term Effects of a Home-based Rehabilitation Program in Patients With Bronchiectasis
Condition: Bronchiectasis
MeSH terms: Bronchiectasis
Study type: Interventional

Summary: 
      This study will investigate the short-and long-term effects of the home-based pulmonary
      rehabilitation on peripheral muscle strength, functional capacity and quality of life in
      patients with bronchiectasis. The participants will be randomized into two groups: control
      group (usual care and recommendations for practice exercise) and training group, that will
      perform aerobic (stepping training) and resistance training (lower and upper limbs) for eight
      weeks, three times a week. At baseline, immediately after finishing and after six months the
      patients will undergo assessments.
    

Detailed description: 
      Home-based pulmonary rehabilitation (HBPR) has been used in patients with chronic obstructive
      pulmonary disease, asthma and pulmonary fibrosis. Results from HBPR have been similar to
      those observe in the outpatient pulmonary rehabilitation such improvement in exercise
      capacity, symptoms and quality of life. However, HBPR has not yet been investigated in
      patients with bronchiectasis, a progressive and debilitating disease with a high
      socioeconomic impact. Objective: To investigate the short-and long-term effects of the home
      rehabilitation program in peripheral muscle strength, functional capacity and quality of life
      in patients with bronchiectasis. Methods: Patients diagnosed with bronchiectasis will be
      recruited from the Obstructive Diseases Outpatient Clinic of the Hospital das Clínicas -
      Medicine School, University of São Paulo. Participants will be randomized into two groups:
      control group (usual care and recommendations for performing exercises and respiratory
      physiotherapy) and training group, that will perform aerobic (stepping training) and
      resistance training (lower and upper limbs) for eight weeks, three times a week. All patients
      will receive a phone call once a week and patients allocated to the training group,
      additionally, will get a home visit every 15 days. At baseline, immediately after finishing
      and after six months of the HBPR patients will undergo to assessments. Expected results: HBPR
      will have positive effects on exercise tolerance and quality of life. Also, this study will
      contribute to future guidelines on the recommendation of HBPR for patients with
      bronchiectasis.
    

Intervention name(s): Training Group; Control Group
Intervention type(s): Other; Other
Intervention description(s): Three sessions per week, each lasting 50 minutes, during eight weeks.
Aerobic training in stepping training.
Resistance training: Three sets of eight repetitions each, in both simultaneous members, using an elastic band. The trained muscles are quadriceps, hamstrings, deltoid and biceps.
Once a week, patients will receive a phone call and every two weeks, patients will get a visit of the researcher at his home.; The participants will receive verbal and written information about the importance of physical activity and walk in moderate intensity, at least, three times a week for 30 minutes.
Participants will not receive any supervised physical training.
Once a week, patients will receive a phone call to provide support and general advice.
Other intervention name(s): Physical training intervention; Physical activity intervention
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Bronchiectasis; Rehabilitation; Quality of Life; Physiotherapy Specialty