Effects of Chair-Based Exercise Training on Exercise Capacity in Patients With Acute Exacerbation of COPD
Condition: Acute Exacerbation of COPD
Study type: Interventional

Summary: 
      Chronic obstructive pulmonary disease (COPD) is the leading cause of morbidity and mortality
      worldwide, a respiratory disease characterized by chronic airflow limitation that is not
      completely reversible.

      Impaired pulmonary functions, decreased exercise capacity and quality of life and increased
      dyspnea perception is prevalent in patients with acute exacerbations of COPD.It was
      demonstrated exercise training has beneficial effects in patients with acute exacerbations of
      COPD.

      The purpose of this study to evaluate the effects of chair-based exercise training on
      exercise capacity, respiratory functions, dyspnea, balance, depression anxiety and quality of
      life in COPD patients in acute exacerbation.
    

Detailed description: 
      Acute exacerbations of COPD are generally defined as events in the natural course of the
      disease characterized by a change in the patient's initial dyspnea, cough or sputum beyond
      normal daily variations. The main consequences of COPD in acute exacerbation are increased
      mortality, deterioration in health-related quality of life, faster decline in lung function,
      marked reduction in physical activity and worsening of peripheral muscle weakness, which have
      a direct impact on patients' health. Although exacerbations are diagnosed based on
      respiratory symptoms, there is evidence that they have systemic consequences, including a
      detrimental effect on skeletal muscle function, exercise tolerance and quality of life.

      Chair-based exercise training is defined as a structured and progressive exercise program
      applied by trainers that provides stability using a chair, which is a part of exercise
      training for the elderly. It is thought that it would be beneficial to study such an exercise
      program, since COPD patients in acute exacerbation have less mobilization during
      hospitalization.

      In a limited number of studies, some inconsistencies were observed in the exercises of
      patients with acute exacerbation of COPD. Studies can therefore now focus on investigating
      comparisons between different intervention lengths, session durations and frequencies, and
      intensities of exercise training. For this reason, in our planned study, we will investigate
      the effects of chair-based exercise training in COPD patients in acute exacerbation. There is
      no study in the literature investigating the effects of chair-based exercise training in COPD
      patients in acute exacerbation. For this reason, our study will provide important information
      support to the literature.
    

Intervention name(s): Treatment group, Chair-Based Exercise Training; Control group, Breathing exercise
Intervention type(s): Other; Other
Intervention description(s): The weights of the elastic bands to be used in the exercises will be determined by the physiotherapist according to the abilities and development of the participants.
The intensity of the exercise will be adjusted according to the dyspnea or fatigue patients feel according to the Modified Borg Scale.
During the exercises, heart rate and oxygen saturation will be measured with a pulse oximeter, and blood pressure will be measured with a sphygmomanometer.
Chair-based exercise training will be applied to the patients every day they are hospitalized.; Breathing exercise will be applied to the patients every day they are hospitalized.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Supportive Care
Keywords: Chair-based exercise training