The Effects of Creative Dance Based Exercise Training on Respiratory, Balance and Cognitive Functions, Respiratory and Peripheral Muscle Strength and Functional Capacity in Patients With Chronic Obstructive Pulmonary Disease (COPD)

Study Overview
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Brief Summary
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COPD is a common, preventable and treatable disease associated with an increased chronic inflammatory response of the airways and lungs to harmful gases and particles and characterized by progressive airflow restriction, which is usually progressive. Exercise intolerance is one of the most important outcomes of COPD. Dyspnea and leg fatigue are the main symptoms that limit exercise and patients restrict their activity to avoid these disturbing conditions. Exercise training is the most appropriate method for improving exercise tolerance and muscle function. It is considered and recommended by ERS and ATS as an essential component of PR. Endurance training is considered to be one of the most important components of the PR program. Walking, running, cycling, stair climbing, dancing are examples of endurance exercises. Dance-based exercise training; It is an entertaining method that increases physical, functional, cognitive, emotional and social integration. This alternative method has frequently been tried in the literature in the treatment of Parkinson's, cancer and psychiatric diseases and its effects on functional capacity, balance, and quality of life have been demonstrated. The importance of our research; This is the first study to apply dance based exercise training in chronic respiratory diseases. The aim of this study was to investigate the effect of creative dance based exercise training on respiratory, balance and cognitive functions, respiratory and peripheral muscle strength and functional capacity in COPD patients.

Official Title
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The Effects of Creative Dance Based Exercise Training on Respiratory, Balance and Cognitive Functions, Respiratory and Peripheral Muscle Strength and Functional Capacity in Patients With Chronic Obstructive Pulmonary Disease (COPD)

Conditions
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COPD

Intervention / Treatment
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* Other: Conventional Chest Physiotherapy
* Other: Creative Dance Based Exercise Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Having FEV1 / FVC <70% from pulmonary function test Being older than 18 years To be able to read and understand Turkish Exclusion Criteria: No exacerbation in 8 weeks. Attending current or regular exercise training in the last 1 year Having diagnosed vision, hearing, vestibular or neurological problems that may affect balance Having orthopedic, musculoskeletal or cardiovascular comorbid conditions that may affect ambulation Being on long-term oxygen therapy

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control Group<br>Patients in this group will receive conventional chest physiotherapy, two times a day, 5 days a week for 8 week. All exercise sessions will be performed at home. | Other: Conventional Chest Physiotherapy<br>* Conventional chest physiotherapy programme will include diaphragmatic breathing exercise, thoracic expansion exercises, incentive spirometer exercise (Triflo), teaching of respiratory control, relaxing and coughing techniques.<br>|
| Experimental: Training Group<br>In addition to conventional chest physiotherapy programme, patients in this group will also receive creative dance based exercise training for 60 minutes, 2 times in a week for 8 weeks. All exercise sessions will be supervised in a clinic per week. | Other: Conventional Chest Physiotherapy<br>* Conventional chest physiotherapy programme will include diaphragmatic breathing exercise, thoracic expansion exercises, incentive spirometer exercise (Triflo), teaching of respiratory control, relaxing and coughing techniques.<br>Other: Creative Dance Based Exercise Training<br>* Creative dance based exercise training will be given under the supervision of a physiotherapist who takes creative dance instructor training 2 days and 60 minutes per week.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Respiratory Function Test | Change from baseline forced vital capacity (FVC) at 8 weeks. | Eight weeks | 
| Respiratory Function Test | Change from baseline forced forced expiratory volume in 1 second at 8 weeks. | Eight weeks | 
| Respiratory Function Test | Change from baseline peak expiratory flow (PEF) at 8 weeks. | Eight weeks | 
| COPD Assessment Test (CAT) | Change from baseline CAT score at 8 weeks. | Eight weeks | 
| BODE Index | Change from baseline BODE score at 8 weeks. | Eight weeks | 
| Balance | Change from baseline postural stability test score in BIODEX Balance System at 8 weeks. | Eight weeks | 
| Balance | Change from baseline limits of stability test score in BIODEX Balance System at 8 weeks. | Eight weeks | 
| Respiratory Muscle Strength | Change from baseline maximum inspiratory pressure at 8 weeks. | Eight weeks | 
| Respiratory Function Test | Change from baseline maximum expiratory pressure at 8 weeks. | Eight weeks | 
| Functional Capacity | Change from baseline distance covered in six minute walk test at 8 weeks. | Eight weeks | 
| Change from baseline handgrip strength at 8 weeks. | Change from baseline m. quadriceps strength at 8 weeks. | Eight weeks | 
| Change from baseline handgrip strength at 8 weeks. | Change from baseline m. biceps strength at 8 weeks. | Eight weeks | 
| Change from baseline handgrip strength at 8 weeks. | Change from baseline handgrip strength at 8 weeks. | Eight weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COPD, Creative Dance, Exercise Training, 6 Minute Walk Test, Pulmonary Function Test, Postural Stability, Cognitive Functions, Muscle Strength