Physical Activity Level of Patients With COPD During Pulmonary Rehabilitation

Study Overview
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Brief Summary
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The aim of the project was to assess the acceptability of the device as well as adherence to the study. The objective of study was to assess physical activity in patients with COPD during in-hospital pulmonary rehabilitation program. The number of steps, average energy expenditure expressed in MET and kcal, and physical activity time during the consecutive 5 days of the rehabilitation stay were analyzed. Physical activity level was continuously monitored to assess intensity during in-hospital procedures as well as during leisure time.

Detailed Description
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The aim of the project was to assess the acceptability of the device as well as adherence to the study. The objective of study was to assess physical activity in patients with COPD during in-hospital pulmonary rehabilitation program. The number of steps, average energy expenditure expressed in MET and kcal, and physical activity time during the consecutive 5 days of the rehabilitation stay were analyzed. Physical activity level was continuously monitored to assess intensity during in-hospital procedures as well as during leisure time. Patients participated in pulmonary rehabilitation program consisted of: specific respiratory exercises for 30 minutes - relaxation exercises for breathing muscles, strengthening exercises the diaphragm with resistance, exercises to increase costal or chest breathing, prolonged exhalation exercise, chest percussion, once a day for 30 min, training on a cycle ergometer, twice a day for 20-30 min.- until the Heart Rate reaches 70% of the HRmax (220-age), fitness exercises - coordination and balance exercises, stretching exercises using elastic bands, balls rehabilitation, sensory pillows. Performed in a standing position, kneeling, sitting, lying on side, abdomen and back, once a day for 30 min Schultz autogenic training, once a day 20 min.

Official Title
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Physical Activity Level of Patients With COPD During In-hospital Pulmonary Rehabilitation: a Pilot Study

Conditions
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Chronic Obstructive Pulmonary Disease

Intervention / Treatment
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* Device: Assessment of physical activity level


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed COPD; Agreement to participate in the study Exclusion Criteria: Pneumonia, tuberculosis and other respiratory inflammatory disease in all stages and forms Condition after a heart attack Diabetes State after thoracic and cardiac surgery Heart failure (stage III, IV ° NYHA) Advanced hypertension Diseases and injuries that can impair the function of the musculoskeletal system of transportation Disturbances of consciousness, psychotic symptoms or other serious psychiatric disorders;

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 80 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Observed group<br>The group was monitored for physical activity levels using the SenseWear Armband device. The group was informed of the purpose of the study and asked to wear the device 24 hours a day for the next 4 days (Friday-Monday) excluding bath time, no more than 30 minutes. Patients received the device on Thursday afternoon and returned it on Tuesday. However, the days Friday-Monday were analyzed to have a record of the entire days | Device: Assessment of physical activity level<br>* Physical activity was assessed using the Sensewear Armband device. Patients received the device on Thursday mornings, prior to exercise and treatments. The device was placed on the right arm throughout the study. Patients in whom the device monitored a minimum of 95% of the time of the study day were analyzed. Prior to the study, the devices were programmed to record a minimum level of intense (>3MET) and moderate ( >6MET) exercise.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Energy expenditure - MET | The SenseWear Armband was used to assess energy expenditure. The device was used to measure energy expenditure expressed in metabolic equivalent (MET) | up to 4 days | 
| Energy expenditure - kcal | The SenseWear Armband was used to assess energy expenditure. The device was used to measure energy expenditure expressed in kcal | up to 4 days | 
| Number of steps | The SenseWear Armband was used to assess number of steps | up to 4 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COPD, Physical Activity, SenseWear Armband