Clinical trial NCT00864084: Does Pulmonary Rehabilitation Improve Balance in People With Respiratory Disease?
Official title: Does a Pulmonary Rehabilitation Program Improve Balance in Individuals With Respiratory Disease?
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Lung Diseases
Lead sponsor: University of Manitoba
Sponsor class: OTHER
Collaborators: name: The University of Queensland
First posted: 2009-03-18
Enrollment: 14
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to determine whether participation in pulmonary rehabilitation improves balance in people with respiratory disease.

Detailed description: Falls and chronic respiratory are two major health concerns affecting morbidity and mortality in older adults. Several factors that predispose falls, such as reduced balance, have been documented in people with respiratory disease. Pulmonary rehabilitation programs, which involve customized exercise prescription, are recommended to improve quality of life and disease management in people with chronic obstructive pulmonary disease (COPD). There are many documented benefits to participation in such programs; however, the impact on balance and other falls risk factors has not previously been investigated. Therefore, the aim of this study is to investigate the effect of a pulmonary rehabilitation program on balance and falls risk factors in individuals with respiratory disease. This study will enhance the current management of respiratory disease by improving our understanding of the effects of pulmonary rehabilitation.

Eligibility criteria: Inclusion Criteria:

* Clinical diagnosis of lung disease
* Committed to regular attendance at pulmonary rehabilitation program
* A forced expiratory volume in 1 second (FEV1) \< 80% of predicted
* No change in medications for the past 2 months

Exclusion Criteria:

* Unstable cardiac disease
* Neurological conditions
* Musculoskeletal conditions that prevent participation in exercise sessions.

Primary outcomes:
measure: Standing Balance - Sway Path
timeFrame: Baseline (pre-pulmonary rehabilitation) and follow-up (post-pulmonary rehabilitation) at 8 weeks
measure: Dynamic Balance
timeFrame: Baseline (pre-pulmonary rehabilitation) and follow-up (post-pulmonary rehabilitation) at 8 weeks
measure: Standing Balance - Critical Point in Time
timeFrame: Baseline (pre-pulmonary rehabilitation) and follow-up (post-pulmonary rehabilitation) at 8 weeks
measure: Standing Balance - Critical Point in Distance
timeFrame: Baseline (pre-pulmonary rehabilitation) and follow-up (post-pulmonary rehabilitation) at 8 weeks
Secondary outcomes:
measure: Balance Confidence
timeFrame: Baseline (pre-pulmonary rehabilitation) and follow-up (post-pulmonary rehabilitation) at 8 weeks
measure: Fear of Falling
timeFrame: Baseline (pre-pulmonary rehabilitation) and follow-up (post-pulmonary rehabilitation) at 8 weeks
measure: Confidence in Disease Management
timeFrame: Baseline (pre-pulmonary rehabilitation) and follow-up (post-pulmonary rehabilitation) at 8 weeks
Other outcomes:
Locations:
city: Winnipeg
country: Canada
facility: The University of Manitoba
state: Manitoba
Study officials:
affiliation: The University of Queensland
name: Michelle D Smith, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Smith MD, Harvey EH, van den Hoorn W, Shay BL, Pereira GM, Hodges PW. Out-Patient Pulmonary Rehabilitation Improves Medial-Lateral Balance in Subjects With Chronic Respiratory Disease: Proof-of-Concept Study. Respir Care. 2016 Apr;61(4):510-20. doi: 10.4187/respcare.04109. Epub 2016 Jan 26.