Clinical trial NCT04879576: The Effects of Telerehabilitation in Patients With COPD
Official title: The Effects of Telerehabilitation on Respiratory Functions, Quality of Life, Exercise Capacity, Fatigue and Psychosocial Factors in Patients With COPD
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: COPD
Keywords: Telerehabilitation
Lead sponsor: Kırıkkale University
Sponsor class: OTHER
First posted: 2021-05-10
Enrollment: 30
Sex: ALL
Minimum age (years): 40
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Chronic Obstructive Pulmonary Disease is a serious public health problem worldwide and it is a leading cause of mortality and morbidity. Nowadays, COPD patients are increasing in all societies and the problems that arise during the life of these patients increase the need for care and rehabilitation. Pulmonary rehabilitation has proven to be the best supportive treatment for individuals with COPD. However, there are difficulties in rehabilitation practices in terms of the fragility of patients, transportation and access problems. Telerehabilitation allows patients who cannot access rehabilitation due to their geographical, economic or physical disabilities to benefit from rehabilitation services. There are different studies demonstrating the effect of telerehabilitation in COPD patients and confirming that it is safe, but it is a developing area and has a limited area of use.

In this randomized controlled study, it is aimed to examine the effect of telerehabilitation training on respiratory functions, exercise capacity, quality of life, fatigue and psychosocial factors in individuals with COPD via video conferencing including respiratory exercises and postural exercises.


Eligibility criteria: Inclusion Criteria:

* Having been diagnosed with chronic obstructive pulmonary disease according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria
* Not having an attack in the last 2 months
* Volunteering to participate in the study
* Being between the ages of 40-80
* To have a device that can be used in telerehabilitation application and an active internet connection.

Exclusion Criteria:

* Unstable angina, previous myocardial infarction, severe congestive heart failure resistant to medical therapy, uncontrolled hypertension, cancer, neurological or musculoskeletal disorders with functional limitations
* Currently addicted to alcohol or drugs
* Having an injury to the lower extremity such as sprains, sprains or fractures in the last 6 months, not being able to perform independent ambulation
* Having serious vision and hearing problems
* Having severe cognitive impairment

Primary outcomes:
measure: Change from Baseline in respiratory functions on the spirometry at week 8
timeFrame: Baseline - Week 8
measure: Change from Baseline in exercise capacity on six-minute walk test at week 8
timeFrame: Baseline - Week 8
measure: Change from Baseline in health-related quality of life on Saint George's Respiratory Questionnaire at week 8
timeFrame: Baseline - Week 8
measure: Change from Baseline in psychosocial factors on Beck Depression and Beck Anxiety Inventory at week 8
timeFrame: Baseline - Week 8
measure: Change from Baseline in fatigue on COPD and Asthma Fatigue Scale at week 8
timeFrame: Baseline - Week 8
Secondary outcomes:
measure: Change from Baseline in dyspnea on Modified Medical Research Council Dyspnea Scale at week 8
timeFrame: Baseline - Week 8
Other outcomes:
Locations:
city: Kırıkkale
country: Turkey
facility: Kırıkkale High Specialization Hospital
Study officials:
affiliation: Graduate student at Kırıkkale University
name: Beyza Karakaş
role: STUDY_DIRECTOR
affiliation: Associate professor at Kırıkkale University
name: Meral Sertel
role: STUDY_CHAIR
affiliation: Chest Diseases Specialist at Kırıkkale High Specialization Hospital
name: Selma Demir
role: PRINCIPAL_INVESTIGATOR
References: