Clinical trial NCT05005533: The Effect of Respiratory Muscle Strength and Functional Capacity on Posture and Balance
Official title: The Effect of Respiratory Muscle Strength and Functional Capacity on Posture and Balance in Individuals With Different Phenotypes of Chronic Obstructive Pulmonary Disease
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Chronic Obstructive Pulmonary Disease
Keywords: Chronic Obstructive Pulmonary Disease
Respiratory Muscle Strength
Posture
Balance
Functional Capacity
Lead sponsor: Abant Izzet Baysal University
Sponsor class: OTHER
First posted: 2021-08-13
Enrollment: 120
Sex: MALE
Minimum age (years): 40
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Chronic obstructive pulmonary disease is a common, preventable and treatable disease characterized by persistent respiratory symptoms and airway limitation due to airway and/or alveolar abnormality resulting from exposure to harmful gases or particles and many factors that cause abnormal lung development.

Brief summary: As a result of the study, inspiratory muscle strength, posture and physical performance evaluations of individuals with Chronic Obstructive Pulmonary Disease will be made, suggestions will be made to help individual postural smoothness and improve physical performance.

Detailed description: Chronic Obstructive Pulmonary Disease is a multifaceted disease that results from the interaction between genetic susceptibility and exposure to environmental stimuli. Due to the slow progression and chronic nature of the disease, it creates a growing disease burden on the individual. Considering the data of the Turkish Statistical Institute, the third most common cause of death in Turkey in 2010, 2011 and 2012 was respiratory system diseases. 61.5% of respiratory system deaths in 2012 were due to Chronic Obstructive Pulmonary Disease. Due to the progressive airway obstruction that occurs in Chronic Obstructive Pulmonary Disease, the level of inspiratory muscle strength is restricted and there is an increasing deterioration in the level of functional performance. However, with increasing age, postural problems can be observed in individuals with Chronic Obstructive Pulmonary Disease. Postural problems such as rounded shoulders, increase in thoracic kyphosis and muscle shortness can be observed especially in patients who start to use the auxiliary respiratory muscles continuously due to inspiratory muscle strength. There are few articles investigating the changes in posture, physical performance and inspiratory muscles with the addition of a chronic disease such as Chronic Obstructive Pulmonary Disease to the normal aging process. For this reason, a study titled "The effect of respiratory muscle strength and functional capacity on posture and balance in individuals with Chronic Obstructive Pulmonary Disease with Different Phenotypes" was planned.

As a result of the study, inspiratory muscle strength, posture and physical performance evaluations of individuals with Chronic Obstructive Pulmonary Disease will be made, and suggestions will be made to help individual postural smoothness and improve physical performance.

Eligibility criteria: Inclusion Criteria:

* Being diagnosed with Chronic Obstructive Pulmonary Disease according to the Global Initiative for Chronic Obstructive Lung Disease criteria
* Not having vision, hearing and speech problems
* Volunteering to participate in the research

Exclusion Criteria:

* Have had major surgery in the past few months
* History of recurrent significant clinical infection
* Having cognitive problems
* Unstable angina, previous myocardial infarction (MI),
* Severe congestive heart failure resistant to medical treatment,
* Having uncontrolled hypertension,
* Get cancer
* Having neurological or musculoskeletal diseases with functional limitations
* Having suffered an injury, such as a sprain, sprain or fracture of the lower extremity in the last 6 months, unable to perform independent ambulation

Primary outcomes:
measure: Maximal Inspiratory Pressure
timeFrame: 5 minutes
Secondary outcomes:
measure: Posture Assessment
timeFrame: 5 minutes
measure: Biodex Balance System
timeFrame: 5 minutes
measure: Time Up and Go Test
timeFrame: 2 minutes
measure: Short Physical Performance Test
timeFrame: 5 minutes
measure: Chronic Obstructive Pulmonary Disease Assessment Test
timeFrame: 2 minutes
measure: Modified Medical Research Council Scale
timeFrame: 2 minutes
measure: Leicester Cough Questionnaire
timeFrame: 2 minutes
measure: Visual Analog Scale
timeFrame: 2 minutes
measure: Fatigue Severity Scale
timeFrame: 2 minutes
Other outcomes:
Locations:
city: Bolu
country: Turkey
facility: Bolu Abant İzzet Baysal University Department of Physiotherapy and Rehabilitation
Study officials:
References: