Clinical trial NCT01452932: Muscle Training Effectiveness in the Degree of Dyspnea and Aerobic Capacity in COPD
Official title: Muscle Training Effectiveness in the Degree of Dyspnea and Aerobic Capacity in COPD in an Institution Health Service Provider in the Department of Antioquia
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE1
PHASE2
Conditions: Chronic Obstructive Pulmonary Disease
Dyspnea
Keywords: Chronic obstructive pulmonary disease
Dyspnea
Exercise test
Endurance training
Lead sponsor: CES University
Sponsor class: OTHER
Collaborators: name: La ceja Hospital
First posted: 2011-10-17
Enrollment: 44
Sex: ALL
Minimum age (years): 50
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Objective: To estimate the effectiveness of muscle training, the degree of dyspnea and aerobic capacity in patients over 50 with COPD, in a health care institution provider in Antioquia.

Question: What is the effectiveness of muscle training, in the degree of dyspnea and aerobic capacity in COPD patients over 50 years, in a health service institution provider in the department of Antioquia?

Hypothesis: Muscle training causes changes in the degree of dyspnea and aerobic capacity, other than the breathing exercises and relaxation

Design: Randomized clinical trial with allocation and blinding of the autcomes assesor.

Participants: COPD patients stage II and II, male and female, over 50 years old, who are attending to a community health service provider in the department of Antioquia.

Intervention: A physiotherapeutic intervention using PNF technique was applied to the experimental physiotherapy group versus Yoga sessions applied to the other group. Twelve weeks protocol performing three sessions per week.

Outcome measures: Dyspnea degree and aerobic capacity was measured using the MMRC scale and the six minute walking test respectively at the begining and the end of the study.

Detailed description: Chronic obstructive pulmonary disease (COPD) is defined by GOLD (The Global Initiative for Chronic Obstructive Lung Disease) as a disease process characterized by progressive airflow limitation associated with an abnormal inflammatory response of the lungs to particles or harmful gases and is not fully reversible. This restriction generates an expiratory flow of air entrapment resulting hyperinflation, coupled with the effects that systemic, structural changes occur in skeletal muscles which leads to greater fatigue causing dyspnea. Consequently, patients with COPD require participation of accessory muscles of respiration, which should have a dual function during activities involving the upper limbs, to supply the ventilatory requirements and movements of the shoulder girdle, which increases dyspnea carrying the patient to stop their activities, leading to physical deconditioning and progressively decreasing aerobic capacity. This demonstrates the need to improve the resistance of the upper limb muscles in these patients, thus contributing to a reduction in the degree of dyspnea and improved their aerobic capacity. The investigators propose a study aimed at determining the effectiveness of muscle training in the degree of dyspnea and aerobic capacity in COPD.

Eligibility criteria: Inclusion Criteria:

* Men and women over 50 years with a diagnosis of COPD stage II and III according to GOLD classification, performed spirometry
* Patients who manifest dyspnea on MRC
* Patients SGSS affiliates.
* COPD controlled, verified medical history
* Voluntary participation in informed consent

Exclusion Criteria:

* Higher mental functions altered
* Degenerative musculoskeletal diseases (acute state)
* Multisystem disease not controlled
* Perform a current fitness program

Primary outcomes:
measure: Dyspnea degree
timeFrame: Up to 12 weeks
measure: Aerobic capacity
timeFrame: Up to 12 weeks
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Professor CES University
name: Nathalia Suarez, Profesional
role: PRINCIPAL_INVESTIGATOR
References: