Acute Effects of a Stretching Program of the Rib Cage Muscles on Patients With COPD During Exercise

Universidade Federal de Pernambuco

Status: Unknown

Conditions: Pulmonary Disease, Chronic Obstructive

Treatments: Other: Control; Other: Exercise; Other: Stretching

Study type: Interventional

Funder types: Other

Identifiers

NCT02383277

UFPEFT2015

Details and patient eligibility

About

Investigate the effects of stretching the muscles of the rib cage in individuals with COPD during exercise.

Full description

To investigate the effects of a stretching program for the muscles of the rib cage or control in patients with COPD during exercise and / or the immediate post-exercise, using the following parameters:

• Tidal volume (VT), respiratory rate (RR), minute volume (MV), inspiratory time (Tins) and expiratory (T exp).
• Change in volumes of total and regional chest magazines (pulmonary rib cage, abdominal rib cage and abdomen).
• Diaphragmatic mobility.
• electrical muscle activity
• endurance time.
• Dyspnea sensation.

Enrollment: 20 estimated patients

Sex: All

Ages: 50 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Smoking history, occupational or environmental exposure to pollutants and / or symptoms of cough, dyspnea or hypersecretion;
• FEV1 <80% predicted and post-bronchodilator FEV1 / FVC <70% to confirm the diagnosis of airway obstruction not fully reversible bronchodilator therapy;
• Absence of co-morbidities that does not allow the realization of stress (hypertension, severe pulmonary hypertension, myocardial infarction, congestive heart failure, severe dyspnoea);
• Preserved cognitive functioning;
• Sedentary
• Clinically stable during the study period.

Exclusion criteria

• Patients with cognitive, hearing or visual deficit;
• Changes in the neuro-musculo-skeletal system which endangers or impairs the assessment;
• Obese
• Not be able to achieve at least three stages of the incremental test.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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20 participants in 2 patient groups

Stretching and Exercise

Experimental group

Description:

This group undergo a session of stretching aiming flexibility of the rib cage and later at an exercise test with constant load up to the limit of tolerance for exercise bike

Treatment:

Other: Exercise

Other: Stretching

Control and Exercise

Sham Comparator group

Description:

This group will carry out the exercise test with constant load up to the limit of tolerance for exercise bike after a period of rest under the same environmental conditions and the experimental group time. During this time the therapist will place their hands but not performing the stretch.

Treatment:

Other: Control

Other: Exercise