Effect of Elastic Chest Compression on Functional Exercise Capacity and Respiratory Performance in Patients With COPD

National Taiwan University

Status: Enrolling

Conditions: Hyperinflation; COPD

Treatments: Device: Theraband chest compression

Study type: Interventional

Funder types: Other

Identifiers

NCT06519474

202405096RINE

Details and patient eligibility

About

The goal of this clinical trial is to investigate the effects of elastic chest compression on functional exercise capacity and respiratory performance of patients with COPD. The main questions it aims to answer are:

Is there difference in functional exercise capacity and respiratory performance without or with the use of elastic upper chest compression? Is there difference in functional exercise capacity and respiratory performance between the use of elastic upper chest compression and elastic lower chest compression?

Participants will:

Be evaluated under three conditions on three different days: without elastic compression, with upper chest compression, and with lower chest compression, with the order of compression application randomly assigned.

The functional capacity and respiratory muscle performance of all patients will be evaluated.

The days for evaluation will be at least three days apart from each other.

Full description

Participants will be evaluated under three conditions: without elastic compression, with upper chest compression, and with lower chest compression, with the order of compression application randomly assigned. A Red Theraband will be used to apply compression to the upper and lower regions of the chest. For a standardized approach to apply compression, the top edge will be aligned with the 3rd intercostal space for the upper chest compression, while the central horizontal part will line up with the xiphoid process of the sternum for the lower chest compression. After exhaling to the EELV, the circumferences of the upper and lower chest regions will be measured, using the 3rd intercostal space as the measurement mark for the upper chest and the xiphoid process of the sternum as the measurement marks for the lower chest. The Thera-Band will be adjusted to 90% of the measured circumferences, ensuring it is securely fastened and standardized resistance is applied consistently to the thoracic regions of interest throughout the study. After chest compression is applied, participants will undergo measurements for functional exercise capacity and respiratory muscle performance.

Enrollment: 17 estimated patients

Sex: All

Ages: 20+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• at least 20 years old
• has a clinical diagnosis of COPD without infection or acute exacerbation in the previous four weeks
• is capable of cooperating with the required tests and measurements of the study

Exclusion criteria

• has any clinical diagnosis that could affect test outcomes (e.g., neuromyopathy)
• has experienced unstable angina or an acute myocardial infarction within the last month
• has adjusted COPD related medication within the last month
• a Mini-Mental State Examination (MMSE) score below 24

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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17 participants in 2 patient groups

Upper chest compression

Experimental group

Description:

The Theraband will be wrapped around the subject's upper chest with upper edge of the Theraband aligned to the 3rd intercostal space and fastened on the upper rib cage for the upper chest compression arm.

Treatment:

Device: Theraband chest compression

Lower chest compression

Experimental group

Description:

The Theraband will be wrapped around the subject's lower rib cage by placing the central horizontal part of the Theraband at the xiphoid process of the sternum for the lower chest compression arm.

Treatment:

Device: Theraband chest compression