Effect of Physiotherapy in Hospitalized COPD Patients

University of Granada (UGR)

Status: Completed

Conditions: COPD

Treatments: Other: Physiotherapy program 2; Other: Physiotherapy program 1; Drug: Standard medical treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT02509299

DF0055UG

Details and patient eligibility

About

Chronic obstructive pulmonary disease (COPD) impacts negatively on the balance and strength of patients. Several studies have shown that acute exacerbations (AEs) decrease, pulmonary function and survival of COPD patients, and there are a lot of physiotherapy interventions to improve it during the hospital stay.

The objective of the present study is to examine the effects of a physical therapy program on balance and strength in COPD patients hospitalized due to acute exacerbation.

Full description

Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide. It is a progressive disease, characterized by lung function impairment with airway obstruction.

Patients with COPD suffer exacerbations; the frequency of these exacerbations increases with the severity of the disease. It has been previously shown that the level of health-related quality of life of COPD subjects deteriorates considerably with increasing severity of disease and that the deterioration is linearly related to a decrease in FEV1 % predicted normal values.

Enrollment: 49 patients

Sex: All

Ages: 40+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• COPD diagnosis with exacerbation.
• No contraindication of physiotherapy.
• Signed written consent.
• Medical approval for inclusion.

Exclusion criteria

• Contraindications for physiotherapy
• Neurological, orthopedic or heart disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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49 participants in 3 patient groups

Experimental group 1

Experimental group

Description:

patients will be involved in the Physiotherapy program 1. The program included 15 minutes of deep breathing exercises and 20-30 minutes of limb exercises. The exercises included global active range of motion (ROM) exercises and muscle strengthening like upper and lower limbs flexion-extension do single-leg stance, and sit to stand exercises added to standard treatment.

Treatment:

Other: Physiotherapy program 1

Experimental group 2

Experimental group

Description:

patients will be involved in the physiotherapy program 2. The program was a combined intervention including the Control Group treatment plus neuromuscular stimulation therapy on quadriceps accompanied by lower limb exercises.

Treatment:

Other: Physiotherapy program 2

Control group

Other group

Description:

patients will receive standard medical treatment without physiotherapy intervention.

Treatment:

Drug: Standard medical treatment