Investigation of Square Step Exercise Applied by Telerehabilitation in Chronic Obstructive Pulmonary Disease Patients (COPD)

Abant Izzet Baysal University

Status

Completed

Conditions

Balance; Distorted

Cognitive Impairment

COPD

Treatments

Other: Strengthening Exercise Training

Other: The Square-Step Exercise Training

Study type

Interventional

Funder types

Other

Identifiers

NCT04841005

AIBU-FTR-AO-01

Details and patient eligibility

About

COPD is a progressive disease associated with systemic inflammation, with many extrapulmonary outcomes such as cognitive impairment. Most of the daily activities involve doing several tasks at the same time, such as walking while talking or avoiding obstacles.

Full description

The most prominent independent risk factor for cognitive impairment in COPD patients is reduced oxygen availability as a result of lung dysfunction. The prevalence of cognitive impairment in COPD patients ranges from 10% to 61%. A wide variety of tools have been developed for screening cognitive functions. The most widely used tests covering multiple cognitive domains are the Mini Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA).

When two tasks are performed at the same time, they compete for sources of attention, resulting in decreased performance on one or two tasks. Balance or postural control is a complex skill required for independent mobility and preventing falls. Balance performance naturally decreases with age; however, certain conditions are associated with more pronounced and rapid declines. Balance problems and fall risk are increased in COPD patients.From this perspective aim of this study is to assess the effect of square-step exercise and strengthening exercise applied with telerehabilitation on cognitive status and balance in patients with COPD.

Enrollment

34 patients

Sex

All

Ages

50 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Being diagnosed with mild / moderate COPD by Bolu Abant Izzet Baysal University Faculty of Medicine, Department of Chest Diseases.
Mini mental score is 23 or higher
Being between the ages of 50-80
Spirometric evaluation result is forced expiratory volume at one second / Forced vital capacity <70% and airflow restriction is 50% forced expiratory volume at one second <80% (expected) degree compared to post-bronchodilator forced expiratory volume at one second.
No drug change or antibiotic use due to acute exacerbation for at least three weeks

Exclusion criteria

Individuals who need continuous oxygen support
Individuals with partial pressure of carbon dioxide≥70 mmHg
Having a history of uncontrolled illness that may affect cognitive skills
Have uncorrected vision and hearing impairment
Having kyphoscoliosis and/or severe postural impairment
Having additional risk factors (stroke, neurological disease, dementia, depression, postural hypotension, diaphragm dysfunction)