None listed
Conditions
Brief summary
The project will investigate the effect of a twice weekly inpatient exercise group and standard physiotherapy care of respiratory patients on uptake of Pulmonary Rehabilitation, physical activity levels, and Quality of Life. Participants who are admitted with an acute exacerbation of Chronic Obstructive Pulmonary Disease and located on 44 South or 44North, deemed able to exercise by the treating medical unit and able to participate in the group by the treating physiotherapist will be randomised into either the control or exercise group. The Grade One Physiotherapist who is not attached to either the Respiratory or General Medical Units will collect participant characteristics (age, COPD severity, Lung Function Test if available and admission dates), and questionnaire data once recruited to the project. Participants will then be randomized into control group (where they will receive standard physiotherapy treatment) or exercise group (where they will attend the “Fit to Breathe Group” as well as receiving standard physiotherapy treatment). At discharge, discharge destination, questionnaire data (Chronic Respiratory Disease Questionnaire), physical activity levels (6MWT) and length of stay data will be collected. On discharge, all participants will receive Pulmonary Rehabilitation Referrals and the Respiratory Home Exercise Booklet and completed Home Exercise Program. All participants will return for follow up assessment 12 weeks following discharge. At this assessment, 6MWT and the Chronic Respiratory Questionnaire will be repeated. The Pulmonary Rehabilitation coordinators will also be contacted to determine attendance at Pulmonary Rehabilitation. All patient information will be kept in the locked filing cabinet in the physiotherapy department. All data will be collected by the Grade One physiotherapist and entered into a password-protected Microsoft excel table. Participant review dates will be recorded in the 2009 A4 diary which will also be kept in this filing cabinet. Differences in the proportion of participants who undertake outpatient Pulmonary Rehabilitation will be examined using chi squared test. Repeated measures analysis of variance will be used to examine differences in physical activity, 6-minute walk and quality of life data.
Interventions
Standard Physiotherapy care including mobilisation and airway clearance techniques and education as appropriate. Prescription based on individual needs.
Exercise Class including thoracic mobilisation exercises, Upper Limb strengthening exercises, education and cariovascular exercises. Prescription based on individual needs.
Sponsors
Alison Fisher
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
40 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Admitted with an acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD) Be located on 44N / 44S Be admitted under the respiratory Be medically stable Blood Pressure appropriate for mobilisation (ie > 100) Heart Rate appropriate for mobilisation (ie <120) Oxygen Saturation (SpO2) >or = 90% or within acceptable range documented by medical staff with or without oxygen Oxygen < or = 4L O2 / min via Nasal Prongs (NP) Deemed appropriate by the treating unit to attend the group Be eligible to attend outpatient Pulmonary Rehabilitation classes following discharge Be able to transfer with supervision or minimal assistance + / - gait aid
Exclusion criteria
Do not meet the medically stable criteria as listed above Have been admitted from a Nursing Home, Do not have a basic understanding of both spoken and written English to be able to communicate effectively within the group session and understand the written information given (Respiratory Home Exercise Program Booklet).
Outcome results
None listed