None listed
Conditions
Brief summary
Exercise training is recommended for people with interstitial lung disease (ILD), to improve their exercise capacity, symptoms and quality of life. However, our group recently found that people who have ILD that is related to their underlying connective tissue disease showed less improvement in physical function and fatigue compared to other types of ILD. People with connective tissue disease often experience muscle and joint pain and weakness and this may make the standard gym-based approach difficult and painful. Water-based exercise uses warm water to relieve pain and the water's buoyancy reduces the impact on joints. It has been shown to be effective in people with other chronic lung conditions such as chronic obstructive pulmonary disease and in patients with rheumatoid arthritis. No previous studies have examined the benefits of water-based exercise in people with CTD-ILD. This study will establish whether water-based exercise is viable and beneficial in CTD-ILD and whether it can improve their breathing symptoms and physical function.
Interventions
Water based exercise rehabilitaiton
Participants will attend a water-based group exercise program for one hour, twice per week for eight weeks. Each session will be supervised by a senior clinician physiotherapist, experienced in delivering water-based rehabilitation to patients with multiple co-morbidities, and an experienced pulmonary rehabilitation clinician. The exercise training will be conducted in a 33-35ºC hydrotherapy pool. Exercise will consist of 20-30 minutes of lower limb endurance
Water based exercise rehabilitaiton Participants will attend a water-based group exercise program for one hour, twice per week for eight weeks. Each session will be supervised by a senior clinician physiotherapist, experienced in delivering water-based rehabilitation to patients with multiple co-morbidities, and an experienced pulmonary rehabilitation clinician. The exercise training will be conducted in a 33-35ºC hydrotherapy pool. Exercise will consist of 20-30 minutes of lower limb endurance training (walking, jogging, cycling, kicking dependent on the capability of the individual) in addition to 15 minutes of upper and lower body strength training (using speed, turbulence, various depths, equipment).
Sponsors
Dr Catherine Hill
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
- Diagnosis of mild-moderate connective tissue disease related interstitial lung disease (CTD-ILD) - Dyspnoea on exertion despite maximal appropriate medical treatment
Exclusion criteria
- Severe CTD-ILD (FVC less than or equal to 50% predicted and/or TLCO less than 30% predicted). - Severe pulmonary hypertension (WHO functional class IV) - a history of syncope/pre-syncope on exertion - resting hypoxaemia (SpO2 less than 88%) or resting dyspnoea. - Inability to participate in aquatic rehabilitation e.g., acute/unstable cardiac disease, or fear of water.
Outcome results
None listed