Health Condition 1: J449- Chronic obstructive pulmonary disease, unspecified Health Condition 2: J439- Emphysema, unspecified Health Condition 3: J42- Unspecified chronic bronchitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Moderate to severe COPD (FEV1 less than 50% predicted) Controlled symptoms for the last 7 days, without systemic steroids or antibiotics Willing to participate and attend in-hospital pulmonary rehabilitation for the next 12 weeks Ready to give written informed consent
Exclusion criteria
Exclusion criteria: Patients requiring hospitalisation (till stabilization/recovery) (shall be reassessed for inclusion after discharge) On treatment for active respiratory infections (e.g., tuberculosis, chronic pulmonary aspergillosis etc.) Presence of severe comorbidities such as hematological or solid organ malignancy, symptomatic cardiovascular disease, musculoskeletal or neurological disease that might affect ambulation or exercise training Ccognitive dysfunction, mental disorder or abnormal behaviors Inability to follow up as per protocol Participation in a pulmonary rehabilitation programme in the past 12 months Currently practicing yoga based rehabilitation Participating in another interventional trial Patients with a life expectancy of less than four weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the efficacy of yoga alone, pulmonary rehabilitation alone, and the combination of yoga and pulmonary rehabilitation in improving exercise capacity, as measured by the 6-minute walk test in patients with moderate to severe chronic obstructive pulmonary diseaseTimepoint: To compare the efficacy of yoga alone, pulmonary rehabilitation alone, and the combination of yoga and pulmonary rehabilitation in improving exercise capacity, as measured by the 6-minute walk test in patients with moderate to severe chronic obstructive pulmonary disease | — |
Secondary
| Measure | Time frame |
|---|---|
| Maximal exercise capacity (VO2 max) COPD Assessment Test (CAT) Lung function (FEV1) Forced oscillometry testing parameters (R5, R20, R5-R20, Ax) Body plethysmography (Total lung capacity and RV/TLC) Time to next exacerbation (months) Body composition (using body impedance analysis) Inflammatory biomarkers (CRP, SAA, IL-6, IL10, YKL-40, 8-Isoprostane and FENO) Feasibility and utility of telemonitored parameters (heart rate, daytime activity, daily step counts, sleep quality and nocturnal saturation) using personalised monitoring (smartwatch)Timepoint: 12 weeks | — |
Countries
India
Contacts
All India Institute of Medical Sciences, New Delhi