Respiratory: Chronic obstructive pulmonary disease (COPD) Respiratory Chronic obstructive pulmonary disease (COPD)
Conditions
Interventions
Pursed Lip Breathing (PLB) vs control
Sponsors
Record Provided by the NHSTCT Register - 2007 Update - Department of Health
Eligibility
Inclusion criteria
Inclusion criteria: Prior to July 2008: 1. Non smoking patients that have been diagnosed with COPD who are in a stable condition. 2. 86 participants, broken down as approximately 4/5th will be recruited from The Whittington NHS and 1/5th from Islington PCT. Modified July 2008: 1. Diagnosis of COPD (FEV1 < 80% and FEV1/FVC < 70% predicted) 2. Medical intervention optimised according to NICE guidelines 3. MRC 3 or more; as a minimum walks slower than contemporaries on level ground or has to stop for breathing when walking at own pace 4. 4/52 since last exacerbation and 6/52 since last admission 5.Informed consent obtained and signed after provision of information sheet 6. Able to comply with study procedure
Exclusion criteria
Exclusion criteria: Added July 2008: 1. Subject requires an interpreter for consent form 2. Mini-mental test score < 24 (performed in English) 3. Subject has no fixed abode or does not consent to home visits 4. Hospital Lone Practioner Policy precludes home visits to this subject 5. Previously taught PLB 6. On long term oxygen therapy (LTOT) 7. Medical history preventing ability to walk (other than COPD) 8. Ex-smoker of < 3 months 9. Unstable Angina 10. Uncontrolled hypertension 11. Uncontrolled congestive cardiac failure 12. Uncontrolled cardiac arrhythmias 13. Myocardial infarct within 6 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Added July 2008: 1. Chronic Respiratory Disease Questionnaire 2. Endurance Shuttle Walk Test | — |
Secondary
| Measure | Time frame |
|---|---|
| Added July 2008: 1. Borg Dyspnoea Scale 2. Respiratory rate and inspiratory capacity pre and post exercise 3. Hospital Anxiety and Depression scale | — |
Countries
United Kingdom
Outcome results
None listed