Chronic Obstructive Pulmonary Disease
Conditions
Keywords
COPD, Respiratory Physiotherapy
Brief summary
This study will investigate if adding a domiciliary respiratory physiotherapy treatment to standard care in patients with chronic obstructive pulmonary disease (COPD) can improve physical function (walking test) and quality of life.
Interventions
a respiratory rehabilitation programme at the patient home
As describe in the standard care arm
Sponsors
Study design
Eligibility
Inclusion criteria
* Severe COPD (FEV1/FVC \< 70% and FEV1 \< 50% pred.) associated to hypoxaemic chronic respiratory insufficiency (PaO2 \< 60mmHg) or * Very severe COPD (FEV1/FVC \< 70% and FEV1 \< 30% pred.) With the following characteristics: * no signs of lung restriction (TLC≥80%) * clinically stable for at least the last four weeks * MRC ≥ 2 * no participation to PR programmes in the last year FEV1= Forced expiratory volume in the 1st second FVC= Forced vital capacity TLC= Total Lung Capacity PaO2= Partial pressure of arterial oxygen
Exclusion criteria
* \- Muscular-skeletal impairment that could limit the patient's participation to the exercise programme; * Cognitive impairment that could limit the patient's participation to the activities of education and exercise, as assessed by the Mini Mental State (MMS) test \<26; * Malignancies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| meters as per walking test performance | 8 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| meters as per walking test performance | 6 months | — |
| Quality of life | 8 weeks | — |
| Bode index | 8 weeks | This index is a combination of walking test result, Body Mass Index and respiratory measurement |
| dyspnea | 8 weeks | — |
| relapses | 8 weeks | — |
| services utilization | 8 weeks | visits to the GP or Pneumologist that were not planned, hospital visits (emergency room ) |
Countries
Italy