Chronic Obstructive Pulmonary Disease
Conditions
Brief summary
This trial hopes to demonstrate the effect of 4 weeks of outpatient exercise rehabilitation on COPD patients. In particular the effect on: * the amount of daily physical activity * Quality of life * The 6-minute walk distance * Time to exacerbation and compare it to the effect of 4 weeks of outpatients rehabilitation with Noninvasive Ventilation as an adjunct therapy.
Interventions
Positive pressure applied through an oro-nasal mask. The pressure is altered between inspiration and expiration.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of COPD III+IV * Age \>18 years * Former NIV treatment for at least 6 weeks with a positive end-expiratory pressure of at least 4 cmH2O and a pressure support of 8 cmH2O or higher
Exclusion criteria
* Pulmonary Exacerbation requiring antibiotic treatment or hospitalization during the last 6 weeks * non-pulmonary Exercise impairment (amputation, severe heart disease, etc) * any disease that precludes exercise training * inability to understand the patient information * substance abuse * oxygen requirement of more than 6l O2/min during exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Daily Physical Activity | 3 Months | The primary outcome will be measured by daily activity using accelerometer arm bands. This will be measured at the beginning of the rehabilitation program, at the end and at a 3 month follow up. |
| Exercise Capacity | 6 Weeks | 6 Minute Walking Distance will be measured every week during the exercise program. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life | 3 Months | Using the St. George Respiratory Questionnaire before and after rehabilitation, quality of life will be measured. |
| Dyspnoea | 6 Weeks | Change in Dyspnoea after end of exercise will be assessed using the Multidimensional Dyspnoea Profile and the BORG scale. |
| Change in Physiological Parameters | 3 Months | Maximum training intensity, body weight and muscle diameter will be tracked throughout the training program. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Time to pulmonary exacerbation | 12 Months | The average time to exacerbation between groups will be analysed post trial. |
Countries
Germany