Chronic Obstructive Pulmonary Disease
Conditions
Brief summary
This study is aimed at determining the role of pain in individuals with chronic obstructive pulmonary disease (COPD) who are enrolled in a pulmonary rehabilitation (PR) program. It is not known whether pain interferes with an individuals performance in PR, or whether PR aggravates or relieves pain. Individuals with COPD who report chronic pain and those without pain will be enrolled in the study.
Detailed description
Chronic obstructive pulmonary disease (COPD) is a systemic disease associated with dyspnea, fatigue, and poor health-related quality of life. COPD is further complicated by the presence of pain which may be attributed to common comorbidities such as musculoskeletal conditions (osteoarthritis, osteoporosis), cardiac disease or diabetes. Pulmonary rehabilitation (PR) is the cornerstone of treatment for COPD however the impact of pain on PR has not been explored. It is unclear whether those experiencing chronic pain achieve a similar, lesser or greater degree of benefit compared to those without pain, or whether exercise training exacerbates symptoms. Gaining a greater understanding of the effects of an outpatient PR program on pain will provide direction into future specific treatment options which may necessary for managing chronic pain as part of PR. Individuals with COPD who are beginning an out-patient PR program will be enrolled in the study. Those who report the presence of chronic pain will be classed as the pain group; those who report the absence of chronic pain will be classed as the comparator group. All participants will complete a 6-minute walk test and a Chronic Respiratory Disease Questionnaire (CRDQ) at the beginning of the PR program. These measures will be repeated at the end of the 8-week PR program for all participants. All participants will be asked to report their level of pain using a visual analogue scale every two weeks during the PR program. Participants reporting chronic pain will also complete a series of questionnaires regarding their pain and coping strategies. These include; the Brief Pain Inventory (BPI), Coping Strategies Questionnaire (CSQ), Fear Avoidance Behavior Questionnaire (FABQ), Hospital Anxiety and Depression Scale (HADS) and Centre for Epidemiological Studies for Depression Survey (CES-D).
Interventions
OTHERPain
Sponsors
West Park Healthcare Centre
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* individuals with moderate to severe COPD based on international (GOLD) criteria * clinically stable * no history of acute exacerbation in the past 6 weeks * able to provide their own informed consent * referred to out-patient pulmonary rehabilitation at West Park Healthcare Centre
Exclusion criteria
* primary diagnosis other than COPD * known cognitive impairment that would interfere with completing surveys * cardiac, neurological or orthopedic conditions which prevent the ability to undertake exercise safely
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in qualities of pain (intensity, location, interference) | Change from Baseline to end of 8-Week PR program |
Secondary
| Measure | Time frame |
|---|---|
| Change in coping ability specific to pain and fear avoidance | Change from Baseline to end of 8-Week PR program |
| Relationship between depression and other psychological factors influencing chronic pain, including coping ability and fear avoidance behaviour | Change from Baseline to end of 8-Week PR program |
| Change in functional exercise capacity and health related quality of life between those with chronic pain and those without pain | Change from Baseline to end of 8-Week PR program |
Countries
Canada
Outcome results
None listed