COPD
Conditions
Brief summary
Evaluate the effect of upper limbs strength training versus the effect of upper limbs endurance training, on dyspnea, in patients with COPD during a pulmonary rehabilitation program.
Interventions
OTHERStrength training
Upper limbs Strength training; done with dumbbells whose weight corresponds to 60-80% of the maximal voluntary force in abduction measured initially, during 4 weeks
OTHEREndurance training
Upper limbs Endurance training of the ; done with dumbbells whose weight corresponds to 30% of the maximum voluntary force in abduction measured initially, during 4 weeks
Sponsors
University Hospital, Brest
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This is a multicenter, prospective, randomized, open-label study.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient with stage 2 to 4 (A to D) COPD admitted to a pulmonary rehabilitation program (4 weeks) * Patient aged 18 or over * Patient able to consent and having signed a consent form
Exclusion criteria
* Patient with pain, osteoarthritis or shoulder surgery * Patient with a history of Pneumonectomy, lobectomy less than 6 months old * Refusal of participation * Patient with an inability to complete a pulmonary rehabilitation program in totality * Pregnant or breast-feeding women * Patient under tutorship or curatorship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Compare the effect of upper limbs strength training versus the effect of upper limb endurance training on dyspnea in patients with COPD during a pulmonary rehabilitation program. | Change from inclusion at 4 week | Measurement of dyspnea using the London Chest Daily Activity Living (LCADL) questionnaire. This 15-item, self-administered questionnaire allows an evaluation of dyspnea in patients with COPD during daily activities divided into four components: self-care, domestic, physical, and leisure. Patients could score from 0: I would not do anyway to 5: I need someone else to do this. LCADL score is calculated by aggregating the points assigned to each question, with a higher score representing maximal disability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compare dyspnea in daily life between the 2 groups | At inclusion and week 4 | Measurement of dyspnea using mMRC scale. mMRC dyspnea scale is the first self-administered scale which assesses the impact of dyspnea on ADL. It consists of five grades increasing in severity of chronic respiratory disease from 0 : I only get breathless with strenuous exercise to 4 : I am too breathless to leave the house or I am breathless when dressing or undressing. |
| Measuring upper limb endurance | At inclusion and week 4 | with the 6-minute Peg Board and Ring Test (6PBRT) |
| Compare dyspnea at the end of a functional test using the upper limbs | At inclusion and week 4 | Measurement of dyspnea with Borg scale at the end of 6PBRT. The measure is a rating on a scale from 0 to 10 attached to different words of appreciation: very light, difficult, painful ... effort. |
| Compare upper limbs muscle fatigue at the end of a functional test using the upper limbs | At inclusion and week 4 | Measurement of upper limbs muscle fatigue with Borg scale at the end of 6PBRT. The measure is a rating on a scale from 0 to 10 attached to different words of appreciation: very light, difficult, painful ... effort. |
| Compare the evolution of upper limb strength between the 2 groups. | At inclusion and week 4 | Measurement of the strength of deltoids, biceps and brachial triceps, with hand held dynamometer |
Countries
France
Outcome results
None listed