Respiratory Diseases
Conditions
Keywords
respiratory diseases, pulmonary rehabilitation, chronic obstructive pulmonary disease, biological clock
Brief summary
Pulmonary rehabilitation (PR) is an effective intervention for reducing hospital readmissions, secondary events, and mortality in patients with respiratory pathologies. The program should not be improved by introducing new subjects such as circadian rhythm.
Detailed description
Respiratory diseases are a leading cause of death in developed countries. To avoid complications and recurrences, secondary prevention in patients with respiratory diseases is essential. Pulmonary rehabilitation (PR) is a well-established and effective treatment that is supervised by medical professionals and conducted in dedicated centres. It has been shown to reduce hospital readmissions, secondary events, and patient mortality. The timing of reconditioning is crucial. Previous studies have indicated that training times affect strength and power gains. Additionally, the time of day for training can significantly impact progress in aerobic capacity. Disturbances to the biological clock can have consequences for people with respiratory pathologies, particularly an alteration in muscular function. Therefore, studying the temporal specificity of exercise re-training in patients with respiratory diseases is of interest.
Interventions
OTHERPulmonary rehabilitation
Pulmonary rehabilitation includes : * Exercise re-training with resumption of physical activities * therapeutic patient education
Sponsors
Michaël RACODON
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years * Patient with chronic obstructive pulmonary disease (COPD) * Registered for respiratory re-education and rehabilitation at the Clinique de la Mitterie * Number of rehabilitation sessions at least 18 over 4 weeks * Written informed consent signed by the patient * Membership of a social security
Exclusion criteria
* \- cardiovascular contraindications to exercise * unstable respiratory status (uncompensated respiratory acidosis) * conditions interfering with the pulmonary rehabilitation process (progressive neuromuscular disease, psychiatric illness)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6-minute walk test (6MWT) | 15 minutes | Walking distance in a test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sit to stand test (STT) | 1 minute | The number of sit-to-stand repetitions during the test. |
| Single arm curl Test (SAC) | 1 minute | The number of bends during the test |
| Time limit test (Time-lim) | 0 to 900 secondes | Endurance exercise holding time in seconds |
| Hospital Anxiety and Depression Scale (HAD) | 10 minutes. The maximum mark for each score is 21 and the minimum mark is 0. The higher the score, the more depressed or anxious the person. | Hospital Anxiety and Depression score |
| Pittsburgh Sleep Quality Index | 10 minutes. The total score ranges from 0 to 21, with 0 indicating no difficulties and 21 indicating major difficulties. | Sleep quality score |
| Single-leg stance test (SLT) | 1 minute | The time for balance |
Countries
France
Contacts
Primary ContactMichaël RACODON, PhD
Outcome results
None listed