Chronic Obstructive Pulmonary Disease (COPD) COPD
Conditions
Interventions
stretching at 90º and 120º of shoulder abduction with external rotation,
and serratus anterior,
lower trapezius strengthening exercise.
Sham Comparator No treatment,Experimental Procedure/Surgery
Control,Exercise program for reducing rounded shoulder
The participants will be received only conventional medical treatment without exercise program for reducing rounded shoulder,The participants will be received exercise training program which is modifi
2015 for reducing rounded shoulders. These exercise programs compose of pectoral muscles self-
Sponsors
Faculty of Physical Therapy
Nakornayok Hospital
Eligibility
Sex/Gender
Male
Age
60 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. 60-90 years old 2. Stable mild to moderate COPD as from GOLD Guildline, 2017. The participant will be diagnosis by physician 3. Stable hemodynamic
Exclusion criteria
Exclusion criteria: 1. BMI > 30 kg/m2 2. Receive long-term oxygen therapy or on mechanical ventilator within 4 weeks before starting experiment 3. Acute exacerbation within 3 months before staring the experiment 4. Medical diagnosis of heart failure, unstable angina, recent myocardial infraction, and aortic aneurysm 5. Uncontrolled hypertension 6. Scoliosis 7. Unable to follow the command 8. Chronic neck and/or shoulder pain over 6 months or VAS > 4 9. Fracture at clavicle, scapula, humerus, sternum or spine within 1 month 10. Severe musculoskeletal problems that cannot participate exercise program i.e. shoulder tendinitis, Osteoarthritis, Bursitis, Herniated nucleus pulposus (protrusion) 11. Severe neurological problem i.e. Head injury, Spinal injury, Peripheral nerve disorder 12. Thoracic outlet syndrome, recently complaint of numbness or tingling in the upper extremity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pulmonary function before starting the intervention and at 4, 8 weeks after end of the intervention Pulmonary function test,Respiratory muscle strength before starting the intervention and at 4, 8 weeks after end of the intervention Respiratory pressure meter,Respiratory muscle strength before starting the intervention and at 4, 8 weeks after end of the intervention Respiratory pressure meter,Chest expansion before starting the intervention and at 4, 8 weeks after end of the intervention Tape measurement,forward shoulder posture before starting the intervention and at 4, 8 weeks after end of the intervention using vernier height gauge caliper ,pectoralis minor index before starting the intervention and at 4, 8 weeks after end of the intervention measure the length of pectoralis minor by vernier caliper and calculate to pectoralis minor index | — |
Secondary
| Measure | Time frame |
|---|---|
| COPD Assessment Test (CAT score) before and after the end of intervention questionare,mMRC (Modified Medical Research Council) Dyspnea Scale before and after the end of intervention questionare | — |
Countries
Thailand
Contacts
Public ContactKanogwun Thongchote
Faculty of Physical Therapy, Srinakarinwirot University
Outcome results
None listed