The aim of this study is to evaluate the effectiveness of quadriceps strengthening with neuromuscular electrical stimulation versus cycle ergometer as part of pulmonary rehabilitation program , in patients with severe or very severe COPD , according to GOLD with BODE index ≥ 5 .
It's a prospective ,multicentre,randomised, single-blind study which compare the effectiveness of quadriceps strengthening with neuromuscular electrical stimulation versus cycle ergometer training as part of pulmonary rehabilitation program. The program lasts from 3 to 4 weeks. 102 patients will included, diagnosed with COPD stages GOLD III and IV, and BODE index ≥ 5. The commun program: training protocol performed on treadmill,quadriceps resistance training,patient therapeutic education,collective gymnastics,relaxation, session psychological care, smoking cessation program and nutritional management if necessary. The primary criterion is the one minute sit to stand test.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
102
quadriceps strenghthening with neuromuscular electrical stimulation (medical device)
quadriceps strenghthening with cycle ergometer training
excercise training on treadmill
Centre des maladies respiratoires et allergiques - Les Acacias
Briançon, France, France
CH de Morlaix
Morlaix, France, France
functional capacity of the lower limb muscles
Measure of the functional capacity of the lower limb muscles with the "1 minute Sit To Stand Test "
Time frame: 21 - 4 days / +7 days
Maximal isometric voluntary quadriceps strength assessment
Quadriceps strength assessment with handheld dynamometer
Time frame: 21 - 4 days / +7 days
isometric voluntary quadriceps endurance assessment
Measure of isometric voluntary quadriceps endurance assessment with handheld dynamometer
Time frame: 21 - 4 days / +7 days
assessment of exercise capacity
Six minute walking test for assessing exercise capacity
Time frame: 21 - 4 days / +7 days
Quality of Life Assessment
COPD assessment test for assessing quality of life
Time frame: 21 - 4 days / +7 days
Dyspnea Assessment with Borg scale
Measure of dyspnea with Borg scale at the end of the six minute walking test
Time frame: 21 - 4 days / +7 days
Dyspnea Assessment with MRC Scale
Measure of dyspnea with Medical Research Council Dyspnea Scale
Time frame: 21 - 4 days / +7 days
Dyspnea Assessment with Dyspnea 12 questionnary
Measure of dyspnea with Dyspnea 12 questionnary
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Time frame: 21 - 4 days / +7 days
Inspiratory capacity (in litres) by spirometry
Measure of inspiratory capacity (in litres) by spirometry
Time frame: 21 - 4 days / +7 days