Effect of Different Form of Upper Limb Muscles Training on Dyspnea in COPD

University Hospital, Brest280 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

280

Conditions

COPD

Interventions

Strength trainingOTHER

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

Endurance trainingOTHER

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

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (2)

CHRU de Brest

Brest, France

CH Pays de Morlaix

Morlaix, France

Outcomes

Primary Outcomes

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.

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.

Time frame: Change from inclusion at 4 week

Secondary Outcomes

Compare dyspnea in daily life between the 2 groups

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."

Time frame: At inclusion and week 4

Compare dyspnea in daily life between the 2 groups

Measurement of dyspnea using Dyspnea-12 questionnaire. This 12-item self-administered questionnaire measures dyspnea severity in both its physical and affective components, independently from activity limitation. Patients score ranges from "none" (corresponding to score 0) to "severe" (score 3). Dyspnea-12 score is calculated by aggregating the points assigned to each question; the higher the score, the greater the severity.

Time frame: At inclusion and week 4

Measuring upper limb endurance

with the 6-minute Peg Board and Ring Test (6PBRT)

Time frame: At inclusion and week 4

Data from ClinicalTrials.gov

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