The Effect of Frailty on Balance, Activities of Daily, and Exercise Capacity in COPD

Hacettepe University48 enrolled

Overview

The investigators aim to demonstrate whether balance, cognition and activities of daily living have changed in COPD patients with and without frailty.

COPD is a common, preventable and treatable disease characterized by progressive respiratory symptoms and airflow limitation. Frailty defines a clinical syndrome characterized by multiple system effects, leading to decreased functional reserve and increased sensitivity to dependence or mortality following minor stress events. Inflammation, lack of physical activity, reduced exercise efficiency and maximum oxygen uptake may contribute to the development of frailty in patients with COPD. Balance, cognition and activities of daily living are associated with COPD. This study will evaluate the effect of frailty on balance, cognition and activities of daily living in patients with COPD.

Study Type

OBSERVATIONAL

Enrollment

Conditions

COPD Frailty

Eligibility

Sex: ALLMin age: 55 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * COPD patients who have been clinically stable for the last four weeks and who have not undergone drug change for the last four weeks * Being 55 years of age or older * Accepted to participate in the study (Able and wililing to complete the informed consent process) * Co-operate * Patients with COPD who are ambulant without support or an assistive device Exclusion Criteria: * Neurological, cardiac or orthopedic diseases * Other chronic diseases that may affect balance and walking

Locations (1)

Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation

Ankara, Sihhiye, Turkey (Türkiye)

Outcomes

Primary Outcomes

Presence of The Frailty Will Be evaluated Using The Frailty Criteria by Fried

Frailty will be identified by the presence of three or more of the following criteria unintentional weight loss (10 Ibs in past year), weakness (grip strength), self-reported exhaustion, slow walking speed and low physical activity. Patients with three or more of the criteria present were classified as frail.

Time frame: 1st Day

Balance Assessment Using Functional Reach Test

The Functional Reach Test measures how far patient can reach forward from a normal relaxed stance.

Time frame: 1st Day

Cognition Using MoCA-Test

Cognitive function will be evaluated with the secreening tool the Montreal Cognitive Assessment (MoCA). The MoCA is a 30-point screening tool.

Time frame: 1st Day

Perform activities of daily living (ADL) will be evaluated using the Glittre ADL-test

Glittre ADL-test was designed specifically to assess the functional limitation in patients with COPD. Glittre ADL-test time will be considered the main outcome variable, and will be recorded in minutes (metric).

Time frame: 1st Day

Secondary Outcomes

Exercise Capacity Using 6-Minute Walk Test

The standard protocol of the test is applied in a 30-meter continuous corridor. Standard instructions are given during testing.

Time frame: 1st Day

Disease-Related Quality of Life Assessment

COPD evaluation test (CAT) was developed to help assess health status.

Time frame: 1st Day

Respiratory Muscle Strength Assessment

Data from ClinicalTrials.gov

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