Introduction: Chronic obstructive pulmonary disease (COPD) is recognized as one of the most relevant conditions worldwide, due to its high morbidity and mortality. Patients classified by GOLD as groups B and E are strongly encouraged to participate in pulmonary rehabilitation (PR) programs. Dance has been shown to be equally or, at times, more effective as a rehabilitation strategy when compared to other types of physical activity. Objective: To compare the effect of conventional rehabilitation and the effect of conventional rehabilitation added to dance in patients with COPD. Methods: This is a conventional randomized controlled clinical trial to be carried at the Piquet Carneiro University Polyclinic, Rio de Janeiro. Patients diagnosed with COPD will be evaluated. Eligible participants will complete specific questionnaires and tests. Finally, participants will be randomly divided into two groups: one group will perform conventional PR twice a week and the other group will perform rehabilitation through dance twice a week using 2 different playlists. The music will be from nationally and internationally known artists during 8 weeks. The evaluation tests will be repeated at the end of the intervention. Expected results: It is expected that the group of individuals with COPD who perform rehabilitation through dance will obtain greater and better results in relation to exercise capacity, QoL and peripheral muscle strength when compared to the group that will carry out the intervention consisting of two days of conventional PR. Keywords: Dance; Chronic obstructive pulmonary disease; Muscle strength; Quality of life; Rehabilitation.
Introduction: Chronic obstructive pulmonary disease (COPD) is recognized as one of the most relevant conditions worldwide, due to its high morbidity and mortality. Patients classified by GOLD as groups B and E are strongly encouraged to participate in pulmonary rehabilitation (PR) programs. Dance has been shown to be equally or, at times, more effective as a rehabilitation strategy when compared to other types of physical activity. Objective: To compare the effect of conventional rehabilitation and the effect of conventional rehabilitation added to dance in patients with COPD. Methods: This is a conventional randomized controlled clinical trial to be carried at the Piquet Carneiro University Polyclinic, Rio de Janeiro. Patients diagnosed with COPD, of both sexes, will be evaluated. Eligible participants will complete quality of life questionnaires - 36-item Short Form (SF-36), the COPD Assessment Test (CAT) and the Hospital Anxiety and Depression Scale (HADS). Additionally, patients will undergo pulmonary function tests, including spirometry, in addition to the six-minute walk test (6MWT), the handgrip test and the one repetition maximum test (1RM test). Finally, participants will be randomly divided into two groups: one group will perform conventional PR twice a week and the other group will perform rehabilitation through dance twice a week using 2 different playlists. The music will be from nationally and internationally known artists during 8 weeks. The evaluation tests will be repeated at the end of the intervention. Expected results: It is expected that the group of individuals with COPD who perform rehabilitation through dance will obtain greater and better results in relation to exercise capacity, QoL and peripheral muscle strength when compared to the group that will carry out the intervention consisting of two days of conventional PR. Keywords: Dance; Chronic obstructive pulmonary disease; Muscle strength; Quality of life; Rehabilitation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
44
After completing the assessments, participants will be randomly divided into two groups: Group 1, which will perform PR exercises and the Group 2, which will perform PR through dance. Both groups will have the interventions of pulmonary rehabilitation during approximately 50 minutes, for 8 weeks. The group 1 will perform five different exercises with resistance bands, with 3 sets of 1 minute each. Exercises will always begin with the lightest resistance band, and if more than 30 repetitions are observed in 1 minute, the resistance band will be replaced with one of the next highest resistance. The Group 2 will perform rehabilitation through dance using 2 different playlists. The music will be from nationally and internationally known artists. The steps will be based on the exercises performed in group 1 and will be incremented throughout each song and playlist. At the end of 8 weeks of intervention, the evaluative tests will be applied again.
Centro Universitário Augusto Motta
Rio de Janeiro, Rio de Janeiro, Brazil
Exercise capacity.
Assessment of participants' exercise capacity using the 6MWT, before and after rehabilitation.
Time frame: 8 weeks.
Quality of life assessment.
A quality of life assessment will be performed correlating both groups of participants of the COPD research. For this purpose, the Brazilian version of the quality questionnaire - the 36-item Short Form (SF-36) - will be used. The SF-36 is a multidimensional questionnaire with a total of 36 items. It covers eight domains: functional capacity, physical functioning, pain, general health, vitality, social functioning, emotional functioning, and mental health. Scores can range from 0 to 100. Higher scores indicate greater overall patient well-being.
Time frame: 8 weeks.
Peripheral muscle strength.
A peripheral muscle strength will be performed correlating both groups of participants of the COPD research. For this purpose, the 1 repetition maximum (1RM) test and handgrip strength will be used. To analyze the intensity of anaerobic exercise, the 1RM quadriceps muscle extension test using a load cell will be used. For the handgrip test, participants will be instructed to sit and use their dominant hand. They will then rest their dominant elbow on a table, maintaining a 90° angle, and squeeze the dynamometer as tightly as possible. The test will be performed three times, lasting approximately 3 to 5 seconds, and all participants will receive verbal encouragement throughout. The highest handgrip value will be used.
Time frame: 8 weeks.
Depression and anxiety.
A depression and anxiety assessment will be performed correlating both groups of participants of the COPD research. For this purpose, the Anxiety and Depression Scale - Hospital Anxiety and Depression Scale (HADS) will be used. The HADS is a scale that assesses an individual's likelihood of experiencing anxiety, depression, or both. It consists of 14 items, each with four response options and a possible score of 0, 1, 2, or 3. There are three categories for anxiety and depression: unlikely (0-7 points), questionable or doubtful (8-11 points), and probable (12-21 points). A higher score indicates a greater likelihood of experiencing either disorder. It is important to note that the HADS has a reliability of 0.68 for anxiety and 0.77 for depression and has been validated for Brazilian Portuguese.
Time frame: 8 weeks.
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