Skip to main content
Top
Published in: Trials 1/2021

Open Access 01-12-2021 | Chronic Obstructive Lung Disease | Study protocol

Individualized, low-cost and accessible pulmonary rehabilitation program based on functional clinical tests for individuals with COPD—a study protocol of a randomized controlled trial

Authors: Marcela Maria Carvalho da Silva, Juliano Ferreira Arcuri, Valéria Amorim Pires Di Lorenzo

Published in: Trials | Issue 1/2021

Login to get access

Abstract

Background

Patients with chronic obstructive pulmonary disease (COPD) present pulmonary and extrapulmonary impairments. The strategies used to mitigate these impairments are pulmonary rehabilitation programs (PRP). However, there is limited access to PRP in specialized centers and the study of low-cost home rehabilitation programs had non-individualized prescription, which might have led to insignificant positive effects. So, it is important to develop new low-cost protocols that involve individualized prescription, as well as physiotherapist supervision. This study describes an accessible, low-cost, and individualized pulmonary rehabilitation protocol and compare its results when performed with or without a weekly physiotherapist-supervised session on patients with COPD.

Methods

This is a descriptive protocol of a clinical trial, randomized, single-blinded, and type of framework is superiority conducted at the Spirometry and Respiratory Physical Therapy Laboratory of the Federal University of São Carlos (UFSCar). The trial is registered in the Brazilian Clinical Trials Registry (ReBec) URL: http://​www.​ensaiosclinicos.​gov.​br/​rg/​RBR-533hht/​ with Register Number UTN code U1111–1220-8245. The sample size is 50 patients and is calculated using the results of a pilot study.

Discussion-potential impact and significance of the study

It is expected that the low-cost and new supervised rehabilitation program complemented with home exercises will present positive results, especially on exercise capacity, which will make available a more accessible and effective PRP for patients with COPD.

Trial registration

ClinicalTrials.gov U1111-1220-8245. Registered on September 20, 2018.
Appendix
Available only for authorised users
Literature
5.
go back to reference Camillo CA, Langer D, Osadnik CR, Pancini L, Demeyer H, Burtin C, et al. Survival after pulmonary rehabilitation in patients with COPD: impact of functional exercise capacity and its changes; 2016. p. 2671–9. Camillo CA, Langer D, Osadnik CR, Pancini L, Demeyer H, Burtin C, et al. Survival after pulmonary rehabilitation in patients with COPD: impact of functional exercise capacity and its changes; 2016. p. 2671–9.
7.
go back to reference Watz H, Pitta F, Rochester CL, Garcia-Aymerich J, ZuWallack R, Troosters T, Vaes AW, Puhan MA, Jehn M, Polkey MI, Vogiatzis I, Clini EM, Toth M, Gimeno-Santos E, Waschki B, Esteban C, Hayot M, Casaburi R, Porszasz J, McAuley E, Singh SJ, Langer D, Wouters EFM, Magnussen H, Spruit MA. An official European respiratory society statement on physical activity in COPD. Eur Respir J. 2014;44(6):1521–37. https://doi.org/10.1183/09031936.00046814.CrossRefPubMed Watz H, Pitta F, Rochester CL, Garcia-Aymerich J, ZuWallack R, Troosters T, Vaes AW, Puhan MA, Jehn M, Polkey MI, Vogiatzis I, Clini EM, Toth M, Gimeno-Santos E, Waschki B, Esteban C, Hayot M, Casaburi R, Porszasz J, McAuley E, Singh SJ, Langer D, Wouters EFM, Magnussen H, Spruit MA. An official European respiratory society statement on physical activity in COPD. Eur Respir J. 2014;44(6):1521–37. https://​doi.​org/​10.​1183/​09031936.​00046814.CrossRefPubMed
8.
11.
go back to reference Holland AE, Mahal A, Hill CJ, Lee AL, Burge AT, Moore R, et al. Benefits and costs of home-based pulmonary rehabilitation in chronic obstructive pulmonary disease - a multi-centre randomised controlled equivalence trial. BMC Pulm Med. 2013;13(1):1 Available from: BMC Pulmonary Medicine.CrossRef Holland AE, Mahal A, Hill CJ, Lee AL, Burge AT, Moore R, et al. Benefits and costs of home-based pulmonary rehabilitation in chronic obstructive pulmonary disease - a multi-centre randomised controlled equivalence trial. BMC Pulm Med. 2013;13(1):1 Available from: BMC Pulmonary Medicine.CrossRef
13.
go back to reference Pereira CADC. Espirometry. J Bras Pneumol. 2002;28(supl 3):S1–82. Pereira CADC. Espirometry. J Bras Pneumol. 2002;28(supl 3):S1–82.
21.
go back to reference Pollock ML, Wilmore JHE. Exercícios na saúde e na doença: Avaliação e prescrição para a prevenção e reabilitação. MEDSI. Rio Janeiro; 1996. Pollock ML, Wilmore JHE. Exercícios na saúde e na doença: Avaliação e prescrição para a prevenção e reabilitação. MEDSI. Rio Janeiro; 1996.
25.
go back to reference Patel S, Palmer MD, Nolan CM, Barker RE, Walsh JA, Wynne SC, et al. Supervised pulmonary rehabilitation using minimal or specialist exercise equipment in COPD: a propensity-matched analysis. Thorax. 2020:1–9. Patel S, Palmer MD, Nolan CM, Barker RE, Walsh JA, Wynne SC, et al. Supervised pulmonary rehabilitation using minimal or specialist exercise equipment in COPD: a propensity-matched analysis. Thorax. 2020:1–9.
26.
go back to reference Lahham A, Mcdonald CF, Mahal A, et al. Participation in Physical Activity During Center and Home-Based Pulmonary Rehabilitation for People With. COPD: a secondary analysis of a randomized controlled trial. J Cardiopulm Rehabil Prev. 2019;39(2):E1–4. Lahham A, Mcdonald CF, Mahal A, et al. Participation in Physical Activity During Center and Home-Based Pulmonary Rehabilitation for People With. COPD: a secondary analysis of a randomized controlled trial. J Cardiopulm Rehabil Prev. 2019;39(2):E1–4.
Metadata
Title
Individualized, low-cost and accessible pulmonary rehabilitation program based on functional clinical tests for individuals with COPD—a study protocol of a randomized controlled trial
Authors
Marcela Maria Carvalho da Silva
Juliano Ferreira Arcuri
Valéria Amorim Pires Di Lorenzo
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Trials / Issue 1/2021
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-021-05267-9

Other articles of this Issue 1/2021

Trials 1/2021 Go to the issue