Single Leg Cycling in COPD: Knowledge Translation to Pulmonary Rehabilitation

NCT ID: NCT01930526

Last Updated: 2016-01-05

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 22 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2011-07-31
• Study Completion Date: 2015-10-31

Brief Summary

Pulmonary rehabilitation (PR) with supervised exercise training is a key part of care for patients with chronic lung disease (COPD). Patients can improve their shortness of breath, walking distance and quality of life. However, many patients do not improve their overall fitness. They are too breathless to train at a high enough intensity. In a laboratory training study, patients with COPD improved their overall fitness by using single leg cycling. Despite this knowledge, single leg cycling has not been used clinically. The objective of this project is to use and assess single leg cycling in a clinical setting. Single leg cycling can be incorporated into a clinical service (replacing traditional two legged cycling) as the predominant aerobic training strategy, resulting in improvements in cardio-respiratory fitness (peak oxygen uptake).

Conditions

Chronic Obstructive Pulmonary Disease (COPD)

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Pulmonary Rehabilitation

Patients will undergo the usual pulmonary rehabilitation programme but instead of two-legged cycling they will undergo single leg cycling where they cycle with one leg for 10-15mins and then the other in the same session.

Group Type: EXPERIMENTAL

Pulmonary Rehabilitation

Intervention Type: OTHER

Pulmonary Rehabilitation (PR) is a short course 6-12 weeks of supervised exercise training and education for patients with COPD. This is part of their usual treatment. This study is replacing two-legged cycling with single leg training. Patients will have the usual PR outcome measures assessed but in addition will have a laboratory exercise test.

Interventions

Pulmonary Rehabilitation

Pulmonary Rehabilitation (PR) is a short course 6-12 weeks of supervised exercise training and education for patients with COPD. This is part of their usual treatment. This study is replacing two-legged cycling with single leg training. Patients will have the usual PR outcome measures assessed but in addition will have a laboratory exercise test.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients with COPD referred for Pulmonary Rehabilitation

Exclusion Criteria

• Unstable cardiac disease
• any neurological or orthopaedic condition that would make cycling difficult

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

West Park Healthcare Centre

OTHER

Sponsor Role: lead

Responsible Party

Roger Goldstein

Respirologist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Roger S Goldstein, MBChB

Role: PRINCIPAL_INVESTIGATOR

West Park Healthcare Centre

Locations

West Park Healthcare Centre

Toronto, Ontario, Canada

Countries

Canada

References

Evans RA, Dolmage TE, Mangovski-Alzamora S, Romano J, O'Brien L, Brooks D, Goldstein RS. One-Legged Cycle Training for Chronic Obstructive Pulmonary Disease. A Pragmatic Study of Implementation to Pulmonary Rehabilitation. Ann Am Thorac Soc. 2015 Oct;12(10):1490-7. doi: 10.1513/AnnalsATS.201504-231OC.

Reference Type: DERIVED

PMID: 26291542 (View on PubMed)

Other Identifiers

JREB2011-12

Identifier Type: -

Identifier Source: org_study_id