The Effects of Core Stabilization Training Among Patients With Asthma: A Randomized Controlled Trial

NCT ID: NCT03335891

Last Updated: 2017-11-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 51 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-11-30
• Study Completion Date: 2016-03-31

Brief Summary

Objective: To investigate the effectiveness of core stabilization exercises combined with the patient education program (AEP) and breathing exercises in patients with asthma.

Design: A randomized controlled study Setting: Chest diseases clinic of a university hospital. Subjects: The study sample consists of 26-68 years old asthma patients who were diagnosed at least 6 month prior to the study.

Interventions: All subjects were included in the asthma education program (AEP) and both groups were trained for diaphragmatic and pursed lip breathing exercises (2times/wk. 6-week duration at clinic). The core stabilization program was applied twice a week for a duration of 6 weeks in TG.

Main Measures: Spirometry, maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP), International Physical Activity Questionnaire Short Form (IPAQ), Hospital Anxiety and Depression Scale(HADS), Asthma Quality of Life Questionnaire(AQOL), Six-minute walking test(6MWT), Prokin PK200, Italy were used to evaluate feasibility of interventions.

Detailed Description

All volunteers received an asthma education program (AEP) and trained for diaphragmatic and pursed lip breathing exercises. Additionally, the TG participated in the core stabilization exercises program combined with AEP and breathing exercises. Data were collected from all the patients at baseline and post interventions (6 week) by the same physiotherapist who also supervised the exercise sessions.

All subjects were included in the asthma education program (AEP). AEP was performed at least once for approximately 20 minutes via face to face interviews. Education topics covered description of asthma, physiological changes of lungs, risk factors, treatment methods, relaxation positions to reduce dyspnea and usage of a specific inhaler. Breathing exercises were comprised of instructing breathing control, diaphragmatic breathing and pursed lip breathing exercises. Participants attended breathing exercises training for 2 days at the clinic under the supervision of a physiotherapist and 3 days at home as a home-exercise program. Total duration of breathing exercises lasted for 6 weeks. TG performed core stabilization exercises combined with breathing control for 2 days/a week for the duration of 6 weeks under the supervision of a physiotherapist at the clinic. Basic knowledges on spine, muscles of core stabilization and working principle of diaphragm and biofeedback unit (SPB) (Chattanooga Stabilizer Pressure Biofeedback, USA) were explained before the training. The SPB consists of an inflation pump and a cell like sphygmomanometer, which reflects body spinal movement in terms of mmHg by changing pressure in air filled cells. The SPB was placed under the lumbar 5th vertebra and patients attempted to maintain their core stability performing neutral zones at the settled level of 40 mmHg pressure. Furthermore, physiotherapist tried to improve thoracolumbar awareness by following changes from SPB and volunteers assured a constant lumbar position during upper and lower extremity movements combined with diaphragmatic movements. The 6 week exercise protocol emphasized core muscle co-contraction in hook-lying position with a flat cushion between two knees to provide integration between the pelvic floor muscles and diaphragm. Subsequently, exercises progressed as diaphragmatic breathing, flexion of both shoulder with breathing control and extending knees bilaterally with breathing control. Moreover, the hold time and the number of repetitions were increased from 5 repeats x 1 set to 5 repeats x 4 sets and each session lasted 20 minutes.

Conditions

Asthma

Keywords

asthma education program; balance; core stabilization exercises

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Training Group

Asthma Education Program Breathing Exercises Core Stabilization Exercises

Group Type: EXPERIMENTAL

Core Stabilization Exercises

Intervention Type: PROCEDURE

Volunteers received an asthma education program and trained for diaphragmatic, pursed lip breathing exercises as well as participated in the core stabilization exercises program.

Control

Intervention Type: PROCEDURE

Volunteers received an asthma education program and trained for diaphragmatic andpursed lip breathing exercises

Control Group

Asthma Education Program Breathing Exercises

Group Type: ACTIVE_COMPARATOR

Control

Intervention Type: PROCEDURE

Volunteers received an asthma education program and trained for diaphragmatic andpursed lip breathing exercises

Interventions

Core Stabilization Exercises

Volunteers received an asthma education program and trained for diaphragmatic, pursed lip breathing exercises as well as participated in the core stabilization exercises program.

Intervention Type: PROCEDURE

Control

Volunteers received an asthma education program and trained for diaphragmatic andpursed lip breathing exercises

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Participating to the study in a voluntary basis.
• Being 18 years old and upper
• Getting diagnosed with asthma at least 6 months before.

Exclusion Criteria

• Having an asthma attack in last 2 weeks.
• Having physical and/or mental disability.
• Having visual, hearing and/or verbal impairments.

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

Sponsors

Istanbul University

OTHER

Sponsor Role: collaborator

Yeditepe University

OTHER

Sponsor Role: lead

Responsible Party

Elif Develi

Teaching Assistant

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Elif Develi, M.Sc.

Role: PRINCIPAL_INVESTIGATOR

Yeditepe University, Health Sciences Faculty, Department of Physiotherapy and Rehabilitation

Feryal Subasi, Professor

Role: STUDY_CHAIR

Yeditepe University, Health Sciences Faculty, Department of Physiotherapy and Rehabilitation

Göksen Kuran Aslan, PhD

Role: STUDY_CHAIR

Istanbul University, Health Sciences Faculty, Department of Physiotherapy and Rehabilitation

Zuleyha Kaya Bingol, MD, Associate Professor

Role: STUDY_DIRECTOR

Chest Medicine Outpatient Clinic of Istanbul University, Istanbul Medical Faculty

Other Identifiers

Yeditepe University

Identifier Type: -

Identifier Source: org_study_id