Breathing Control Exercises in Patients With Chronic Obstructive Pulmonary Disease.

NCT ID: NCT05199987

Last Updated: 2024-04-16

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-01-31
• Study Completion Date: 2022-08-15

Brief Summary

The purpose of this study is to test whether breathing control exercises embedded in occupational therapy sessions have an impact on quality of life and dyspnea in patients with chronic obstructive pulmonary disease (COPD).

Detailed Description

Dyspnea is one of the most important and debilitating symptoms in patients with COPD and is often the starting point to the vicious cycle of physical inactivity. As a consequence of increased dyspnea, patients adapt themselves by reducing the amount of all activities of daily living performed, with a consequent reduction in quality of life.

Occupational therapists are involved in pulmonary rehabilitation programs aiming to improve the biopsychosocial condition of COPD patients. However, the specific roles and intervention of occupational therapists are not well-defined, and standardized protocols are lacking. The implementation of breathing control exercises in occupational therapy sessions, aiming among other things to regulate patient's breathing during their activities of daily living, could be a starting point for a more effective management of patients with COPD. This could ultimately participate in the improvement of quality of life in patients with COPD.

Conditions

Severe Chronic Obstructive Pulmonary Disease

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Standard Occupational Therapy

This group will receive standard occupational therapy sessions

Group Type: ACTIVE_COMPARATOR

Standard Occupational Therapy

Intervention Type: BEHAVIORAL

Standard occupational therapy sessions include patient therapeutic education (implementation of strategies and/or technical aids promoting autonomy and independence), walking and stair exercises in real-life conditions (weighted shopping bag, unstable ground, ...), as well as work on activities of daily living aiming to improve toileting skills (includes individual assessment, the use of technical aids depending of this assessment, and personalised strategies to conserve energy).

Occupational Therapy with Breathing Control Exercises

This group will receive the same component of the control group + breathing control exercises

Group Type: EXPERIMENTAL

Occupational Therapy with Breathing Control Exercises

Intervention Type: BEHAVIORAL

Includes the same treatment than the one described in standard occupation therapy but with the addition of 30-minute sessions per day on breathing control exercises. These exercises included the reproduction of gestures reproducing daily activities and simultaneous explanations of breathing techniques that the patient can perform in order to set up strategies for saving breath during exercise.

Interventions

Standard Occupational Therapy

Standard occupational therapy sessions include patient therapeutic education (implementation of strategies and/or technical aids promoting autonomy and independence), walking and stair exercises in real-life conditions (weighted shopping bag, unstable ground, ...), as well as work on activities of daily living aiming to improve toileting skills (includes individual assessment, the use of technical aids depending of this assessment, and personalised strategies to conserve energy).

Intervention Type: BEHAVIORAL

Occupational Therapy with Breathing Control Exercises

Includes the same treatment than the one described in standard occupation therapy but with the addition of 30-minute sessions per day on breathing control exercises. These exercises included the reproduction of gestures reproducing daily activities and simultaneous explanations of breathing techniques that the patient can perform in order to set up strategies for saving breath during exercise.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Confirmed diagnostic of COPD
• Severity of COPD: global initiative for chronic obstructive lung disease (GOLD) classification III or IV
• Undergoing a pulmonary rehabilitation program in J. Bracops Hospital

Exclusion Criteria

• Cardiac or orthopedic complications limiting participation in occupational therapy sessions
• Active smoking
• Inability to understand the French language orally or in writing
• Cognitive impairments limiting understanding of instructions and participation in occupational therapy sessions

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

Sponsors

Cliniques universitaires Saint-Luc- Université Catholique de Louvain

OTHER

Sponsor Role: lead

Responsible Party

William Poncin, PT, PhD

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

J Bracops Hospital

Anderlecht, , Belgium

Countries

Belgium

Other Identifiers

ErgoControl

Identifier Type: -

Identifier Source: org_study_id