Investigation of Walking Training With Different Slope Types in COPD Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40+
SponsorAcibadem University

About this trial

Chronic obstructive pulmonary disease (COPD) is a disease that continues to generate a great deal of research and this research must continue, both because it is not completely curable and because of the large patient population. The importance and benefits of exercise training in COPD patients are clear. One of the most preferred types of exercise training is the so-called aerobic exercise training, which typically takes the form of walking. A typical walking training does not use a slope or may include an uphill slope. However, recently there have been publications about downhill walking and its benefits in COPD. Walking on a level, uphill, and downhill slope may have the potential to result in different gains by using different muscle groups more. Therefore, this study aimed to compare the effects of walking training on exercise capacity, respiratory functions, muscle strength, and functional status in COPD patients with three different slope types: level, uphill, and downhill.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Being diagnosed with COPD (A, B, E groups according to GOLD assessment)

Ambulate on your own

Not having any contraindications for exercise

To be mentally appropriate (score 24 points and above in the mini mental test)

Disqualifiers

Being in GOLD 4 stage in spirometric evaluation

Presence of hypoxemia

Participation in another pulmonary rehabilitation program within the last 6 months

Having an exacerbation in the last 1 month

Trial design

Design model

Parallel

Treatments tested in this trial

  • Downhill walking training

    Other intervention

    For 8 weeks, downhill walking training will be done 2 times a week at a slope of -10 degrees.

  • Level walking training

    Other intervention

    For 8 weeks, level walking training will be done 2 times a week at a slope of 0 degrees.

  • Uphill walking training

    Other intervention

    For 8 weeks, uphill walking training will be done 2 times a week at a slope of +10 degrees.

Treatment groups

51 Participants
are divided into 3 treatment groups
Group A: Level walkingActive comparator 1 intervention
Group B: Downhill walkingExperimental treatment 1 intervention
Group C: Uphill walkingExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

6 Minutes Walking Distance (6MWD)

6 MWD means the distance traveled in 6 MWT. Its unit is meters.

Time frame
Up to 8 weeks.
2

Spirometric measurements (Forced vital capacity)

It is used to evaluate respiratory functions. It is evaluated with a spirometer. Forced vital capacity (FVC): the maximum amount of air that can be forcibly exhaled from the lungs after fully inhaling. It can be recorded in percentages or liters.

Time frame
Up to 8 weeks.
3

Spirometric measurements (First second forced expiratory volume)

It is used to evaluate respiratory functions. It is evaluated with a spirometer. First-second forced expiratory volume (FEV1): the amount of air that can be exhaled with force in 1 second. It can be recorded in percentages or liters.

Time frame
Up to 8 weeks.
4

Spirometric measurements (FEV1/FVC ratio)

It is used to evaluate respiratory functions. It is evaluated with a spirometer. It is calculated by dividing FEV1 by FVC. It is expressed as a percentage.

Time frame
Up to 8 weeks.

Secondary outcomes

1

Dyspnea

It will be reported by the participant using the modified borg scale (between 0-10 points). On this scale, 0 is the lowest score and means absent, while 10 is the highest score and indicates that the condition is most severe.

Time frame
Up to 8 weeks.
2

Fatigue

It will be reported by the participant using the modified borg scale (between 0-10 points).On this scale, 0 is the lowest score and means absent, while 10 is the highest score and indicates that the condition is most severe.

Time frame
Up to 8 weeks.
3

Level of exertion

It will be reported by the participant using the modified borg scale (between 0-10 points). On this scale, 0 is the lowest score and means absent, while 10 is the highest score and indicates that the condition is most severe.

Time frame
Up to 8 weeks.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Acibadem University

Lead sponsor

Bezmialem Vakif University

Collaborator