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NCT04841005 | Completed | COPD


Investigation of Square Step Exercise Applied by Telerehabilitation in Chronic Obstructive Pulmonary Disease Patients
Sponsor:

Abant Izzet Baysal University

Information provided by (Responsible Party):

Alp Ozel

Brief Summary:

COPD is a progressive disease associated with systemic inflammation, with many extrapulmonary outcomes such as cognitive impairment. Most of the daily activities involve doing several tasks at the same time, such as walking while talking or avoiding obstacles.

Condition or disease

COPD

Cognitive Impairment

Balance; Distorted

Intervention/treatment

The Square-Step Exercise Training

Strengthening Exercise Training

Phase

Not Applicable

Detailed Description:

The most prominent independent risk factor for cognitive impairment in COPD patients is reduced oxygen availability as a result of lung dysfunction. The prevalence of cognitive impairment in COPD patients ranges from 10% to 61%. A wide variety of tools have been developed for screening cognitive functions. The most widely used tests covering multiple cognitive domains are the Mini Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA). When two tasks are performed at the same time, they compete for sources of attention, resulting in decreased performance on one or two tasks. Balance or postural control is a complex skill required for independent mobility and preventing falls. Balance performance naturally decreases with age; however, certain conditions are associated with more pronounced and rapid declines. Balance problems and fall risk are increased in COPD patients.From this perspective aim of this study is to assess the effect of square-step exercise and strengthening exercise applied with telerehabilitation on cognitive status and balance in patients with COPD.}}

Study Type : Interventional
Estimated Enrollment : 34 participants
Masking : Double
Primary Purpose : Treatment
Official Title : Investigation of the Effect of Square-Step Exercise Applied by Telerehabilitation on Cognitive Functions, Balance and Quality of Life in COPD Patients
Actual Study Start Date : April 6, 2021
Estimated Primary Completion Date : February 15, 2022
Estimated Study Completion Date : February 15, 2022
Arm Intervention/treatment

Experimental: Square-Step Exercise group

Square-step exercise for 8 weeks will be applied under the supervision of a physiotherapist.

Other: The Square-Step Exercise Training

Experimental: Strengthening Exercise Group

Strengthening exercise for 8 weeks will be applied under the supervision of a physiotherapist.

Other: Strengthening Exercise Training

Ages Eligible for Study: 50 Years to 80 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria
  • Being diagnosed with mild / moderate COPD by Bolu Abant Izzet Baysal University Faculty of Medicine, Department of Chest Diseases.
  • Mini mental score is 23 or higher
  • Being between the ages of 50-80
  • Spirometric evaluation result is forced expiratory volume at one second / Forced vital capacity <70% and airflow restriction is 50% forced expiratory volume at one second <80% (expected) degree compared to post-bronchodilator forced expiratory volume at one second.
  • No drug change or antibiotic use due to acute exacerbation for at least three weeks
Exclusion Criteria
  • Individuals who need continuous oxygen support
  • Individuals with partial pressure of carbon dioxide≥70 mmHg
  • Having a history of uncontrolled illness that may affect cognitive skills
  • Have uncorrected vision and hearing impairment
  • Having kyphoscoliosis and/or severe postural impairment
  • Having additional risk factors (stroke, neurological disease, dementia, depression, postural hypotension, diaphragm dysfunction)

Investigation of Square Step Exercise Applied by Telerehabilitation in Chronic Obstructive Pulmonary Disease Patients

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Investigation of Square Step Exercise Applied by Telerehabilitation in Chronic Obstructive Pulmonary Disease Patients

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Locations


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Turkey,

Bolu Abant Izzet Baysal University, Faculty of Health Sciences, Physiotherapy and rehabilitation department

Divided, Turkey, 14030

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