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1745-62152412023Jan30TrialsTrialsPulmonary rehabilitation integrated coached exercise training for patients with COPD: a study protocol for a randomized controlled trial.69696910.1186/s13063-022-07058-2Chronic obstructive pulmonary disease (COPD) is the most common chronic lung disease creating an immense burden on social health care systems. Pulmonary rehabilitation (PR) has proven to be effective in patients with COPD. However, exercise training as the basis of PR becomes extremely tedious, occasionally causing a loss of perseverance in patients. Therefore, we considered an approach that makes this technique interesting and easier to persist. The aim of this project was to explore an exercise training approach based on PR-integrated coached exercise training to promote the new exercise training approach as a form of group rehabilitation activity in the future.Participants will be randomly divided into the trial and control groups. The trial group will be treated with PR-integrated coached exercise training (plus usual care). All exercise programs will be guided by sports coaches with a physical education background. Meanwhile, the control group will receive traditional PR and home exercises, including walking and swimming. The study will last for 12 weeks. The primary outcome measure is exercise tolerance using the 6-min walking test and secondary outcomes are the peak oxygen uptake of cardiopulmonary exercise tests, the COPD Assessment Test, and the St. Georges Respiratory Questionnaire. Other evaluated outcomes include changes in postbronchodilator forced expiratory volume at 1st second, forced vital capacity, body fat and muscle composition, and mental status measured using the Hamilton Anxiety and Depression Scales.This study provides a simple, feasible, repeatable, and fun exercise training approach. To the best of our knowledge, there are no randomized controlled trials in the existing literature on PR-integrated coached exercise. The protocol shared in our study can be used as a reference for exercise training in patients with COPD.Ethical approval (BF2020-236-02) was obtained from the Guangdong Provincial Hospital of Chinese Medicine Human Research Ethics Committee. All participants signed an informed consent form. ChiCTR-2100043543. The registration date is 2021/02/21 and it is the third version.© 2023. The Author(s).JingYutingYDepartment of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.MaYuyingYThe Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou, 510403, Guangdong Province, China.ZhangHongxingHCollege of Health, Guangdong Pharmaceutical University, Guangzhou, 510006, Guangdong Province, China.WuZhenhuZDepartment of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.LiYongwenYDepartment of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.LiHaoxuanHThe Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou, 510403, Guangdong Province, China.HuangMinlingMDepartment of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.LinLinLDepartment of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.XuYinjiY0000-0002-9286-8207Department of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China. xuyinji@163.com.eng202002020042the Technology Planning Project of Guangzhou2021XK27the double first-class and high-level university discipline collaborative innovation team project of Guangzhou University of Chinese MedicineClinical Trial ProtocolJournal Article20230130
EnglandTrials1012632531745-6215IMHumansQuality of LifePulmonary Disease, Chronic ObstructivediagnosistherapyExerciseExercise TherapymethodsVital CapacityExercise ToleranceRandomized Controlled Trials as TopicChronic obstructive pulmonary diseaseExercise trainingIntegrationPulmonary rehabilitationRandomized controlled trialSportsThe funding bodies are nonprofit organizations and offer financial support for the study. The funding bodies played no part in the design of the study or collection, analysis, and interpretation of data and in writing the manuscript. The sponsor is the primary investigator. She conceived the study, led the proposal and protocol development, and holds indemnity insurance and legal liability.
20224182022122920231310620232160202322602023130epublish36717916PMC988784910.1186/s13063-022-07058-210.1186/s13063-022-07058-2Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. https://goldcopd.org/archived-reports/.Adeloye D, Chua S, Lee C, et al. Global and regional estimates of COPD prevalence: Systematic review and meta-analysis. J Glob Health. 2015;5:020415. doi: 10.7189/jogh.05.020415.10.7189/jogh.05.020415PMC469350826755942Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: global burden of disease study. Lancet. 1997;349:1498–1504. doi: 10.1016/S0140-6736(96)07492-2.10.1016/S0140-6736(96)07492-29167458Chapman KR, Mannino DM, Soriano JB, et al. Epidemiology and costs of chronic obstructive pulmonary disease. Eur Respir J. 2006;27:188–207. doi: 10.1183/09031936.06.00024505.10.1183/09031936.06.0002450516387952World Health Organization. Chronic Obstruct Pulm Dis. 2015;2017. http://www.who.int/respiratory/copd/en/.McCarthy B, Casey D, Devane D, et al. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2015;2:CD003793. doi: 10.1002/14651858.CD003793.pub3.10.1002/14651858.CD003793.pub3PMC1000802125705944Alison JA, McKeough ZJ, Johnston K, et al. Guidelines Australian. Respirology. 2017;22:800–819. doi: 10.1111/resp.13025.10.1111/resp.1302528339144Wootton SL, Hill K, Alison JA, et al. Effects of ground-based walking training on daily physical activity in people with COPD: a randomised controlled trial. Respir Med. 2017;132:139–145. doi: 10.1016/j.rmed.2017.10.008.10.1016/j.rmed.2017.10.00829229086Jenkins AR, Gowler H, Curtis F, et al. Efficacy of supervised maintenance exercise following pulmonary rehabilitation on health care use: a systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis. 2018;13:257–273. doi: 10.2147/COPD.S150650.10.2147/COPD.S150650PMC576843129391784Evidence-Based Rehabilitation Committee. Chinese Association of Rehabilitation Medicine. Research Institute of Rehabilitation Information et al. Evidence-based practice guidelines for clinical rehabilitation of chronic obstructive pulmonary disease. Chin J Rehabil Theor Pract. 2021;27:15–26.Donaldson A, Finch CF. Sport as a setting for promoting health. Br J Sports Med. 2012;46:4–5. doi: 10.1136/bjsports-2011-090743.10.1136/bjsports-2011-09074322167715Rutkowski S, Rutkowska A, Kiper P, et al. Virtual reality rehabilitation in patients with chronic obstructive pulmonary disease: A randomized controlled trial. Int J Chron Obstruct Pulmon Dis. 2020;15:117–124. doi: 10.2147/copd.s223592.10.2147/copd.s223592PMC696881032021150Working Group of Clinical Practice Guidelines of Traditional Chinese Medicine Rehabilitation for Cardiopulmonary Clinical practice guidelines of traditional chinese medicine rehabilitation for cardiopulmonary. Rehabilitation Medicine. 2020;30(4):259–265,269.Polkey MI, Qiu ZH, Zhou L, et al. Tai Chi and pulmonary rehabilitation compared for treatment-naive patients with COPD: a randomized controlled trial. Chest. 2018;153(5):1116–1124. doi: 10.1016/j.chest.2018.01.053.10.1016/j.chest.2018.01.05329625777Pullen E, Malcolm D, Wheeler P. How effective is the integration of sport and exercise medicine in the English National Health Service for sport related injury treatment and health management? Sports Med Phys Fitness. 2019;59(3):481–488.29877672Holland AE, Hill CJ, Rasekaba T, et al. Updating the minimal important difference for six-minute walk distance in patients with chronic obstructive pulmonary disease. Arch Phys Med Rehabil. 2010;91:221–225. doi: 10.1016/j.apmr.2009.10.017.10.1016/j.apmr.2009.10.01720159125Puhan MA, Chandra D, Mosenifar Z, et al. The minimal important difference of exercise tests in severe COPD. Eur Respir J. 2011;37:784–790. doi: 10.1183/09031936.00063810.10.1183/09031936.00063810PMC551663820693247Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: Key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med. 2013;188:e13–64. doi: 10.1164/rccm.201309-1634ST.10.1164/rccm.201309-1634ST24127811Huang M, Lu W, Liang G, et al. A summary of creation of respiratory Baduanjin. New Chin Med. 2019;51:302–4. doi: 10.13457/j.cnki.jncm.2019.11.091.10.13457/j.cnki.jncm.2019.11.091Holland AE, Spruit MA, Troosters T, et al. An official European Respiratory Society/American Thoracic Society technical standard: Field walking tests in chronic respiratory disease. Eur Respir J. 2014;44:1428–1446. doi: 10.1183/09031936.00150314.10.1183/09031936.0015031425359355Sciurba F, Criner GJ, Lee SM, et al. Six-minute walk distance in chronic obstructive pulmonary disease: Reproducibility and effect of walking course layout and length. Am J Respir Crit Care Med. 2003;167:1522–1527. doi: 10.1164/rccm.200203-166OC.10.1164/rccm.200203-166OC12615634American Thoracic Society, American College of Chest Physicians ATS/ACCP Statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med. 2003;167:211–77. doi: 10.1164/rccm.167.2.211.10.1164/rccm.167.2.21112524257Pierson WE. Principles of exercise testing and interpretation. Taylor Francis. 2009;5:24. doi: 10.3109/02770908709070958.10.3109/02770908709070958Jones PW, Harding G, Berry P, et al. Development and first validation of the COPD Assessment Test. Eur Respir J. 2009;34:648–654. doi: 10.1183/09031936.00102509.10.1183/09031936.0010250919720809Jones PW, Quirk FH, Baveystock CM, et al. A self-complete measure of health status for chronic airflow limitation. The St. George’s Respiratory Questionnaire. Am Rev Respir Dis. 1992;145:1321–27. doi: 10.1164/ajrccm/145.6.1321.10.1164/ajrccm/145.6.13211595997Wanger J, Clausen JL, Coates A, et al. Standardisation of the measurement of lung volumes. Eur Respir J. 2005;26:511–522. doi: 10.1183/09031936.05.00035005.10.1183/09031936.05.0003500516135736Bokov P, Delclaux C. Interpretation and use of routine pulmonary function tests: Spirometry, static lung volumes, lung diffusion, arterial blood gas, methacholine challenge test and 6-minute walk test. Rev Med Interne. 2016;37:100–110. doi: 10.1016/j.revmed.2015.10.356.10.1016/j.revmed.2015.10.35626657268Zhang H, Fan Q, Sun Y, et al. A study of the characteristics of alexithymia and emotion regulation in patients with depression. Shanghai Arch Psychiatry. 2017;29:95–103.PMC551826628765680Chan A-W, Tetzlaff JM, Gøtzsche PC, et al. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ. 2013;346:e7586. doi: 10.1136/bmj.e7586.10.1136/bmj.e7586PMC354147023303884Tsai LL, McNamara RJ, Moddel C, et al. Home-based telerehabilitation via real-time videoconferencing improves endurance exercise capacity in patients with COPD: the randomized controlled TeleR Study. Respirology. 2017;22:699–707. doi: 10.1111/resp.12966.10.1111/resp.1296627992099Cao A, Feng F, Zhang L, et al. Baduanjin exercise for chronic obstructive pulmonary disease: an updated systematic review and meta-analysis. Clin Rehabil. 2020;34:1004–1013. doi: 10.1177/0269215520926635.10.1177/026921552092663532517512
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Pulmonary rehabilitation integrated coached exercise training for patients with COPD: a study protocol for a randomized controlled trial. | LitMetric

Background: Chronic obstructive pulmonary disease (COPD) is the most common chronic lung disease creating an immense burden on social health care systems. Pulmonary rehabilitation (PR) has proven to be effective in patients with COPD. However, exercise training as the basis of PR becomes extremely tedious, occasionally causing a loss of perseverance in patients. Therefore, we considered an approach that makes this technique interesting and easier to persist. The aim of this project was to explore an exercise training approach based on PR-integrated coached exercise training to promote the new exercise training approach as a form of group rehabilitation activity in the future.

Methods: Participants will be randomly divided into the trial and control groups. The trial group will be treated with PR-integrated coached exercise training (plus usual care). All exercise programs will be guided by sports coaches with a physical education background. Meanwhile, the control group will receive traditional PR and home exercises, including walking and swimming. The study will last for 12 weeks. The primary outcome measure is exercise tolerance using the 6-min walking test and secondary outcomes are the peak oxygen uptake of cardiopulmonary exercise tests, the COPD Assessment Test, and the St. Georges Respiratory Questionnaire. Other evaluated outcomes include changes in postbronchodilator forced expiratory volume at 1 second, forced vital capacity, body fat and muscle composition, and mental status measured using the Hamilton Anxiety and Depression Scales.

Discussion: This study provides a simple, feasible, repeatable, and fun exercise training approach. To the best of our knowledge, there are no randomized controlled trials in the existing literature on PR-integrated coached exercise. The protocol shared in our study can be used as a reference for exercise training in patients with COPD.

Trial Registration: Ethical approval (BF2020-236-02) was obtained from the Guangdong Provincial Hospital of Chinese Medicine Human Research Ethics Committee. All participants signed an informed consent form. ChiCTR-2100043543. The registration date is 2021/02/21 and it is the third version.

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