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36717916 2023 02 01 2023 02 02 1745-6215 24 1 2023 Jan 30 Trials Trials Pulmonary rehabilitation integrated coached exercise training for patients with COPD: a study protocol for a randomized controlled trial. 69 69 69 10.1186/s13063-022-07058-2 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. 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). Jing Yuting Y Department of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China. Ma Yuying Y The Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou, 510403, Guangdong Province, China. Zhang Hongxing H College of Health, Guangdong Pharmaceutical University, Guangzhou, 510006, Guangdong Province, China. Wu Zhenhu Z Department of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China. Li Yongwen Y Department of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China. Li Haoxuan H The Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou, 510403, Guangdong Province, China. Huang Minling M Department of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China. Lin Lin L Department of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China. Xu Yinji Y 0000-0002-9286-8207 Department of Pulmonary Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China. xuyinji@163.com. eng 202002020042 the Technology Planning Project of Guangzhou 2021XK27 the double first-class and high-level university discipline collaborative innovation team project of Guangzhou University of Chinese Medicine Clinical Trial Protocol Journal Article 2023 01 30 England Trials 101263253 1745-6215 IM Humans Quality of Life Pulmonary Disease, Chronic Obstructive diagnosis therapy Exercise Exercise Therapy methods Vital Capacity Exercise Tolerance Randomized Controlled Trials as Topic Chronic obstructive pulmonary disease Exercise training Integration Pulmonary rehabilitation Randomized controlled trial Sports The 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. 2022 4 18 2022 12 29 2023 1 31 0 6 2023 2 1 6 0 2023 2 2 6 0 2023 1 30 epublish 36717916 PMC9887849 10.1186/s13063-022-07058-2 10.1186/s13063-022-07058-2 Global 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.05.020415 PMC4693508 26755942 Murray 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)07492-2 9167458 Chapman 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. 10.1183/09031936.06.00024505 16387952 World 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.pub3 PMC10008021 25705944 Alison JA, McKeough ZJ, Johnston K, et al. Guidelines Australian. Respirology. 2017;22:800–819. doi: 10.1111/resp.13025. 10.1111/resp.13025 28339144 Wootton 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.2017.10.008 29229086 Jenkins 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.S150650 PMC5768431 29391784 Evidence-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-2011-090743 22167715 Rutkowski 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.s223592 PMC6968810 32021150 Working 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.2018.01.053 29625777 Pullen 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. 29877672 Holland 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.2009.10.017 20159125 Puhan 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. 10.1183/09031936.00063810 PMC5516638 20693247 Spruit 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.201309-1634ST 24127811 Huang 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.2019.11.091 Holland 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. 10.1183/09031936.00150314 25359355 Sciurba 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.200203-166OC 12615634 American 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.167.2.211 12524257 Pierson WE. Principles of exercise testing and interpretation. Taylor Francis. 2009;5:24. doi: 10.3109/02770908709070958. 10.3109/02770908709070958 Jones 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. 10.1183/09031936.00102509 19720809 Jones 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/145.6.1321 1595997 Wanger 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. 10.1183/09031936.05.00035005 16135736 Bokov 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.2015.10.356 26657268 Zhang 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. PMC5518266 28765680 Chan 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.e7586 PMC3541470 23303884 Tsai 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.12966 27992099 Cao 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. 10.1177/0269215520926635 32517512 trying2... trying... trying2...
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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