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This study will investigate if adding a domiciliary respiratory physiotherapy treatment to standard care in patients with chronic obstructive pulmonary disease (COPD) can improve physical function (walking test) and quality of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Care | Active Comparator | Drugs for COPD (as prescribed), oxygen therapy if needed*, check-up by the general practitioner and/or respirologist as usual. Educational leaflet regarding optimization of oxygen therapy and drugs; Benefits of physical activity and proposal of a programme of exercise training; Energy conservation techniques; Nutritional counselling; Activity of daily Living (ADL) diary; Prevention and management of acute exacerbation Monthly phone call with the aim of verifying:
|
|
| domiciliary rehabilitation | Experimental | Same as the standard care group plus 10 (ten) home-based visits supervised by a specifically trained respiratory therapist (education+exercise training) Autonomous home-based programme: The patients will be given instructions and training in order to continue the exercise training programme on the days the respiratory therapist is not visiting them. Counselling addressed at the outdoor activities. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| domiciliary rehabilitation | Other | a respiratory rehabilitation programme at the patient home |
|
| Measure | Description | Time Frame |
|---|---|---|
| meters as per walking test performance | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life | 8 weeks | |
| Bode index | This index is a combination of walking test result, Body Mass Index and respiratory measurement | 8 weeks |
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Inclusion Criteria:
With the following characteristics:
FEV1= Forced expiratory volume in the 1st second FVC= Forced vital capacity TLC= Total Lung Capacity PaO2= Partial pressure of arterial oxygen
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marta Lazzeri | Contact | presidenza@arirassociazione.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Unità di pneunologia, Ospedale di Busto Arsizio | Recruiting | Busto Arsizio | Varese | Italy |
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| Standard Care | Other | As describe in the standard care arm |
|
| dyspnea | 8 weeks |
| relapses | 8 weeks |
| services utilization | visits to the GP or Pneumologist that were not planned, hospital visits (emergency room ) | 8 weeks |
| meters as per walking test performance | 6 months |
| Quality of life | 6 months |
| Bode index | This index is a combination of walking test result, Body Mass Index and respiratory measurement | 6 months |
| dyspnea | 6 months |
| relapses | 6 months |
| services utilization | visits to the GP or Pneumologist that were not planned, hospital visits (emergency room ) | 6 months |
| meters as per walking test performance | 12 months |
| Quality of life | 12 months |
| Bode index | This index is a combination of walking test result, Body Mass Index and respiratory measurement | 12 months |
| dyspnea | 12 months |
| relapses | 12 months |
| services utilization | visits to the GP or Pneumologist that were not planned, hospital visits (emergency room ) | 12 months |
| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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