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Evaluate the effect of upper limbs strength training versus the effect of upper limbs endurance training, on dyspnea, in patients with COPD during a pulmonary rehabilitation program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Strength | Experimental | Patients will follow the pulmonary rehabilitation program associated with upper limbs strength training for a duration of 4 weeks |
|
| Endurance | Active Comparator | Patients will follow the pulmonary rehabilitation program associated with upper limbs endurance training for a duration of 4 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Strength training | Other | Upper limbs Strength training; done with dumbbells whose weight corresponds to 60-80% of the maximal voluntary force in abduction measured initially, during 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Compare the effect of upper limbs strength training versus the effect of upper limb endurance training on dyspnea in patients with COPD during a pulmonary rehabilitation program. | Measurement of dyspnea using the London Chest Daily Activity Living (LCADL) questionnaire. This 15-item, self-administered questionnaire allows an evaluation of dyspnea in patients with COPD during daily activities divided into four components: self-care, domestic, physical, and leisure. Patients could score from 0: "I would not do anyway" to 5: "I need someone else to do this". LCADL score is calculated by aggregating the points assigned to each question, with a higher score representing maximal disability. | Change from inclusion at 4 week |
| Measure | Description | Time Frame |
|---|---|---|
| Compare dyspnea in daily life between the 2 groups | Measurement of dyspnea using mMRC scale. mMRC dyspnea scale is the first self-administered scale which assesses the impact of dyspnea on ADL. It consists of five grades increasing in severity of chronic respiratory disease from 0 : "I only get breathless with strenuous exercise" to 4 : "I am too breathless to leave the house or I am breathless when dressing or undressing." |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marc BEAUMONT, PhD | CH des pays de Morlaix | Principal Investigator |
| Francis COUTURAUD, MD, PhD | CHRU de Brest | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU de Brest | Brest | France | ||||
| CH Pays de Morlaix |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40966966 | Derived | Beaumont M, Peran L, Berriet AC, Ber CL, Courtois-Communier E, Couturaud F. Effect of different forms of upper limb muscle training on dyspnea in chronic obstructive pulmonary disease: a randomised controlled trial. Ann Phys Rehabil Med. 2025 Oct;68(7):102021. doi: 10.1016/j.rehab.2025.102021. Epub 2025 Sep 17. | |
| 32957334 | Derived |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| ID | Term |
|---|---|
| D055070 | Resistance Training |
| D000076663 | Endurance Training |
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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This is a multicenter, prospective, randomized, open-label study.
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| Endurance training | Other | Upper limbs Endurance training of the ; done with dumbbells whose weight corresponds to 30% of the maximum voluntary force in abduction measured initially, during 4 weeks |
|
| At inclusion and week 4 |
| Compare dyspnea in daily life between the 2 groups | Measurement of dyspnea using Dyspnea-12 questionnaire. This 12-item self-administered questionnaire measures dyspnea severity in both its physical and affective components, independently from activity limitation. Patients score ranges from "none" (corresponding to score 0) to "severe" (score 3). Dyspnea-12 score is calculated by aggregating the points assigned to each question; the higher the score, the greater the severity. | At inclusion and week 4 |
| Measuring upper limb endurance | with the 6-minute Peg Board and Ring Test (6PBRT) | At inclusion and week 4 |
| Compare dyspnea at the end of a functional test using the upper limbs | Measurement of dyspnea with Borg scale at the end of 6PBRT. The measure is a rating on a scale from 0 to 10 attached to different words of appreciation: "very light, difficult, painful ..." effort. | At inclusion and week 4 |
| Compare upper limbs muscle fatigue at the end of a functional test using the upper limbs | Measurement of upper limbs muscle fatigue with Borg scale at the end of 6PBRT. The measure is a rating on a scale from 0 to 10 attached to different words of appreciation: "very light, difficult, painful ..." effort. | At inclusion and week 4 |
| Compare the evolution of upper limb strength between the 2 groups. | Measurement of the strength of deltoids, biceps and brachial triceps, with hand held dynamometer | At inclusion and week 4 |
| Morlaix |
| 29672 |
| France |
| Beaumont M, Peran L, Berriet AC, Le Ber C, Le Mevel P, Courtois-Communier E, Couturaud F. Effect of different form of upper limb muscles training on dyspnea in chronic obstructive pulmonary disease: A study protocol. Medicine (Baltimore). 2020 Sep 18;99(38):e22131. doi: 10.1097/MD.0000000000022131. |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D064797 | Physical Conditioning, Human |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |