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| Name | Class |
|---|---|
| South Valley University | OTHER |
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Background: Patients with COPD often experience skeletal muscle dysfunction. For those who are unable or unwilling to undertake physical training, neuromuscular electrical stimulation (NMES) may provide an alternative method of exercise training.
Objective: To investigate the effects of adding neuromuscular electrical stimulation of gluteus maximus, quadriceps and calf muscles to chest physiotherapy, compared to chest physiotherapy alone, on muscles strength (gluteus max., quadriceps, calf muscles), femoral blood flow physical and pulmonary function in severe COPD Patients.
Material and methods: This study include a group of 60 patients (30 males and 30 females) diagnosed with severe COPD), their age is ranged 65-75 years, they will be randomly divided into two groups; study group (A) 30 patients and study group (B) 30 patients. Study group (A): The patients in this group will receive the chest physiotherapy program for 20 min each day, for five days a week for three consecutive weeks. Study group (B): The patients in this group will receive the same chest physiotherapy program combined with neuromuscular electrical stimulation of gluteus max., quadriceps, calf muscles, performed for 30 min /day for five days a week for three consecutive weeks. Femoral blood Flow, gluteus maximus, quadriceps and calf muscles strength and pulmonary function (FEV1/FVC) will be measured for both groups pre and post treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | Active Comparator | The patients in this group were received the chest physiotherapy program for 20 min each day, for five days a week for three consecutive weeks. |
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| Study Group | Experimental | The patients in this group were received the same chest physiotherapy program combined with neuromuscular electrical stimulation (NMES) of gluteus max., quadriceps, and calf muscles performed for 30 min /day for five days a week for three consecutive weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Study Group chest physiotherapy program combined with neuromuscular electrical stimulation (NMES) | Other | The patients in this group were received the same chest physiotherapy program combined with neuromuscular electrical stimulation of gluteus max., quadriceps, and calf muscles performed for 30 min /day for five days a week for three consecutive weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Six-minute walking test (Physical function assessment | The six-minute walking distance (6MWD) was measured according to a standardized protocol.
| change from baseline to 3 weeks after intervention and 3 days as a follow-up |
| Pulmonary function test | Pulmonary capacity and respiratory muscle functions will be assessed using the CPFS/D USB™ 187 Spirometer (Medical Graphics-MGC, St. Paul, MN, USA) with airflow being measured by a 188 calibrated Pitot tube (PreVent, Pneumotach). The participant completed at least three acceptable maximal forced and slow expiratory maneuvers after 15 min the inhalation of 400 mg of salbutamol 190 via a metered-dose inhaler. Forced vital capacity (FVC, L), forced expiratory volume in one second (FEV1, L), FEV1/ FVC, and inspiratory capacity (IC) will be measured according to American Thoracic Society standards | change from baseline to 3 weeks after intervention and 3 days as a follow-up |
| Muscle strength measurement | To determine the maximal muscle strength the Lafayette manual muscle test system (USER MANUAL) (MMT) Model 01163, White Plains, New York (10602) of gluteus maximus, quadriceps and calf muscles will be measured on right lower limb. | change from baseline to 3 weeks after intervention and 3 days as a follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Blood flow velocimetry measurement | To evaluate changes in peripheral perfusion. The standard pulsed-wave Doppler velocimetry of the right femoral artery was performed using sonos 2000 echograph (Philips Envisor ) | change from baseline to 3 weeks after intervention and 3 days as a follow-up |
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Inclusion Criteria:
Exclusion Criteria:
• Patients with unstable angina pectoris.
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| Name | Affiliation | Role |
|---|---|---|
| Ibrahim I. I Abu zaid, PhD | Department of P.T for internal medicine, Faculty of Physical Therapy, South valley university, Qena, Egypt | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of P.T for internal medicine, Faculty of Physical Therapy, South valley university, Qena, Egypt | Qina | Egypt |
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| Control Group Chest physical therapy | Other | The patients in this group were received the chest physiotherapy program for 20 min each day, for five days a week for three consecutive weeks |
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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 |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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