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Exercise Training in Patients With Non-cystic Fibrosis (CF) Bronchiectasis

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StatusDovršeno
Sponzori
Bayside Health
Suradnici
Austin Health
Sir Charles Gairdner Hospital
Curtin University

Ključne riječi

Sažetak

The aim of this project is to examine the short and long term effects of an 8 week, twice weekly, outpatient exercise training program for people with bronchiectasis. Participants will be randomly allocated to undergo a supervised exercise training program at The Alfred, Austin Hospital or Sir Charles Gairdner Hospital.
The hypotheses of this study are:
1. Patients with bronchiectasis who complete an exercise program will have a higher exercise capacity and better quality of life and these improvements will be sustained for up to 12 months after completion
2. Exercise training will significantly reduce the incidence of pulmonary exacerbations, use of antibiotics and rate of hospitalisation

Opis

Bronchiectasis not related to cystic fibrosis (non-CF bronchiectasis) is a chronic respiratory condition characterised by permanent dilatation of the airways arising from bronchial inflammation and infection. Predominant symptoms include daily productive cough, dyspnoea and generalised fatigue. This profile is associated with diminished health-related quality of life (HRQOL) and reduced exercise tolerance.

Available medical treatments for bronchiectasis include antibiotic and inhalation therapy. To date, there is no evidence that these treatments can reduce the exacerbation rate or modify the rate of disease progression. While international guidelines for pulmonary rehabilitation recommend the inclusion of patients with bronchiectasis, there is a deficiency in evidence supporting exercise training in this population. It is proposed that a standard exercise training program conducted according to Australian guidelines for pulmonary rehabilitation will improve both exercise capacity, quality of life and reduce the number of acute infections in both the short and long term in people with bronchiectasis.

Datumi

Posljednja provjera: 02/28/2014
Prvo podneseno: 04/20/2009
Predviđena prijava poslana: 04/20/2009
Prvo objavljeno: 04/21/2009
Posljednje ažuriranje poslano: 03/09/2014
Posljednje ažuriranje objavljeno: 03/10/2014
Stvarni datum početka studija: 01/31/2009
Procijenjeni datum primarnog završetka: 01/31/2013
Procijenjeni datum završetka studije: 01/31/2013

Stanje ili bolest

Bronchiectasis

Intervencija / liječenje

Other: Exercise

Faza

Faza 1

Grupe ruku

RukaIntervencija / liječenje
Experimental: Exercise
8 week, twice weekly exercise program with both endurance and upper and lower limb strength training
Other: Exercise
8 week, twice weekly exercise program with endurance and upper and lower limb strength training
No Intervention: 2
No exercise, twice weekly phone calls

Kriterij prihvatljivosti

Dobni uvjeti za studiranje 20 Years Do 20 Years
Spolovi koji ispunjavaju uvjete za studijAll
Prihvaća zdrave volontereDa
Kriteriji

Inclusion Criteria:

- Diagnosis of bronchiectasis (HRCT)

- Stable medical status for last 4 weeks

- History of 2 exacerbations in the last 2 years

- Dysnpoea on exertion (Modified Medical Research Council score >1)

Exclusion Criteria:

- Concurrent diagnosis of COPD (physician diagnosis and history of 10 pack year smoking)

- Concurrent diagnosis of asthma (history of atopic disease and evidence of bronchodilator reversibility of 12% or 200ml in FEV1 or FVC)

- Concurrent diagnosis of Interstitial lung disease

- Concurrent diagnosis of Cystic Fibrosis

- Medical condition which could place patient at risk during exercise training (angina, neurological or orthopaedic condition)

- Prior completion of pulmonary rehabilitation within the last 12 months

Ishod

Primarne mjere ishoda

1. Incremental Shuttle Walk Test Chronic Respiratory Disease questionnaire [July 2011]

Sekundarne mjere ishoda

1. 6-Minute Walk Test [July 2011]

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