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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
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Feasibility of a Home-Based Cognitive-Physical Exercise Program in Patients With Chronic Obstructive Pulmonary
Dmitry Rozenberg1,2, Josh Shore3, Encarna Camacho Perez3
1Respirology and Lung Transplantation, Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada.
JMIR Research Protocols
|July 12, 2023
Summary
This study explores a home-based program combining cognitive and physical training for individuals with chronic obstructive pulmonary disease (COPD). The integrated approach may enhance dual-tasking abilities and improve daily activities for COPD patients.
Area of Science:
- Pulmonary Medicine
- Neurorehabilitation
- Gerontology
Background:
- Chronic obstructive pulmonary disease (COPD) is a progressive condition causing physical and cognitive impairments, affecting daily activities.
- Current pulmonary rehabilitation primarily focuses on physical training, neglecting cognitive aspects that contribute to functional limitations.
- Cognitive decline in COPD patients impacts health-related quality of life (HRQL) and functional independence.
Purpose of the Study:
- To assess the feasibility of an 8-week home-based cognitive-physical training program for moderate to severe COPD.
- To estimate the preliminary efficacy of this intervention on physical and cognitive functions, dual-task performance, ADLs, and HRQL.
- To inform future clinical trials on integrated training approaches for COPD.
Main Methods:
- A randomized controlled trial involving 24 participants with moderate to severe COPD.
- Intervention groups: cognitive-physical training vs. physical training alone.
- Both groups received home-based physical exercise; the intervention group additionally completed cognitive training via BrainHQ 5 days/week.
- Feasibility assessed by recruitment, adherence, satisfaction, attrition, and safety; efficacy evaluated at baseline, 4, and 8 weeks.
Main Results:
- Enrollment began in January 2022, with an estimated 24-month enrollment period.
- Data collection is projected to conclude by December 2023.
- Preliminary efficacy data on dual-task performance, physical function, ADLs, and HRQL will be analyzed.
Conclusions:
- A supervised home-based cognitive-physical training program shows promise for improving dual-tasking in COPD patients.
- This approach may be an accessible and effective intervention for enhancing daily functioning and quality of life.
- Feasibility and effect estimates are crucial for designing future clinical trials in COPD management.
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