search
Back to results

Effects of Laugh Therapy Associated to Cardiopulmonary Rehab

Primary Purpose

Ischemic Heart Disease

Status
Unknown status
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
Comedy
Documentary
Sponsored by
Hospital de Clinicas de Porto Alegre
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ischemic Heart Disease focused on measuring ischemic heart disease, laugh therapy

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • ischemic heart disease diagnosis established by cardiac catheterization, with 50% lesion in at least one epicardial vessel (if the patient has had an acute coronary syndrome or have been revascularized, the event time is expected to exceed 6 months).
  • Both sexes
  • With availability to come to HCPA twice a week
  • In conditions of entering into a cardiac rehabilitation program with exercise.

Exclusion Criteria:

  • Involvement in another clinical trial.
  • Presence of autoimmune disease
  • Use of oral anticoagulant
  • Valvulopathy with mechanical or biological cardiac prosthesis
  • Presence pacemaker or implantable cardioverter
  • Left bundle branch block in 12-lead ECG
  • severe lung disease
  • Major Depression or Bipolar Disorder
  • Chronic Atrial Fibrillation
  • Left ventricular dysfunction (ejection fraction <45%)
  • Active infection or cancer (other than basal cell carcinoma)
  • Chronic Renal Failure
  • Illiteracy
  • Inability to understand the consent form

Sites / Locations

  • Hospital de Clínicas de Porto AlegreRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Comedy

Documentary

Arm Description

patients in this group will watch a comedy film that will not exceed 30 minutes

patients in this group will watch a documentary film that will not exceed 30 minutes.

Outcomes

Primary Outcome Measures

Cardiopulmonary exercise test
The maximum functional capacity is measured by a maximal cardiopulmonary exercise test with expired gas analysis,in the treadmill Inbramed® KT 10200 (Porto Alegre, Brazil).

Secondary Outcome Measures

Quality of life Questionnaire
SF-36 Questionnaire of life quality

Full Information

First Posted
February 22, 2016
Last Updated
August 17, 2018
Sponsor
Hospital de Clinicas de Porto Alegre
search

1. Study Identification

Unique Protocol Identification Number
NCT02824120
Brief Title
Effects of Laugh Therapy Associated to Cardiopulmonary Rehab
Official Title
Effects of Laugh Therapy Associated to Cardiopulmonary and Metabolic Rehabilitation in Ischemic Heart Disease: Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
July 2018
Overall Recruitment Status
Unknown status
Study Start Date
June 2013 (Actual)
Primary Completion Date
March 2019 (Anticipated)
Study Completion Date
March 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hospital de Clinicas de Porto Alegre

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Laugh is more than visual and vocal behave, is always followed by a series of physiological changes, including contractions of musculoskeletal system, increase of cardiac frequency by catecholamine release and hyperventilation that promoves the increase of maximum breathing and oxygen saturation. Laugh therapy may be an alternative therapy, simple, and improve the quality of life of individuals can influence physiological and biochemical parameters of the human body.
Detailed Description
Methods: Randomized clinical trial with patients from outpatient ischemic heart disease of the Hospital de Clínicas de Porto Alegre , patients of both sexes in all regular monitoring. All patients will perform 30 minutes of stretching before film sessions. The exercises will be mild to moderate (modified Borg scale between 3 and 6).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ischemic Heart Disease
Keywords
ischemic heart disease, laugh therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
36 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Comedy
Arm Type
Experimental
Arm Description
patients in this group will watch a comedy film that will not exceed 30 minutes
Arm Title
Documentary
Arm Type
Experimental
Arm Description
patients in this group will watch a documentary film that will not exceed 30 minutes.
Intervention Type
Other
Intervention Name(s)
Comedy
Intervention Description
patients will watch comedy film
Intervention Type
Other
Intervention Name(s)
Documentary
Intervention Description
patients will watch a documentary film
Primary Outcome Measure Information:
Title
Cardiopulmonary exercise test
Description
The maximum functional capacity is measured by a maximal cardiopulmonary exercise test with expired gas analysis,in the treadmill Inbramed® KT 10200 (Porto Alegre, Brazil).
Time Frame
48 months
Secondary Outcome Measure Information:
Title
Quality of life Questionnaire
Description
SF-36 Questionnaire of life quality
Time Frame
48 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ischemic heart disease diagnosis established by cardiac catheterization, with 50% lesion in at least one epicardial vessel (if the patient has had an acute coronary syndrome or have been revascularized, the event time is expected to exceed 6 months). Both sexes With availability to come to HCPA twice a week In conditions of entering into a cardiac rehabilitation program with exercise. Exclusion Criteria: Involvement in another clinical trial. Presence of autoimmune disease Use of oral anticoagulant Valvulopathy with mechanical or biological cardiac prosthesis Presence pacemaker or implantable cardioverter Left bundle branch block in 12-lead ECG severe lung disease Major Depression or Bipolar Disorder Chronic Atrial Fibrillation Left ventricular dysfunction (ejection fraction <45%) Active infection or cancer (other than basal cell carcinoma) Chronic Renal Failure Illiteracy Inability to understand the consent form
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Rosane M. Nery, PhD
Phone
0555133597634
Email
rosane.nery@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ricardo Stein, PhD
Organizational Affiliation
Hospital de Clínicas de Porto Alegre
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital de Clínicas de Porto Alegre
City
Porto Alegre
State/Province
Rio Grande Do Sul
ZIP/Postal Code
90035-903
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rosane M. Nery, PhD
Phone
0555133597634
Email
rosane.nery@gmail.com
First Name & Middle Initial & Last Name & Degree
Ricardo Stein, PhD

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
16442885
Citation
Cortes O, Arthur HM. Determinants of referral to cardiac rehabilitation programs in patients with coronary artery disease: a systematic review. Am Heart J. 2006 Feb;151(2):249-56. doi: 10.1016/j.ahj.2005.03.034.
Results Reference
background
PubMed Identifier
16274344
Citation
Briffa TG, Eckermann SD, Griffiths AD, Harris PJ, Heath MR, Freedman SB, Donaldson LT, Briffa NK, Keech AC. Cost-effectiveness of rehabilitation after an acute coronary event: a randomised controlled trial. Med J Aust. 2005 Nov 7;183(9):450-5. doi: 10.5694/j.1326-5377.2005.tb07121.x.
Results Reference
background
PubMed Identifier
15465501
Citation
Yeh GY, Wood MJ, Lorell BH, Stevenson LW, Eisenberg DM, Wayne PM, Goldberger AL, Davis RB, Phillips RS. Effects of tai chi mind-body movement therapy on functional status and exercise capacity in patients with chronic heart failure: a randomized controlled trial. Am J Med. 2004 Oct 15;117(8):541-8. doi: 10.1016/j.amjmed.2004.04.016.
Results Reference
background
PubMed Identifier
2665973
Citation
O'Connor GT, Buring JE, Yusuf S, Goldhaber SZ, Olmstead EM, Paffenbarger RS Jr, Hennekens CH. An overview of randomized trials of rehabilitation with exercise after myocardial infarction. Circulation. 1989 Aug;80(2):234-44. doi: 10.1161/01.cir.80.2.234.
Results Reference
background
PubMed Identifier
14652490
Citation
Lu WA, Kuo CD. The effect of Tai Chi Chuan on the autonomic nervous modulation in older persons. Med Sci Sports Exerc. 2003 Dec;35(12):1972-6. doi: 10.1249/01.MSS.0000099242.10669.F7.
Results Reference
background
PubMed Identifier
11439709
Citation
Martin RA. Humor, laughter, and physical health: methodological issues and research findings. Psychol Bull. 2001 Jul;127(4):504-19. doi: 10.1037/0033-2909.127.4.504.
Results Reference
background
PubMed Identifier
12891204
Citation
Piegas LS, Avezum A, Pereira JC, Neto JM, Hoepfner C, Farran JA, Ramos RF, Timerman A, Esteves JP; AFIRMAR Study Investigators. Risk factors for myocardial infarction in Brazil. Am Heart J. 2003 Aug;146(2):331-8. doi: 10.1016/S0002-8703(03)00181-9.
Results Reference
background
PubMed Identifier
26375058
Citation
Avezum Junior A, Feldman A, Carvalho AC, Sousa AC, Mansur Ade P, Bozza AE, Falcao Bde A, Markman Filho BM, Polanczyk CA, Gun C, Serrano Junior CV, Oliveira CC, Moreira D, Precoma DB, Magnoni D, Albuquerque DC, Romano ER, Stefanini E, Santos ES, God EM, Ribeiro EE, Brito FS, Feitosa-Filho GS, Arruda GD, Oliveira GB, Lima GG, Dohman H, Liguori IM, Costa Junior Jde R, Saraiva JF, Maia LN, Moreira LF, Santos MA, Canesin MF, Coutinho MS, Moretti AM, Ghorayeb N, Vieira NW, Dutra OP, Coelho OR, Leaes PE, Rossi PR, Andrade PB, Lemos Neto PA, Pavanello R, Costa RV, Bassan R, Esporcatte R, Miranda R, Giraldez RR, Ramos RF, Martins SK, Esteves VB, Mathias Junior W; Brazilian Society of Cardiology. [V Guideline of the Brazilian Society of Cardiology on Acute Myocardial Infarction Treatment with ST Segment Elevation]. Arq Bras Cardiol. 2015 Aug;105(2 Suppl 1):1-105. doi: 10.5935/abc.20150107. No abstract available. Portuguese.
Results Reference
background
PubMed Identifier
17443363
Citation
Schmaltz HN, Southern D, Ghali WA, Jelinski SE, Parsons GA, King KM, Maxwell CJ. Living alone, patient sex and mortality after acute myocardial infarction. J Gen Intern Med. 2007 May;22(5):572-8. doi: 10.1007/s11606-007-0106-7.
Results Reference
background
PubMed Identifier
11575268
Citation
Clark A, Seidler A, Miller M. Inverse association between sense of humor and coronary heart disease. Int J Cardiol. 2001 Aug;80(1):87-8. doi: 10.1016/s0167-5273(01)00470-3.
Results Reference
background
PubMed Identifier
1545471
Citation
Fry WF Jr. The physiologic effects of humor, mirth, and laughter. JAMA. 1992 Apr 1;267(13):1857-8. doi: 10.1001/jama.267.13.1857. No abstract available.
Results Reference
background
PubMed Identifier
21724041
Citation
Lebowitz KR, Suh S, Diaz PT, Emery CF. Effects of humor and laughter on psychological functioning, quality of life, health status, and pulmonary functioning among patients with chronic obstructive pulmonary disease: a preliminary investigation. Heart Lung. 2011 Jul-Aug;40(4):310-9. doi: 10.1016/j.hrtlng.2010.07.010.
Results Reference
background
PubMed Identifier
18488442
Citation
Brutsche MH, Grossman P, Muller RE, Wiegand J, Pello, Baty F, Ruch W. Impact of laughter on air trapping in severe chronic obstructive lung disease. Int J Chron Obstruct Pulmon Dis. 2008;3(1):185-92. doi: 10.2147/copd.s2204.
Results Reference
background
PubMed Identifier
19826144
Citation
Strean WB. Laughter prescription. Can Fam Physician. 2009 Oct;55(10):965-7. No abstract available.
Results Reference
background
PubMed Identifier
19251872
Citation
Vlachopoulos C, Xaplanteris P, Alexopoulos N, Aznaouridis K, Vasiliadou C, Baou K, Stefanadi E, Stefanadis C. Divergent effects of laughter and mental stress on arterial stiffness and central hemodynamics. Psychosom Med. 2009 May;71(4):446-53. doi: 10.1097/PSY.0b013e318198dcd4. Epub 2009 Feb 27.
Results Reference
background
PubMed Identifier
16415199
Citation
Miller M, Mangano C, Park Y, Goel R, Plotnick GD, Vogel RA. Impact of cinematic viewing on endothelial function. Heart. 2006 Feb;92(2):261-2. doi: 10.1136/hrt.2005.061424. No abstract available.
Results Reference
background
PubMed Identifier
20816128
Citation
Sugawara J, Tarumi T, Tanaka H. Effect of mirthful laughter on vascular function. Am J Cardiol. 2010 Sep 15;106(6):856-9. doi: 10.1016/j.amjcard.2010.05.011.
Results Reference
background
PubMed Identifier
16273289
Citation
Nasir UM, Iwanaga S, Nabi AH, Urayama O, Hayashi K, Hayashi T, Kawai K, Sultana A, Murakami K, Suzuki F. Laughter therapy modulates the parameters of renin-angiotensin system in patients with type 2 diabetes. Int J Mol Med. 2005 Dec;16(6):1077-81.
Results Reference
background
PubMed Identifier
12716853
Citation
Hayashi K, Hayashi T, Iwanaga S, Kawai K, Ishii H, Shoji S, Murakami K. Laughter lowered the increase in postprandial blood glucose. Diabetes Care. 2003 May;26(5):1651-2. doi: 10.2337/diacare.26.5.1651. No abstract available.
Results Reference
background
PubMed Identifier
2556917
Citation
Berk LS, Tan SA, Fry WF, Napier BJ, Lee JW, Hubbard RW, Lewis JE, Eby WC. Neuroendocrine and stress hormone changes during mirthful laughter. Am J Med Sci. 1989 Dec;298(6):390-6. doi: 10.1097/00000441-198912000-00006.
Results Reference
background
PubMed Identifier
20664125
Citation
Berk LS. Studying the biology of hope: An interview with Lee S. Berk, DrPH, MPH. Interview by Sheldon Lewis. Adv Mind Body Med. 2007 Summer;22(2):28-31.
Results Reference
background
PubMed Identifier
12148458
Citation
Sakuragi S, Sugiyama Y, Takeuchi K. Effects of laughing and weeping on mood and heart rate variability. J Physiol Anthropol Appl Human Sci. 2002 May;21(3):159-65. doi: 10.2114/jpa.21.159.
Results Reference
background

Learn more about this trial

Effects of Laugh Therapy Associated to Cardiopulmonary Rehab

We'll reach out to this number within 24 hrs