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Low-load Blood Flow Restriction Training in COPD (LL-BFRT COPD)

Primary Purpose

COPD, Muscle Weakness

Status
Completed
Phase
Not Applicable
Locations
Switzerland
Study Type
Interventional
Intervention
Low-load blood flow restriction training
Usual outpatient pulmonary rehabilitation
Sponsored by
University of Zurich
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COPD focused on measuring blood flow restriction training, pulmonary rehabilitation, COPD, muscle weakness

Eligibility Criteria

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

Inclusion Criteria:

  • Diagnosed COPD according to GOLD-guidelines
  • Assigned to outpatient pulmonary rehabilitation by the treating physician

Exclusion Criteria:

  • Physical or intellectual impairment precluding informed consent or protocol adherence
  • Non-German speaking (precluding informed consent)
  • Acute or recent (within the last 6 weeks) exacerbation of COPD
  • Attending a pulmonary rehabilitation program within the last 3 months
  • Pregnant patients
  • History of thromboembolic event in the lower extremity
  • Diagnosis of polyneuropathy
  • Resting systolic blood pressure <100 mmHg

Sites / Locations

  • University Hospital Zurich

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

LL-BFRT group

Usual pulmonary rehabilitation group

Arm Description

Participants randomised into intervention group are attending pulmonary rehabilitation in which strengthening exercises of the lower limb are performed using LL-BFRT.

Participants randomised into control group are attending usual pulmonary rehabilitation as established.

Outcomes

Primary Outcome Measures

Knee extensor strength
Between-group difference in total change in isometric muscle strength of the knee extensor muscles, measured by handheld dynamometry in newtonmeter

Secondary Outcome Measures

Full Information

First Posted
October 31, 2019
Last Updated
April 11, 2023
Sponsor
University of Zurich
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1. Study Identification

Unique Protocol Identification Number
NCT04151771
Brief Title
Low-load Blood Flow Restriction Training in COPD
Acronym
LL-BFRT COPD
Official Title
Low-load Blood Flow Restriction Training in COPD
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
December 27, 2019 (Actual)
Primary Completion Date
January 28, 2023 (Actual)
Study Completion Date
January 28, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Zurich

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Peripheral muscle weakness is a predominant problem in patients with COPD and treated using exercise training in pulmonary rehabilitation. Despite pulmonary rehabilitation being an effective intervention, muscle strength impairment is a persisting problem in COPD patients. Patients have problems to tolerate the high training loads, which are necessary to develop strength. Low-load blood flow restriction training (LL-BFRT) might therefore be an option to enhance muscular response of patients with COPD to strength training. Up to now, no studies investigating LL-BFRT in respiratory diseases are available. The primary outcome of this randomized pilot study is knee extensor muscle strength. Secondary, the study will evaluate if LL-BFRT is well tolerated and feasible in COPD patients attending outpatient pulmonary rehabilitation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COPD, Muscle Weakness
Keywords
blood flow restriction training, pulmonary rehabilitation, COPD, muscle weakness

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LL-BFRT group
Arm Type
Experimental
Arm Description
Participants randomised into intervention group are attending pulmonary rehabilitation in which strengthening exercises of the lower limb are performed using LL-BFRT.
Arm Title
Usual pulmonary rehabilitation group
Arm Type
Active Comparator
Arm Description
Participants randomised into control group are attending usual pulmonary rehabilitation as established.
Intervention Type
Other
Intervention Name(s)
Low-load blood flow restriction training
Other Intervention Name(s)
LL-BFRT
Intervention Description
The intervention group will perform the exercises of the lower limbs using LL-BFRT with an occlusion pressure of 70% of arterial occlusion pressure with low training loads (30% of the 1 repetition maximum).
Intervention Type
Other
Intervention Name(s)
Usual outpatient pulmonary rehabilitation
Intervention Description
The control group will perform outpatient pulmonary rehabilitation as established.
Primary Outcome Measure Information:
Title
Knee extensor strength
Description
Between-group difference in total change in isometric muscle strength of the knee extensor muscles, measured by handheld dynamometry in newtonmeter
Time Frame
during 12 weeks (24 exercise sessions)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosed COPD according to GOLD-guidelines Assigned to outpatient pulmonary rehabilitation by the treating physician Exclusion Criteria: Physical or intellectual impairment precluding informed consent or protocol adherence Non-German speaking (precluding informed consent) Acute or recent (within the last 6 weeks) exacerbation of COPD Attending a pulmonary rehabilitation program within the last 3 months Pregnant patients History of thromboembolic event in the lower extremity Diagnosis of polyneuropathy Resting systolic blood pressure <100 mmHg
Facility Information:
Facility Name
University Hospital Zurich
City
Zurich
ZIP/Postal Code
8091
Country
Switzerland

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Low-load Blood Flow Restriction Training in COPD

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