The Effect of Breathing Helium-Hyperoxia During Pulmonary Rehabilitation in Patients With COPD
Study Details
Study Description
Brief Summary
The purpose of this study is to examine whether breathing helium-hyperoxia during exercise in a pulmonary rehabilitation program can improve the exercise tolerance and health related quality of life of patients with Chronic Obstructive Pulmonary Disease (COPD).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
It is well accepted that the exercise training as part of a comprehensive pulmonary rehabilitation program can improve exercise tolerance, functional status and quality of life in patients with COPD. It is feasible that if patients were able to perform a greater volume or intensity of exercise during rehabilitation then the outcomes of the program would be improved. Recent research has demonstrated that breathing a helium-hyperoxic gas mixture can significantly reduce dynamic hyperinflation and dyspnea during exercise in patients with COPD and can increase exercise tolerance to a greater extent than breathing room air or a nitrogen-based hyperoxic gas. If patients with COPD were to breathe a helium-hyperoxic gas during exercise they should be able to tolerate a greater intensity of exercise while maintaining similar levels of exertional symptoms to those observed at lower exercise intensities breathing room air. As a result patients randomized to the helium-hyperoxia condition should obtain greater improvements in exercise tolerance than those receiving usual care (i.e. breathing room air)
Comparisons: Standard pulmonary rehabilitation of patients with COPD receiving either usual care (air breathing) or helium-hyperoxia (40% O2, 60% Helium).
Study Design
Outcome Measures
Primary Outcome Measures
- Constant-load exercise tolerance after 6 weeks of exercise rehabilitation []
Secondary Outcome Measures
- Maximum oxygen consumption after 6 weeks of exercise rehabilitation []
- Quality of Life measured after 6 weeks of exercise rehabilitation []
- Dyspnea at an isotime during constant-load exercise after 6 weeks of exercise rehabilitation []
Eligibility Criteria
Criteria
Inclusion Criteria:
-
FEV1/FVC<70% predicted;
-
FEV1<70% predicted;
-
RV>140% predicted.
Exclusion Criteria:
-
Cardiovascular contraindications to exercise;
-
Musculoskeletal abnormalities that limit exercise tolerance;
-
SpO2<85% during a constant work rate test;
-
On supplemental oxygen.
-
Exacerbation within the last month
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Caritas Centre for Lung Health | Edmonton | Alberta | Canada | T5K 0L4 |
Sponsors and Collaborators
- University of Alberta
Investigators
- Principal Investigator: Neil D Eves, PhD, University of Calgary, AB, Canada
Study Documents (Full-Text)
None provided.More Information
Publications
- MSI 824