The Effect of Foot Deformities on Physical Activity, Fatigue Level and Quality of Life in Elderly COPD Patients
Study Details
Study Description
Brief Summary
The aim of this study is to investigate the effects of changes in foot structure on physical activity level, fatigue and quality of life in COPD patients.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
Chronic obstructive pulmonary disease (COPD) is usually a progressive disease associated with the increased chronic inflammatory response of the airways and lungs to the toxic effects of harmful gases and particles. It causes pathological changes such as increased secretion production in the airways, epithelial changes, inflammation, smooth muscle hypertrophy, and hyperplasia in the submucosal glands. Hyperinflammation in the lungs results in muscle atrophy, shortening of the respiratory muscles, and increased respiratory workload. On the other hand, the increase in pro-inflammatory plasma cytokine levels seen in the systemic circulation causes oxidative stress, leading to the development of musculoskeletal system disorders and a decrease in functional capacity. Pulmonary dysfunction and increased dyspnea lead to a decrease in physical condition, physical exercise tolerance, and activity, while the decrease in muscle mass results in atrophy in the peripheral extremities.
Age and gender are cited as major risk factors for COPD. Therefore, lower extremity atrophy, which is seen in peripheral extremities and increases with aging, causes foot dysfunctions. Considering that the ability of elderly people to maintain their independence is related to a good level of consciousness and ongoing ambulation, and the frequency of foot problems seen in elderly people is approximately twice as high as the general population, foot problems seen in elderly individuals are very important for this group. In particular, the decrease in foot mobility and the fall of the medial longitudinal arch negatively affect the absorption of shocks during heel strike and foot flat and the momentum of the trunk forward. This situation may result in the expenditure of energy above normal and deterioration of balance while ensuring the proper transfer of body weight. All of these cause early fatigue and a decrease in the quality of life in the individual. In the literature, foot deformities in elderly healthy individuals and the parameters these deformities will affect people are stated. However, there is no study examining the effects of foot deformities on physical activity, fatigue, and quality of life in elderly COPD patients.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| COPD patients Patients with a diagnosis of COPD aged over 60 years |
Behavioral: The COPD Assessment Test
Used to assess symptoms in COPD patients.
Diagnostic Test: Navicular Drop Test
It is the test used to measure the amount of pronation in the foot.
Behavioral: International Physical Activity Questionnaires (IPAQ)
The International Physical Activity Questionnaires (IPAQ) comprises a set of 4 questionnaires. The purpose of the questionnaires is to provide common instruments that can be used to obtain internationally comparable data on health-related physical activity.
Behavioral: COPD and Asthma Fatigue Scale (CAFS)
CAFS is a comprehensive, brief, patient-centered questionnaire developed to capture fatigue experienced by patients with asthma or COPD.
Behavioral: Saint George Respiratory Questionnaire
Disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease.
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Outcome Measures
Primary Outcome Measures
- Navicular Drop Test [Day 0]
It is the test used to measure the amount of pronation in the foot.
Secondary Outcome Measures
- The COPD Assessment Test [Day 0]
Used to assess symptoms in COPD patients.
- International Physical Activity Questionnaires (IPAQ) [Day 0]
The International Physical Activity Questionnaires (IPAQ) comprises a set of 4 questionnaires. The purpose of the questionnaires is to provide common instruments that can be used to obtain internationally comparable data on health-related physical activity.
- COPD and Asthma Fatigue Scale (CAFS) [Day 0]
CAFS is a comprehensive, brief, patient-centered questionnaire developed to capture fatigue experienced by patients with asthma or COPD.
- Saint George Respiratory Questionnaire [Day 0]
Disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Confirmed diagnosis of COPD
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Age over 60
Exclusion Criteria:
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Having an orthopedic or neurological disorder that affects the walking pattern
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Having a peripheral vascular disease
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Being diagnosed with Diabetes Mellitus
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Having systemic diseases such as arthritis
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Having a previous history of foot-ankle fractures
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Having a dermatological disease (fungal and bacterial infection etc.)
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Istanbul Saglık Bilimleri University | Istanbul | Turkey |
Sponsors and Collaborators
- Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
Investigators
- Study Director: Nilufer Kablan, Asst. Prof., Istanbul Sağlık Bilimleri University
- Principal Investigator: Ayca Evkaya Acar, Res. Asst., Maltepe University
Study Documents (Full-Text)
None provided.More Information
Publications
- Atasever A, Erdinç E. [Quality of life in COPD]. Tuberk Toraks. 2003;51(4):446-55. Review. Turkish.
- de Sá RB, Pessoa MF, Cavalcanti AGL, Campos SL, Amorim C, Dornelas de Andrade A. Immediate effects of respiratory muscle stretching on chest wall kinematics and electromyography in COPD patients. Respir Physiol Neurobiol. 2017 Aug;242:1-7. doi: 10.1016/j.resp.2017.03.002. Epub 2017 Mar 10.
- Jones PW, Adamek L, Nadeau G, Banik N. Comparisons of health status scores with MRC grades in COPD: implications for the GOLD 2011 classification. Eur Respir J. 2013 Sep;42(3):647-54. doi: 10.1183/09031936.00125612. Epub 2012 Dec 20.
- Sun KS, Lin MS, Chen YJ, Chen YY, Chen SC, Chen W. Is asymptomatic peripheral arterial disease associated with walking endurance in patients with COPD? Int J Chron Obstruct Pulmon Dis. 2015 Jul 29;10:1487-92. doi: 10.2147/COPD.S85430. eCollection 2015.
- Theander K, Unosson M. Fatigue in patients with chronic obstructive pulmonary disease. J Adv Nurs. 2004 Jan;45(2):172-7.
- 09.2020.766