Elastic tape reduces dyspnea and improves health status in the short term in nonobese COPD males: A randomized controlled trial

被引:1
作者
dos Santos, Eloise Arruda [1 ]
Pinto, Thiago Fernandes [1 ]
Xavier, Rafaella Fagundes [1 ]
Stelmach, Rafael [2 ]
Carvalho-Pinto, Regina Maria [2 ]
de Carvalho, Celso Ricardo Fernandes [1 ]
机构
[1] Univ Sao Paulo, Sch Med, Dept Phys Therapy, Sao Paulo, Brazil
[2] Univ Sao Paulo, Clin Hosp, Pulm Div Heart Inst InCor, Pulm Div,Heart Inst InCor, Sao Paulo, Brazil
基金
巴西圣保罗研究基金会;
关键词
COPD; Dyspnea; Health status; Quality of life; Physical activity; Elastic tape; Relieve symptoms; PHYSICAL-ACTIVITY; EXERCISE; CAT;
D O I
10.1016/j.rmed.2023.107459
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction and objectives: The elastic tape (ET) is a novel intervention that acutely improves exercise capacity in laboratory tests; however, its effect on a patient's daily life remains unknown. This randomized controlled trial evaluated the effects of ET on daily life physical activity (DLPA), dyspnea symptoms, health status, and health -related quality of life (HRQoL) in individuals with COPD. Methods: Fifty males with moderate to very severe COPD were randomly assigned to an intervention group (ETG, n = 25), receiving ET on the chest wall and abdomen, or a control group (CG, n = 25). The intervention was for 14 days. DLPA (accelerometry; steps per day, and sedentary time), dyspnea symptoms (transition dyspnea index, TDI; and modified Medical Research Council, mMRC), health status (COPD assessment test, CAT), and health -related quality of life (HRQoL, CRQ) were evaluated at baseline and on Day 21 after the intervention. Results: No change in the DLPA was observed in between-group comparison. CG presented a reduction in step counts after 21days (-707,p <0.05) while ETG. maintained (-114,p > 0.94). However, ET reduced dyspnea symptoms in all TDI domains (functional, task, and effort) and on the mMRC scale after 14 days compared with CG (p < 0.01). Also, the ETG improved CAT score compared to the CG, reaching minimal clinical important difference (MCID) (-4.4 score, p <0.01). The ETG also improved in most CRQ domains reaching MCID after 21 days. Conclusions: ET does not modify DLPA but reduces dyspnea and improves health status and HRQoL in nonobese males with moderate to very severe COPD in the short term. This novel and low-cost intervention improves COPD symptoms.
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页数:7
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共 28 条
[1]   Clinically relevant differences in COPD health status: systematic review and triangulation [J].
Alma, Harma ;
de Jong, Corina ;
Tsiligianni, Ioanna ;
Sanderman, Robbert ;
Kocks, Janwillem ;
van der Molen, Thys .
EUROPEAN RESPIRATORY JOURNAL, 2018, 52 (03)
[2]   Key toolkits of non-pharmacological management in COPD: during and beyond COVID-19 [J].
Alqahtani, Jaber S. ;
Alghamdi, Saeed M. ;
Aldhahir, Abdulelah M. ;
Althobiani, Malik ;
Oyelade, Tope .
FRONTIERS IN BIOSCIENCE-LANDMARK, 2021, 26 (07) :246-252
[3]   Barriers associated with reduced physical activity in COPD patients [J].
Amorim, Priscila Batista ;
Stelmach, Rafael ;
Fernandes Carvalho, Celso Ricardo ;
Arrabal Fernandes, Frederico Leon ;
Carvalho-Pinto, Regina Maria ;
Cukier, Alberto .
JORNAL BRASILEIRO DE PNEUMOLOGIA, 2014, 40 (05) :504-512
[4]   The Minimal Important Difference in Physical Activity in Patients with COPD [J].
Demeyer, Heleen ;
Burtin, Chris ;
Hornikx, Miek ;
Camillo, Carlos Augusto ;
Van Remoortel, Hans ;
Langer, Daniel ;
Janssens, Wim ;
Troosters, Thierry .
PLOS ONE, 2016, 11 (04)
[5]   The COPD assessment test (CAT): response to pulmonary rehabilitation. A multicentre, prospective study [J].
Dodd, James W. ;
Hogg, Lauren ;
Nolan, Jane ;
Jefford, Helen ;
Grant, Amy ;
Lord, Victoria M. ;
Falzon, Christine ;
Garrod, Rachel ;
Lee, Cassandra ;
Polkey, Michael I. ;
Jones, Paul W. ;
Man, William D-C ;
Hopkinson, Nicholas S. .
THORAX, 2011, 66 (05) :425-429
[6]   Principled missing data methods for researchers [J].
Dong, Yiran ;
Peng, Chao-Ying Joanne .
SPRINGERPLUS, 2013, 2 :1-17
[7]   Frequency of Hoover's sign in stable patients with chronic obstructive pulmonary disease [J].
Garcia-Pachon, E ;
Padilla-Navas, I .
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2006, 60 (05) :514-517
[8]   Determinants and outcomes of physical activity in patients with COPD: a systematic review [J].
Gimeno-Santos, Elena ;
Frei, Anja ;
Steurer-Stey, Claudia ;
de Batlle, Jordi ;
Rabinovich, Roberto A. ;
Raste, Yogini ;
Hopkinson, Nicholas S. ;
Polkey, Michael I. ;
van Remoortel, Hans ;
Troosters, Thierry ;
Kulich, Karoly ;
Karlsson, Niklas ;
Puhan, Milo A. ;
Garcia-Aymerich, Judith .
THORAX, 2014, 69 (08) :731-739
[9]  
( GOLD) GIfCOLD, 2023, Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease
[10]   The COVID-19 Pandemic Confronts the Motivation Fallacy within Pulmonary Rehabilitation Programs [J].
Karloh, Manuela ;
Matias, Thiago Sousa ;
Mayer, Anamaria Fleig .
COPD-JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, 2020, 17 (04) :343-345