Effects of Mud Bath Therapy in Chronic Obstructive Pulmonary Disease
NCT01253941 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 42
Last updated 2013-09-13
Summary
Rehabilitation and physical therapy strategies targeting extra pulmonary manifestations of Chronic Obstructive Pulmonary Disease (COPD)are far from being well defined. Studies, performed in healthy subjects using threshold breathing device \[a simple method to increase inspiratory muscle load\] have shown that ventilatory muscle overactivation during loaded breathing may prime reactive oxygen species (ROS) production, thus initiating an inflammatory response that results in elevation of pro-inflammatory cytokines, particularly IL\_6. Increase of cytokine IL\_6 in turn, elicits a cascade of systemic responses, involving hormone like glucoregulatory mechanisms, lipolysis and fat oxidation, as well as control of breathing.
Thermal mud bath therapy has been acknowledged for its antioxidant and anti-inflammatory effects in several chronic diseases. However, it is not considered among treatment options of chronic pulmonary disease. Previous experimental studies indicate that trace elements of thermal treatments, particularly iodide and bromide, may positively intervene in the setup and maintenance of active state in skeletal muscle. These findings suggest that in COPD patients these elements may improve the loading and endurance of respiratory muscles and therefore blunt ventilatory muscle overactivation and the ensuing inflammatory cytokine response.
In this study the investigators want to test two major hypotheses. First, that mud bath therapy reduces systemic inflammatory processes in COPD patients, increases respiratory muscle endurance and normalizes the ventilatory response. Second, that the increase in systemic inflammation after IRB exercise is blunted by mud bath therapy.
Conditions
- Chronic Obstructive Pulmonary Disease (COPD)
Interventions
- OTHER
-
Mud bath Therapy
patients will be randomized to Mud bath Therapy ( 12 sessions) or no treatment
Sponsors & Collaborators
-
Fondazione Salvatore Maugeri
lead OTHER
Principal Investigators
-
Simonetta Baldi, MD · Fondazione Salvatore Maugeri
-
Gian Domenico Pinna, Ph.D · Fondazione Salvatore Maugeri
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 45 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-06-30
- Primary Completion
- 2013-06-30
- Completion
- 2013-06-30
Countries
- Italy
Study Locations
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