RecruitingNot ApplicableNCT06756230

Downhill Walking in IPF

Effects of Downhill Walking in Pulmonary Rehabilitation for Patients With Idiopathic Pulmonary Fibrosis

Sponsor

Saglik Bilimleri Universitesi

Enrollment

34 participants

Start Date

May 13, 2025

Study Type

INTERVENTIONAL

Conditions

Idiopathic Pulmonary Fibrosis (IPF)

Summary

In this study; will examine the effects of downhill walking (eccentric exercise training) on exercise capacity, quality of life, and blood lactate levels in individuals with IPF. After the initial assessment, patients will be randomized into two groups: downhill walking PR group and Standard PR Group.

Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria7

Having a diagnosis of IPF according to the clinical diagnostic criteria of the American Thoracic Society and/or the European Respiratory Society (ATS-ERS).
Being between the ages of 18 and 75.
Being able to walk on a treadmill.
Having the ability to cooperate.
No change in current medication in the last month.
Not participating in a structured activity program for at least six months.
Accepting the purpose and method of this study voluntarily and give informed consent for the study.

Exclusion Criteria5

Presence of physical or mental impairment that prevents informed consent or compliance with the protocol.
Inability to attend more than 20% of pulmonary rehabilitation sessions.
Presence of major cardiovascular disease (coronary artery disease, uncontrolled hypertension, arrhythmias, or heart failure).
Presence of existing orthopedic and neuromuscular exercise limitations.
Acute exacerbation

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Interventions

OTHERPulmonary Rehabilitation

8 weeks, 2 sessions per week, Aerobic training will be provided as treadmill walking. It will be performed either downhill or on a flat treadmill, depending on the group. Warm-up and stretching exercises Resistance exercises will be performed with a load equivalent to 50% of 1 maximum repetition. 10 repetitions will be performed in sets, one set in each session. Based on the differences in the general condition of the patients, different workloads and modifications will be used when creating an exercise program for each patient. Resistance exercises will focus on both upper and lower extremity muscles.

OTHERDownhill Walking

Treadmill exercise will be applied for 30 minutes in the target heart rate range of 60-80% intensity. The target heart rate method will be used to determine the exercise intensity. Blood pressure, heart rate and Borg Perceived Exertion Scale scores will be monitored during the exercises. Downhill walking training will continue with a constant -10% incline.

OTHERTreadmill Walking without incline

Treadmill exercise will be applied for 30 minutes in the target heart rate range of 60-80% intensity. The target heart rate method will be used to determine the exercise intensity. Blood pressure, heart rate and Borg Perceived Exertion Scale scores will be monitored during the exercises. Traditional walking training will initially involve walking with a neutral incline.