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Single Leg Cycling in COPD: Knowledge Translation to Pulmonary Rehabilitation

This study has been completed.
Information provided by (Responsible Party):
Roger Goldstein, West Park Healthcare Centre Identifier:
First received: July 15, 2013
Last updated: January 4, 2016
Last verified: January 2016
Pulmonary rehabilitation (PR) with supervised exercise training is a key part of care for patients with chronic lung disease (COPD). Patients can improve their shortness of breath, walking distance and quality of life. However, many patients do not improve their overall fitness. They are too breathless to train at a high enough intensity. In a laboratory training study, patients with COPD improved their overall fitness by using single leg cycling. Despite this knowledge, single leg cycling has not been used clinically. The objective of this project is to use and assess single leg cycling in a clinical setting. Single leg cycling can be incorporated into a clinical service (replacing traditional two legged cycling) as the predominant aerobic training strategy, resulting in improvements in cardio-respiratory fitness (peak oxygen uptake).

Condition Intervention
Chronic Obstructive Pulmonary Disease (COPD) Other: Pulmonary Rehabilitation

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Single Leg Cycling in COPD: Knowledge Translation to Pulmonary Rehabilitation

Resource links provided by NLM:

Further study details as provided by Roger Goldstein, West Park Healthcare Centre:

Primary Outcome Measures:
  • Change in peak oxygen uptake achieved by incremental cycle ergometry [ Time Frame: Measured at the end of an average of eight weeks of pulmonary rehabilitation compared to baseline ]
    A full incremental cardiopulmonary exercise test will be performed on a cycle ergometer to symptom limitation with expiratory gas analysis.

Enrollment: 22
Study Start Date: July 2011
Study Completion Date: October 2015
Primary Completion Date: November 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Pulmonary Rehabilitation
Patients will undergo the usual pulmonary rehabilitation programme but instead of two-legged cycling they will undergo single leg cycling where they cycle with one leg for 10-15mins and then the other in the same session.
Other: Pulmonary Rehabilitation
Pulmonary Rehabilitation (PR) is a short course 6-12 weeks of supervised exercise training and education for patients with COPD. This is part of their usual treatment. This study is replacing two-legged cycling with single leg training. Patients will have the usual PR outcome measures assessed but in addition will have a laboratory exercise test.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients with COPD referred for Pulmonary Rehabilitation

Exclusion Criteria:

  • Unstable cardiac disease
  • any neurological or orthopaedic condition that would make cycling difficult
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01930526

Canada, Ontario
West Park Healthcare Centre
Toronto, Ontario, Canada, M6M 2J5
Sponsors and Collaborators
West Park Healthcare Centre
Principal Investigator: Roger S Goldstein, MBChB West Park Healthcare Centre
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Roger Goldstein, Respirologist, West Park Healthcare Centre Identifier: NCT01930526     History of Changes
Other Study ID Numbers: JREB2011-12
Study First Received: July 15, 2013
Last Updated: January 4, 2016

Keywords provided by Roger Goldstein, West Park Healthcare Centre:
Single leg
Pulmonary Rehabilitation

Additional relevant MeSH terms:
Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Respiratory Tract Diseases processed this record on August 17, 2017