Clinical trial Recruiting at 1 site Interventional Ages 40 and up

Walking on level, uphill, or downhill slopes for people with COPD

Official title: The Effect of Aerobic Exercise Training in Different Slope Types on Exercise Capacity, Respiratory Functions, Muscle Strength, and Functional Status in COPD Patients

Run by Acibadem University · NCT06283004 · Data updated 2026-11-12

This project will try treadmill walking on level, uphill, and downhill slopes twice a week for eight weeks to see if one type helps people with COPD walk farther and breathe better.

Quick facts

Study typeInterventional
Ages40 Years and up
SexAll
Enrollment51 (estimated)
SponsorAcibadem University
Academic / other
Locations1 site (Istanbul, Eyüp Sultan)
StatusRecruiting
StartedApril 9, 2025
Main results expectedJune 1, 2026
Study endsJune 1, 2026
Registry record updatedJune 13, 2025
Trial IDNCT06283004 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ambulatory adults with COPD in GOLD groups A, B, or E who have no contraindications to exercise and score ≥24 on the mini‑mental test are ideal candidates.

Probably not a fit

Patients with very severe COPD (GOLD 4), hypoxemia, recent exacerbation, other significant respiratory disease, recent pulmonary surgery, active malignancy, or major uncontrolled cardiac/orthopedic/neurologic conditions are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, block‑assigned interventional study will enroll ambulatory adults with COPD and assign them to one of three eight‑week treadmill programs (level, uphill, or downhill walking) performed twice weekly. Baseline 6‑minute walk distance will set initial walking speed, and training speed and duration will be progressively increased during the program. Outcomes include exercise capacity, respiratory function, muscle strength, and functional status measured before and after the intervention. The protocol uses convenience sampling and targets a small sample size (24 total, 8 per group) calculated by a priori power analysis.

Why it matters

Potential benefit: If successful, this could identify a specific walking slope that improves exercise capacity, breathing, and leg muscle function to inform pulmonary rehabilitation programs.

How similar studies have gone: A few small prior studies have suggested downhill walking can help COPD patients, but the evidence base is limited and not yet conclusive.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Being diagnosed with COPD (A, B, E groups according to GOLD assessment)
* Ambulate on your own
* Not having any contraindications for exercise
* To be mentally appropriate (score 24 points and above in the mini mental test)

Exclusion Criteria:

* Being in GOLD 4 stage in spirometric evaluation
* Presence of hypoxemia
* Participation in another pulmonary rehabilitation program within the last 6 months
* Having an exacerbation in the last 1 month
* Being diagnosed with additional respiratory disease (asthma, bronchiectasis, etc.)
* Having had pulmonary surgery
* Having an orthopedic, neurological or cardiac disease that affects exercise
* Having uncontrolled hypertension or diabetes
* Presence of malignancy

Where it's running

  • Bezmialem Vakif University, Department of Physiotherapy and Rehabilitation
    Istanbul, Eyüp Sultan, Turkey (Türkiye)
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.