Comparative Effects of ACBT and Slow Expiration in Patients With Chronic Obstructive Pulmonary Disease

Sponsor

Riphah International University (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT05922267

Collaborator

(none)

Enrollment

Location

Arms

5.4

Anticipated Duration (Months)

5.6

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Chronic obstructive pulmonary disease (COPD) is characterized by nonreversible airway obstruction. A diagnosis of COPD is determined by clinical assessment of airflow limitation and symptoms such as cough and wheeze; however, the detrimental effect of COPD symptoms on a patient's quality of life is often underestimated. Rehabilitation exercise can lessen the possibility of the progressive exacerbation of the patient's condition, exerting an active role in improving their lung function and the quality of the patients' life .Therefore, Active cycle breathing techniques (ACBT) is a cycle of techniques consisting of breathing control, lower thoracic expansion exercises and the forced expiration technique modifiable for every patient to reduce condition . The effect of ELTGOL on mucus clearance of right and left lungs, especially of peripheral lung areas, in stable patients with COPD . A couple of relaxed breaths and when you are ready go on to your huff. Repeat the huff two or three times until you have the urge to cough. Once you have cleared your chest have a few normal relaxed breaths and start the cycle over again with deep breaths and huffs.

A Randomized clinical trial, subjects with age group between 4O-70 years. In Group -A subjects (n=15) were treated with Active Cycle of Breathing Technique where Group-B subjects (n=15) received ELTGOL training . This study is to compare the effectiveness of ACBT and ELTGOL on improving the Quality Of Life and increasing Functional Capacity in subjects with COPD . Assessment will be done before and after intervention and result will be analyzed using statistical package for social sciences SPSS 20.

Condition or Disease	Intervention/Treatment	Phase
Chronic Obstructive Pulmonary Disease	Other: ACTIVE CYCLE OF BREATHING TECHNIQUES Other: SLOW EXPIRATION WITH OPEN GLOTTIS IN LATERAL POSITION	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

30 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Participant)

Primary Purpose:

Treatment

Official Title:

Comparative Effects of Active Cycle of Breathing Techniques and Slow Expiration With Open Glottis in Lateral Posture in Patients With Chronic Obstructive Pulmonary Disease

Anticipated Study Start Date :

Jul 5, 2023

Anticipated Primary Completion Date :

Sep 15, 2023

Anticipated Study Completion Date :

Dec 15, 2023

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Active cycle of breathing technique Try to keep your chest Take a long, slow and deep breath in, through your nose if you can. At the end of the breath in, hold the air in your lungs for 2-3 seconds before breathing Breathe out gently and relaxed, like a sigh. Don't force the air out. Repeat 3 - 5 times. If the patient feels light-headed then it is important that they revert back to the breathing control phase of the cycle Huffing	Other: ACTIVE CYCLE OF BREATHING TECHNIQUES The participants in group A will be given ACBT with conventional chest physiotherapy . Instruction for patient Try to keep your chest Take a long, slow and deep breath in, through your nose if you can. At the end of the breath in, hold the air in your lungs for 2-3 seconds before breathing Breathe out gently and relaxed, like a sigh. Don't force the air out. Repeat 3 - 5 times. If the patient feels light-headed then it is important that they revert back to the breathing control phase of the cycle Huffing
Experimental: SLOW EXPIRATION WITH OPEN GLOTTIS IN LATERAL POSITION The participants in group B will be given slow expiration with open glottis in lateral posture and conventional chest physiotherapy .In this technique, a patient adopts a lateral posture or a lateral decubitus posture. The affected lung is in the dependent position. A patient commences breathing normally, at tidal volumes. They are then instructed to perform a series of slow expirations with an open glottis. Expiration from functional residual capacity to the end of the expiratory reserve volume are encouraged to achieve maximum inflation . To assist in maintaining an open glottis, a mouthpiece may be used, to decrease the degree of airway compression A series of three ELTGOL may be performed, with each series composed of approximately 10 slow and deep expirations. In between each series of maneuvers, a rest period (around 1-2 minutes) is provided, with the patient staying in the same position. A typical treatment lasts for around 20 minutes	Other: SLOW EXPIRATION WITH OPEN GLOTTIS IN LATERAL POSITION The participants in group B will be given slow expiration with open glottis in lateral posture and conventional chest physiotherapy .In this technique, a patient adopts a lateral posture or a lateral decubitus posture. The affected lung is in the dependent position. A patient commences breathing normally, at tidal volumes. They are then instructed to perform a series of slow expirations with an open glottis. Expiration from functional residual capacity to the end of the expiratory reserve volume are encouraged to achieve maximum inflation . To assist in maintaining an open glottis, a mouthpiece may be used, to decrease the degree of airway compression A series of three ELTGOL may be performed, with each series composed of approximately 10 slow and deep expirations. In between each series of maneuvers, a rest period (around 1-2 minutes) is provided, with the patient staying in the same position. A typical treatment lasts for around 20 minutes

Arm

Intervention/Treatment

Experimental: Active cycle of breathing technique

Try to keep your chest Take a long, slow and deep breath in, through your nose if you can. At the end of the breath in, hold the air in your lungs for 2-3 seconds before breathing Breathe out gently and relaxed, like a sigh. Don't force the air out. Repeat 3 - 5 times. If the patient feels light-headed then it is important that they revert back to the breathing control phase of the cycle Huffing

Other: ACTIVE CYCLE OF BREATHING TECHNIQUES

The participants in group A will be given ACBT with conventional chest physiotherapy . Instruction for patient Try to keep your chest Take a long, slow and deep breath in, through your nose if you can. At the end of the breath in, hold the air in your lungs for 2-3 seconds before breathing Breathe out gently and relaxed, like a sigh. Don't force the air out. Repeat 3 - 5 times. If the patient feels light-headed then it is important that they revert back to the breathing control phase of the cycle Huffing

Experimental: SLOW EXPIRATION WITH OPEN GLOTTIS IN LATERAL POSITION

The participants in group B will be given slow expiration with open glottis in lateral posture and conventional chest physiotherapy .In this technique, a patient adopts a lateral posture or a lateral decubitus posture. The affected lung is in the dependent position. A patient commences breathing normally, at tidal volumes. They are then instructed to perform a series of slow expirations with an open glottis. Expiration from functional residual capacity to the end of the expiratory reserve volume are encouraged to achieve maximum inflation . To assist in maintaining an open glottis, a mouthpiece may be used, to decrease the degree of airway compression A series of three ELTGOL may be performed, with each series composed of approximately 10 slow and deep expirations. In between each series of maneuvers, a rest period (around 1-2 minutes) is provided, with the patient staying in the same position. A typical treatment lasts for around 20 minutes

Other: SLOW EXPIRATION WITH OPEN GLOTTIS IN LATERAL POSITION

Outcome Measures

Primary Outcome Measures

Dyspnea scale to assess change in pre and post [base line and fourth week]
Medical Research Council (MRC) chronic dyspnea scale, used for the estimation of disability due to dyspnea, may serve as a simple index of disease severity and extent in patients with lung disease. This scale consists of six questions about perceived breathlessness: category 0, no dyspnea; category 1, slight degree of dyspnea (troubled by shortness of breath when hurrying on the level or walking up a slight hill); category 2, moderate degree of dyspnea (walks slower than people of the same age on the level because of breathlessness); category 3, moderately severe degree of dyspnea (has to stop because of breathlessness when walking at own pace on the level); category 4, severe degree of dyspnea (stops for breath after walking about 100 yards or after a few minutes on the level); category 5, very severe degree of dyspnea (too breathless to leave the house or breathless when dressing or undressing
Peak Flow Meter to assess change in pre and post [baseline and fourth week]
Peak flow meter is mini spirometer which measures the PEFR .The Peak Expiratory Flow Rate (PEFR) is the maximum or peak flow rate that is attained during a forceful expiratory effort after taking a deep inspiration .Its normal range is 250 to 400 . The Peak Expiratory Flow Rate (PEFR) is the maximum or peak flow rate that is attained during a forceful expiratory effort after taking a deep inspiration
BCSS to assess change [baseline and fourth week]
In order to give a rapid and simple means of assessing the severity of respiratory symptoms frequent in COPD patients, the Breathlessness, Cough, and Sputum Scale (BCSS) was created. The BCSS is based on a three-item questionnaire that evaluates the patient's sputum production, coughing, and breathlessness
Oximeter to assess change [baseline and fourth week]
A pulse oximeter measures the amount of oxygen that is carried by your blood. Typically, a little clip is attached to the tip of your finger. (On sometimes, the toe or earlobe are used.) A light beam is projected through the skin using the gadget. By measuring the proportion of your blood that is carrying oxygen, it calculates your oxygen level. Your oxygen saturation, often known as SpO2, is displayed on the screen

Eligibility Criteria

Criteria

Ages Eligible for Study:

40 Years to 70 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Both genders (Male and Female)
40-70 years
Diagnosed COPD according to GOLD classification
Hemodynamically stable patient

Exclusion Criteria:

Patient with other disorders like cardiac and respiratory disorders
Carcinoma
Lung surgery
Neurological disorders

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Mayo Hospital	Lahore	Punjab	Pakistan	54000

Sponsors and Collaborators

Riphah International University

Investigators

Principal Investigator: Sidra Afzal, PP-DPT, Riphah International University

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:

Riphah International University

ClinicalTrials.gov Identifier:

NCT05922267

Other Study ID Numbers:

REC/RCR&AHS/23/0321

First Posted:

Jun 28, 2023

Last Update Posted:

Jun 28, 2023

Last Verified:

Jun 1, 2023

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Riphah International University

COPD(chronic obstructive pulmonary disease),

ACBT(active cycle of breathing techniques)

ELTGOL

Additional relevant MeSH terms:

Lung Diseases

Lung Diseases, Obstructive

Pulmonary Disease, Chronic Obstructive

Study Results

No Results Posted as of Jun 28, 2023