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临床试验/NCT04170361
NCT04170361已完成不适用

The Effect of Incentive Spirometry Added to Routine Physiotherapy Program on Hemodynamic Responses and Hospital Stay in Patients With COPD Exacerbation

Bezmialem Vakif University2 个研究点 分布在 1 个国家目标入组 108 人开始时间: 2021年9月21日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
108
试验地点
2
主要终点
Systolic and diastolic blood pressure

研究概览

简要总结

COPD; it is a common, preventable and treatable disease that is associated with increased chronic inflammatory responses in the airways and lungs against harmful gases and particles, and that it manages progressive airflow. The definition of exacerbation is defined as an acute onset with a change in where daily differences in the main symptoms occur and which may occur with the presence of drugs. The number of exacerbations in the course of the disease is between 1-3 years on average. Routine physiotherapy treatment in COPD exacerbation is expected to increase lung volume and effective removal of airway secretions. The concept of physiotherapy programs is vibration, thoracic expression exercise, positive expiratory pressure therapy and gait programs.

An incentive spirometer is a simple, inexpensive device to adjust lung tissue re-expansion by increasing lung volumes and diaphragmatic mobility, providing maximal inspiration with termination control without a resistive loading. In COPD patients, the use of incentive spirometry is to increase alveolar ventilation and oxygenation in lifestyle.

There are a limited number of studies in the literature regarding the results of the use of incentive spirometry in COPD patients. The results of postoperative results of incentive spirometry in COPD patients were tried and established on pulmonary complications, diseases, postoperative dyspnea perception and lifestyle. The importance of the investigator's research; this is the first study to evaluate hemodynamic responses and hospitalization plans of incentive spirometer and routine physiotherapy program in COPD exacerbations.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Being diagnosed with COPD exacerbation
  • •Hemodynamically stable
  • •To be conscious and voluntarily agree to participate in the study

排除标准

  • •Existence of neurological, cardiovascular and musculoskeletal problems to prevent exercise
  • •Having chronic respiratory disease other than COPD

研究组 & 干预措施

Control Group

Active Comparator

Patients will be admitted to chest physiotherapy program including breathing exercises, modified postural drainage and percussion, lower-upper extremity mobilization exercises and posture exercises once a day during hospitalization.

干预措施: Conventional Chest Physiotherapy (Other)

Training Group

Experimental

In addition to conventional chest physiotherapy program, patients in this group will also be taught to use Triflo ® and apply at two-hour intervals.

干预措施: Conventional Chest Physiotherapy+Incentive Spirometry (Other)

Training Group

Experimental

In addition to conventional chest physiotherapy program, patients in this group will also be taught to use Triflo ® and apply at two-hour intervals.

干预措施: Conventional Chest Physiotherapy (Other)

结局指标

主要结局

Systolic and diastolic blood pressure

时间窗: 30 minutes

Blood pressure will be measured before and after physiotherapy program with monometer from the arm

Forced Expiratory Volume in 1 second (FEV1)

时间窗: 30 minutes

FEV1 will be measured using MIR brand SPIRODOC model portable spirometer and expressed as the percentage of the predicted value according to the guideline of European Respiratory Society (ERS)

Oxygen saturation

时间窗: 30 minutes

The oxygen saturation response will be measured before and after physiotherapy program with pulse oximeter.

Respiratory rate

时间窗: 30 minutes

Blood pressure will be measured before and after physiotherapy program with observation

Forced Expiratory Volume 25-75%

时间窗: 30 minutes

FEF 25-75% will be measured using MIR brand SPIRODOC model portable spirometer and expressed as the percentage of the predicted value according to the guideline of European Respiratory Society (ERS)

Heart rate

时间窗: 30 minutes

The hearth rate response will be measured before and after after physiotherapy program with pulse oximeter.

Forced Vital Capacity (FVC)

时间窗: 30 minutes

FVC will be measured using MIR brand SPIRODOC model portable spirometer and expressed as the percentage of the predicted value according to the guideline of European Respiratory Society (ERS)

Peak Expiratory Flow (PEF)

时间窗: 30 minutes

PEF will be measured using MIR brand SPIRODOC model portable spirometer and expressed as the percentage of the predicted value according to the guideline of European Respiratory Society (ERS)

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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