Breathing Exercise for Rib Fracture

Not Applicable

Recruiting

• Conditions: Rib Fractures; Spirometry
• Interventions: Behavioral: Respiratory physiotherapy; Drug: Conservative Treatment

• Registration Number: NCT06222333
• Lead Sponsor: Kastamonu University

Brief Summary

Respiratory physiotherapy is routinely performed after thoracic surgery operations to increase lung expansion and prevent pulmonary complications such as atelectasis and pneumonia. It is a controversial issue whether respiratory physiotherapy reduces pulmonary complications in rib fractures. In our study, patients with rib fractures will be divided into two groups. In the control group, standard treatment consisting of routine analgesic treatments will be applied. In the other group, respiratory physiotherapy will be applied with triflu for 8 hours a day. At the end of the study, pulmonary complications in both groups will be compared.

Detailed Description

Patients between the ages of 18 and 100 who will apply to our hospital due to rib fractures between April 2024 and April 2025 will be evaluated. Patients who meet the inclusion criteria will be included in the study. Patients will be divided into two groups using randomization blocks. Patients in the control group will receive conservative treatment consisting of paracetamol and dexketoprofen. In the other group of patients, in addition to conservative treatment, triflow breathing exercise will be applied for 8 hours a day. Respiratory function test pain scores and pulmonary complications of patients in the two groups will be compared statistically.

Study Timeline

• Study First Submitted: 2024-01-03
• Study First Submitted QC: 2024-01-15
• Study First Posted: 2024-01-24
• Status Verified: 2024-11
• Study Start: 2024-11-13
• Last Update Submitted: 2024-11-13
• Last Update Posted: 2024-11-14
• Primary Completion: 2025-04-01
• Study Completion: 2026-04-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

• Isolated thoracic injury within 24 hours
• Age between 18-100

Exclusion Criteria

• Pneumothorax and hemothorax requiring intervention at admission
• Injury severity index >16
• COPD, Atshma
• Extrathoracic trauma

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Respiratory physiotherapy group	Respiratory physiotherapy	In this group of patients, in addition to routine analgesic treatment, triflow use and deep breathing training would be given by the physiotherapist. Patients in this group will do breathing exercises 8 hours a day, 10 times an hour
Routine treatment group	Conservative Treatment	Patients in the control group will receive conservative treatment consisting of paracetamol and dexketoprofen.

Primary Outcome Measures

Name	Time	Method
FEV1, FVC, FEV1/FVC results on day 7	7 days	FEV1, FVC, FEV1/FVC

Secondary Outcome Measures

Name	Time	Method
FEV1, FVC, FEV1/FVC results on day 2	2 days	FEV1, FVC, FEV1/FVC
Number of Participants with Pneumonia	7 days	Clinical and radiological diagnosis of pneumonia

Trial Locations

Locations (1)

Kastamonu University; 🇹🇷 Kastamonu, Turkey