Comparative Effects of Blow Bottle and Acapella Along With Diaphragmatic Breathing in Patients With Pneumonia

Not Applicable

Recruiting

• Conditions: Pneumonia
• Interventions: Other: Blow Bottle technique; Other: Acapella along with Diaphragmatic Breathing

• Registration Number: NCT06460610
• Lead Sponsor: Riphah International University

Brief Summary

Pneumonia is the inflammation of lung parenchyma involving lungs alveoli and is a leading cause of lower respiratory tract infections and deaths around the globe and the number rises greatly after the Covid-19 pandemic. The Symptoms of Pneumonia is cough, fever, dyspnea, myalgia, altered blood gas ratio, and mental alteration. Treatment and management of this disease varies from patient to patient according to its severity stages .Blow Bottle supports the patient to remove excess secretions to increase pressure in the airways. This opens up the passageways in bronchioles, air behind the mucus push it into the larger airways .It will be easy to remove mucus by coughing or huffing. Hypoximia is a clinical feature of Pneumonia that requires a fraction of inspired oxygen FiO2 of 0.50 to maintain an oxygen saturation of 92%. This research of randomized clinical trial will check the comparative effects of Blow Bottle Technique and Acapella along with Diaphragmatic Breathing in patients with Pneumonia by taking sample of 50 patients through Non Probability convenience sampling and randomly allocating them to two groups A and B out of which A will receive both Blow Bottle and Diaphragmatic Breathing training, B will receive Acapella with Diaphragmatic Breathing upto the duration of 3 days per week for upto 4 weeks. Pre and post training outcomes of pulmonary function will be measured through BCSS ,Oxygen Saturation through Pulse Oximeter, and disease severity through Pneumonia severity index, and Who QOL questionnaire. The data will be analyzed through SPSS 21

Detailed Description

Not available

Study Timeline

• Study Start: 2024-01-15
• Study First Submitted: 2024-06-11
• Study First Submitted QC: 2024-06-11
• Study First Posted: 2024-06-14
• Status Verified: 2024-07
• Primary Completion: 2024-07-15
• Study Completion: 2024-07-15
• Last Update Submitted: 2024-07-15
• Last Update Posted: 2024-07-16

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Patients in the acute pneumonia
• Age40-60 years.
• Both male and female
• Patients with unstable health conditions
• Participants were willing to participate

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Exclusion Criteria

• Patients with physical or cognitive limitations.
• Patients with a history of chronic respiratory conditions such as COPD, bronchitis, or asthma
• Pregnant or breastfeeding women. Individuals with musculoskeletal or neurological conditions
• Patients with contraindications to chest percussion therapy, such as recent surgery or trauma to the chest area.
• Patients with severe Pneumonia requiring immediate care

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Blow Bottle technique	Blow Bottle technique	Blow Bottle Technique will be performed to emphasizing deep diaphragmatic breathing and controlled exhalation. Blow Bottle sessions for up to 20 minutes per day for 3 days in a week .Total 12 sessions in 4 weeks.
(Acapella along with Diaphragmatic Breathing)	Acapella along with Diaphragmatic Breathing	Acapella will be performed to Improves clearance of secretion to facilitates opening of airway in patients with lung disease to mobilize secretions and improve lung function. Daily session for 20 minutes per day for 3 days in a week. Total 12 sessions in 4 weeks

Primary Outcome Measures

Name	Time	Method
Pulse Oximeter	baseline and fourth week	Pulse oximetry is a noninvasive test that measures the oxygen saturation level of your blood
Breathlessness, Cough and Sputum Scale	baseline and fourth week	The Breathlessness, Cough and Sputum Scale (BCSS) is used to predict patient exacerbations by evaluating common symptoms identified in the COPD population. The BCSS have 24 items concerning beliefs about the self and others that are assessed on a five-point rating scale (0-4).Four scores are obtained: negative-self (six items), positiveself (six items), negative-others (six items) and positive-others (six items)
Who QOL Questionnaire	baseline and fourth week	Quality of life Each individual item of the WHOQOL-BREF is scored from 1 to 5 on a response scale, which is stipulated as a five-point ordinal scale. The scores are then transformed linearly to a 0-100-scale The physical health domain includes items on mobility, daily activities, functional capacity, energy, pain, and sleep.

Trial Locations

Locations (1)

Jinnah hospital Lahore; 🇵🇰 Lahore, Punjab, Pakistan