Effects of MDRT vs CEE on Pulmonary Functions, Chest Expansion and Asthma Control in Asthma Patients

Not Applicable

Recruiting

• Conditions: Asthma
• Interventions: Other: Manual Diaphragmatic Release Technique; Other: Chest Wall Expansion Exercises

• Registration Number: NCT06460857
• Lead Sponsor: Riphah International University

Brief Summary

To determine the effects of manual diaphragmatic release technique (MDRT) versus chest wall expansion exercises on pulmonary function, chest wall expansion and asthma control in patients with asthma.

Detailed Description

Patients who will meet the inclusion criteria will be recruited by convenient sampling technique and allocated to groups by simple randomization process by sealed opaque enveloped labeled as A for Group A and B for group B. At the beginning of the study, a formal educational session, lasting about 30 minutes will be given by the physiotherapist dealing with the treatment/interventions.

Group A: It will receive MDRT and generalized body stretching. Group B: It will receive Chest Expansion Exercises and generalized body stretching.

Frequency of patient's visit will be tailored with minimum of 2-3 visits per week for 4 weeks.

Study Timeline

• Study Start: 2023-12-01
• Study First Submitted: 2024-06-11
• Study First Submitted QC: 2024-06-13
• Study First Posted: 2024-06-14
• Status Verified: 2024-07
• Primary Completion: 2024-07-01
• Last Update Submitted: 2024-07-09
• Last Update Posted: 2024-07-10
• Study Completion: 2024-08-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 58

Inclusion Criteria

• • Medically diagnosed asthma patients.

  • Aged 35-60 years.
  • Patient should be non-smoker or ex-smoker for last 6 months

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Exclusion Criteria

• • Patients having other cardiac or respiratory diseases.

  • Patient having thoracic or abdominal surgeries.
  • Pregnancy and uncontrolled hemodynamic parameters.
  • Inability of Patient to understand instruction due to mental disorder.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Manual Diaphragmatic Release Technique	Manual Diaphragmatic Release Technique	Manual Diaphragmatic Release Technique and Generalized Body Stretching
Chest Wall Expansion Exercises	Chest Wall Expansion Exercises	Chest Wall Expansion Exercises and generalized Body stretching

Primary Outcome Measures

Name	Time	Method
Pulmonary Function	4th week	Changes from baseline Pulmonary function test will be measured through Digital SpirometerDigital Spirometer is a hand held device that measures Forced Expiratory Volume 1 (FEV1) in the first second patient exhale and Forced Vital Capacity (FVC).
Chest Expansion	4th week	Changes from baseline Chest expansion is measured by using a measuring tape at 2 different levels of rib cage, upper chest expansion is measured at the third intercostal space at the level of clavicular line and spinous process of fifth thoracic vertebra. Lower chest expansion is measured at the tip of xiphoid process and the spinous process of tenth thoracic vertebra measurements will be taken at the end of deep inspiration and expiration.

Secondary Outcome Measures

Name	Time	Method
Asthma Control Test	4th week	Changes from baseline will be measured through Asthma Control Test (ACT) is a questionnaire that consists of 5 questions on a scale from 1 to 5 of symptoms. The questions are about limitations due to asthma and symptoms in the past 4 week. A lower score then 19 corresponds with poor asthma control.
Modified Borg Scale	4th week	Changes from baseline will be measured through The modified Borg scale is an 11-point numerical scale rating the difficulty of breathing from "breathing is causing no difficulty at all" (zero point) to "breathing difficulty is maximal" (10 points).

Trial Locations

Locations (1)

Zohra Shafi Free Trust Hospital; 🇵🇰 Lahore, Punjab, Pakistan