Manually Assisted Cough Technique and Incomplete Cervical Spine Injury

Not Applicable

Completed

• Conditions: Spinal Cord Injuries
• Interventions: Other: Manually assisted cough technique

• Registration Number: NCT04741126
• Lead Sponsor: Riphah International University

Brief Summary

To determine the effectiveness of manually assisted cough technique on peak cough flow and pulmonary functions in patients with incomplete cervical spine injury. Previous studies were designed to target only a small sample. Level and American Spinal Cord Injury Association (ASIA) scale were not specified so this study covers this aspect.

Detailed Description

The previous studies show that the partial control of the muscle necessary for cough, which varies with motor level, proportionately improves the patient's ability to cough volitionally. Spinal cord injury also affects mucus clearance, the peak flow meter was used to assist the ability of cough and they also measure the peak cough flow (PFC).In the literature for the airway clearance, the following techniques were used, incentive spirometer, balloon, and blowing exercise, manually assisted cough technique active cycle of breathing exercise, postural drainage, autogenic drainage, positive expiratory pressure. There is increasing interest in strategies such as interval training that may provide a tolerable training load while maintaining an effective stimulus for adaptation. Manually assisted cough technique is used to enhance the cough strength, to help with mucus secretion it can be carried out in lying, side-lying, or sitting positions.it is important that clear secretion in order to maintain clear and healthy lungs, the risk of repeated chest infection and complication can be reduced which improve the quality of life. Manually assisted cough is a technique using strong arms to assist cough. This may be providing help in neuromuscular disease or spinal cord injury with weak respiratory and abdominal muscle.

Study Timeline

• Study Start: 2020-11-01
• Study First Submitted: 2021-02-02
• Study First Submitted QC: 2021-02-04
• Study First Posted: 2021-02-05
• Primary Completion: 2021-08-01
• Study Completion: 2021-08-01
• Status Verified: 2021-12
• Last Update Submitted: 2021-12-13
• Last Update Posted: 2021-12-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 28

Inclusion Criteria

• The patient with incomplete cervical spine injury at C4, C5,
• bronchitis,
• shortness of breath having Peak cough flow (PCF) less than 50% and
• ASIA impairment scale C &D

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Exclusion Criteria

• The patient with upper cervical,
• thoracic, and
• lumbar spine injury,
• diagnosed with TB,
• degenerative diseases,
• surgical conditions, and
• complete spinal cord injury.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Intervention Protocol	Manually assisted cough technique	Hospital-based manually assisted cough technique for 4 weeks.

Primary Outcome Measures

Name	Time	Method
Peak cough flow	4 weeks	Changes from the baseline will be measured after 4 weeks through a small, hand-held device which is used to monitor a person's ability to breathe out air. It measures the airflow through the bronchi of the lungs and thus indicates the degree of obstruction in the airways. Peak flow readings are higher health airways and decreases in obstructive airways.

Secondary Outcome Measures

Name	Time	Method
Pulmonary functions	4 weeks	Changes from the baseline will be measured after 4 weeks through the incentive spirometer. This device will measure how deeply patient can inhale (breathe in) and to evaluate the volumes and capacities of the patient before and after intervention.

Trial Locations

Locations (1)

Paraplegic center Peshawar.; 🇵🇰 Peshawar, KPK, Pakistan