Combined Effects of Blow Bottle Device and Postural Drainage in Moderate to Severe Elderly COPD Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Obstructive Pulmonary Disease
- Sponsor
- Riphah International University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Incentive spirometry
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
It will be a randomized clinical trial. Age of selected subjects will be between 40 to 70 years. Data will be collected from Wazirabad institute of cardiology. There will be 2 groups i.e. group A will receive combination of blow bottle technique and postural drainage and group B will receive postural drainage. Spirometer will be used to evaluate pulmonary functions and breathless, cough and sputum scale (BCSS) will be used to evaluate the improvement in sputum diary of patients. Interventions will be given to the patients for 20-25 minutes twice a day for 6 days per week. After data collection, data will be analyzed using SPSS version 25.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Diagnosed moderate to severe GOLD (2017) COPD
- •40-60 years old
- •Both male and female
- •Patients hemodynamically stable
- •PFT showing irreversible airflow limitation.
Exclusion Criteria
- •Type II diabetic mellitus
- •Systemic illness
- •Thoracic deformation or rib fracture.
- •Pulmonale decompensation and signs of an unstable heart condition.
Outcomes
Primary Outcomes
Incentive spirometry
Time Frame: 4 weeks
Incentive spirometry is frequently used after thoracic surgery as an adjunct to physiotherapy. Despite its widespread use, it has remained challenging to demonstrate a clinical benefit in terms of either incidence of pulmonary complications or hospital stay.
Breathlessness cough sputum scale
Time Frame: 4 weeks
Breathlessness, Cough and Sputum scale (BCSS) was developed to effectively measure the severity of respiratory symptoms. The BCSS records symptoms in a 5-point Likert like scale in which zero represents improvement symptoms and scores towards 4 indicating worsening of symptoms. It is commonly used in patients with COPD. BCSS provides a simple and robust quantification of symptoms that is sensitive to the effects of treatment and could therefore be used to assess therapeutic interventions. It has good reliability and validity for use in patients with respiratory disorders.
Modified borg RPE scale:
Time Frame: 4 weeks
The Modified Borg Dyspnea Scale (MBS) is rated numerical score used to measure dyspnea as reported by the patient during submaximal exercise, one of the most common and frequently used measures to assess the severity of dyspnea.