Effects of Diaphragm and Abdominal Muscle Training on PFT and Dyspnea Among COPD Obstructive Pulmonary Disease Patients.

Not Applicable

Not yet recruiting

• Conditions: Chronic Obstructive Pulmonary Disease
• Interventions: Other: basic breathing technique; Other: • Diaphragmatic breathing technique

• Registration Number: NCT05587829
• Lead Sponsor: Riphah International University

Brief Summary

It will be a randomized control trial at Services Hospital Lahore through convenience sampling technique which will be allocated through simple random sampling through sealed opaque enveloped in to Group A and Group B . Group A: patients will be treated with basic breathing technique whereas Group B: will be treated by will be breathing technique along with diaphragm and abdominal training. The study will be completed within 6 months after synopsis approval from ethical Committee of RCRS \& AHS . Data will be entered and analyzed by SPSS version 25. After assessing the normality of data , it will be decided either parametric or non-parametric test will be use within a group or between two groups.

Detailed Description

Chronic Obstructive Pulmonary Disease (COPD) is a set of diseases that cause airflow obstruction, breathing difficulties, wheezing and chest tightness. Risk factors are smoking and non-tobacco-smoking, the use of biomass fuel and open fires for domestic purposes in poorly ventilated households. Physiotherapy is an important component of multidisciplinary therapies. Airway clearing, pulmonary rehabilitation, inspiratory muscle training, and non-invasive ventilation is the prior treatment .The aim of this study will be to find the effects of diaphragm and abdominal muscle training on pulmonary function testing and dyspnea among COPD patients .

It will be a randomized control trial at Services Hospital Lahore through convenience sampling technique which will be allocated through simple random sampling through sealed opaque enveloped in to Group A and Group B . Group A: patients will be treated with basic breathing technique whereas Group B: will be treated by will be breathing technique along with diaphragm and abdominal training. The study will be completed within 6 months after synopsis approval from ethical Committee of RCRS \& AHS . Data will be entered and analyzed by SPSS version 25. After assessing the normality of data , it will be decided either parametric or non-parametric test will be use within a group or between two groups.

Study Timeline

• Study First Submitted: 2022-09-05
• Status Verified: 2022-10
• Study Start: 2022-10
• Study First Submitted QC: 2022-10-17
• Last Update Submitted: 2022-10-17
• Study First Posted: 2022-10-20
• Last Update Posted: 2022-10-20
• Primary Completion: 2022-12-30
• Study Completion: 2023-01-01

Recruitment & Eligibility

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

Inclusion Criteria

• Age group of 35-60 years
• Moderate COPD patients.
• Cognitive
• no previous surgery
• clinically stable COPD patients with reduced inspiratory muscle strength [Pi and persistent activity-related dyspnea

Exclusion Criteria

• Acute attack
• Severe copd
• Inability to perform physiological testing
• active cardiovascular comorbidity (i.e., severe heart failure with reduced left ventricular ejection fraction, cardiomyopathy, recent acute myocardial infarction, cardiac arrhythmias, or stroke),
• Unstable
• Red Flags Like: Fever, Night Sweats, Malaise

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A	basic breathing technique	Group A: will be treated with basic breathing technique.
Group B	• Diaphragmatic breathing technique	Group B: will be treated by will be breathing technique along with diaphragm and abdominal training.
Group B	basic breathing technique	Group B: will be treated by will be breathing technique along with diaphragm and abdominal training.

Primary Outcome Measures

Name	Time	Method
• Spirometer for pulmonary function testing FVC	4 months	The most effective and common method for diagnosing COPD is spirometry. Its also known as a pulmonary function test or PFT. This easy, painless test measures lung function and capacity. To perform this test, you will exhale as forcefully as possible intoThe most effective and common method for diagnosing COPD is spirometry.; Its also known as a pulmonary function test or PFT. This easy, painless test measures lung function and capacity. To perform this test, you will exhale as forcefully as possible into a tube connected to the spirometer, a small machine.; a tube connected to the spirometer, a small machine.
• Spirometer for pulmonary function testing FVC1	4 months	The most effective and common method for diagnosing COPD is spirometry. Its also known as a pulmonary function test or PFT. This easy, painless test measures lung function and capacity. To perform this test, you will exhale as forcefully as possible intoThe most effective and common method for diagnosing COPD is spirometry.; Its also known as a pulmonary function test or PFT. This easy, painless test measures lung function and capacity. To perform this test, you will exhale as forcefully as possible into a tube connected to the spirometer, a small machine.; a tube connected to the spirometer, a small machine.

Secondary Outcome Measures

Name	Time	Method
• Dyspnea MDP	4 months	Use these scales to rate the intensity of the breathing sensations you feel \[felt\] (like the loudness of sound, regardless of whether the sensation is pleasant or unpleasant; for example a sensation could be intense without being unpleasant.)