Determination of the Effects of Two Different Breathing Techniques and Forward-Leaning Position on Physiological Parameters in Patients With Chronic Obstructive Pulmonary Disease
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 96
- 试验地点
- 1
- 主要终点
- saturation
研究概览
简要总结
This study aims to determine the effects of balloon inflation and pursed-lip breathing exercises, in addition to the forward-leaning position, on physiological parameters in individuals with Chronic Obstructive Pulmonary Disease (COPD).
The hypotheses of the study are as follows:
H1_1: The forward-leaning position and balloon inflation breathing exercise have a positive effect on physiological parameters in patients with Chronic Obstructive Pulmonary Disease (COPD).
H1_2: The forward-leaning position and pursed-lip breathing exercise have a positive effect on physiological parameters in patients with COPD.
H1_3: There is a significant difference in physiological parameters between the balloon inflation and pursed-lip breathing exercise groups and the control group.
Within this scope, the study will be conducted with three groups:
Intervention Group 1: Balloon inflation exercise applied in addition to the forward-leaning position.
Intervention Group 2: Pursed-lip breathing exercise applied in addition to the forward-leaning position.
Control Group: Standard practice implemented in the institution where the study is conducted.
Participants:
- A home exercise program will be designed for both intervention groups, allowing them to perform the exercises independently each day.
- The exercises will start with three sessions per day and will be increased by one session each week, continuing for a total of four weeks.
- Participants will visit the outpatient clinic in the 4th week for assessments and tests.
- Patients will be contacted weekly by the researcher via phone to ensure adherence to the program.
详细描述
The exercise program will be determined in collaboration with a respiratory physiotherapist and implemented by the researcher. Accordingly, patients with stage II-III COPD (as determined by a physician) who visit the pulmonology outpatient clinic of the relevant hospital and meet the inclusion criteria will be given brief information about respiratory exercises, their benefits, and duration. They will then be instructed on how to perform the exercises through verbal commands for approximately 30 minutes. At the end of the session, the exercise guidelines will be practiced under the supervision of the researcher.
Before starting, the patient will be seated in a chair and allowed to rest for about 15 minutes. The patient will be informed about how to perform the walking test, the expected walking pace, and that they can stop and rest if they feel fatigued. Then, the patient will be asked to walk at a brisk pace for six minutes under the supervision of the researcher. During the walk, the researcher will continuously monitor the patient's oxygen saturation using a handheld pulse oximeter. If the patient exhibits signs of excessive sweating, pallor, or a significant drop in oxygen levels, the test will be terminated early.
Before and after the test, blood pressure, pulse rate, respiratory rate, oxygen saturation [SpO2], and dyspnea score using the Modified Borg Scale will be assessed, and the distance the patient walks in six minutes will be recorded. The six-minute walk test will be repeated at the end of the study. Subsequently, the patient will undergo a pulmonary function test, and the values for FVC, FEV1, FEV1/FVC ratio, and peak expiratory flow will be recorded.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who have no communication and cooperation problems,
- •Can speak and understand Turkish,
- •Have a baseline saturation of >90%,
- •Have been diagnosed with Stage II and Stage III COPD,
- •Have not had any infection or COPD exacerbation for at least 3 months,
- •Have not participated in a pulmonary rehabilitation program in the last 3 months,
- •Can walk without assistance,
- •Do not have serious and/or unstable heart disease, neuromuscular disease, orthopedic disease or mental illness that may impair their physical activities of daily living,
- •Willing to participate in the study will be included.
排除标准
- •Patients who have been hospitalized since the start of the study,
- •Those receiving continuous oxygen therapy,
- •Those who have cooperation problems,
- •Those who cannot adapt to exercise,
- •Those who have 2-3 or more acute attacks per year,
- •Those with a history of pulmonary hypertension, malignancy, pulmonary thromboembolism, obstructive sleep apnea, unstable angina or myocardial infarction,
- •Patients with a pulse rate over 120/minute will be excluded from the study.
研究组 & 干预措施
Pursed-lip breathing exercise
干预措施: Pursed-lip breathing exercise (Other)
Balloon inflation exercise
干预措施: Balloon inflation exercise (Other)
Standard treatment
干预措施: Control (Standard treatment) (Other)
结局指标
主要结局
saturation
时间窗: 4 weeks later
blood pressure
时间窗: 4 weeks later
pulse
时间窗: 4 weeks later
respiratory rate
时间窗: 4 weeks later
次要结局
- Peak Expiratory Flow (PEF)(4 weeks later)
- Forced Vital Capacity (FVC)(4 weeks later)
- Forced Expiratory Volume in One Second (FEV1)(4 weeks later)
- FEV1/FVC ratio(4 weeks later)
- Modified Borg Dyspnea Scale (MBS)(4 weeks later)
- 6 Minute Walking Test (6MWT)(4 weeks later)