Effects of Postural Drainage With and Without Percussion on Mucus Clearance, Dyspnea and Quality of Life in Chronic Obstructive Pulmonary Disease
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- For Airway Clearance
研究概览
简要总结
Effects Of postural drainage with and without percussion on mucus clearance, dyspnea and quality of life in Chronic Obstructive Pulmonary disease. 34 Patients will be explained in detail about the procedure under study. Informed consent will be taken.
Subjects will be evaluated using the Modified medical research council and Dyspnea-12 Questionnaire for (dyspneal), St George's Respiratory Questionnaire for quality of life. Cough and Sputum assesment questionnaire for mucus clearance would be used. One group will be tested by Postural drainage techniques and the second group will be tested by Postural drainage with Percussion.
详细描述
Chronic respiratory diseases refer to chronic diseases of the airways and other structures like alveoli bronchi and bronchioles of the lung. Some of the most common diseases include asthma, chronic obstructive pulmonary disease (COPD), and other respiratory allergies. COPD leads to permanent damaged airways, which causes them to become narrower making it difficult for air to go into and out of lungs it belongs to a group of progressive lung diseases that make it difficult to breathe - including chronic bronchitis and emphysema (assessed by pulmonary function and x-ray evidence).
People have difficulty breathing due to long-term damage to their lungs, caused mainly due to cigarette smoking, exposure to air pollution, exposure to fumes or particles at work, for example, welding fumes or coal dust and Alpha-1-antitrypsin deficiency, a genetic condition. Symptoms that badly effects the health of the patient includes cough, decreased exercise tolerance production, shortness of breath, and shortness of breath.
In this research, the effects of postural drainage with and without percussion on mucus clearance, dyspnea and quality of life would be determined. Chest physiotherapy is the term for a group of treatments designed to eliminate secretions, thus helping to decrease work of breathing, promote the expansion of the lungs, and prevent the lungs from collapse.
There is a large impact on quality of life for individuals living with COPD, decreased exercise tolerance, decreased ability to carry out activities of daily living (ADLs), anxiety, feelings of isolation, decreased social participation etc.
This study will be a randomized controlled trial. The study will be conducted in Sheikh Zaid hospital Lahore. In the present study under considerations we mainly look on the subjects meeting predetermined inclusion and exclusion criteria will be divided into two groups using lottery method. Sample size will be 34 which would include both male and female. Subjects irrespective of gender aged between 35-65 years of age are involved.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 35 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Age 35-65 years
- •Patients who have had exacerbations in the past month
- •Agreeing to participate in the study after having provided a written consent.
- •Patients with heavy Mucus secretions in Lungs Field
- •Diagnosed Patients of Chronic Obstructive Pulmonary Disease Stage 2(COPD)
排除标准
- •• Patients on bronchodilators and steroids
- •Patients with severe Pulmonary Edema
- •Patients with severe rib fractures
- •History of any recent thoraco abdominal surgery(35)
- •Left ventricular Ejection Fraction (EF)
- •Anemic patients
- •Pregnant women
研究组 & 干预措施
Postural drainage with percussion
Chest percussion is performed with cupped hands in an alternating rhythmic manner The force applied must be equal 8 weeks, 3 sessions per week , each session took about 30 minutes
干预措施: POSTURAL DRAINAGE WITH PERCUSSION (Other)
Postural drainage with percussion
Chest percussion is performed with cupped hands in an alternating rhythmic manner The force applied must be equal 8 weeks, 3 sessions per week , each session took about 30 minutes
干预措施: Postural drainage (Other)
Postural drainage
Postural drainage without Percussion Each position should be held for a minimum of five minutes Use pillows, foam wedges for comfort make position on patient back, side and stomach 8 weeks, 3 sessions of alternating positions per , each session took about 30 minutes
干预措施: Postural drainage (Other)
结局指标
主要结局
For Airway Clearance
时间窗: 8weeks
Sputum diary Questionnaire will be used
St. George's Respiratory Questionnaire (SGRQ) quality of life assessment
时间窗: 8 weeks
For assessment and changes in Quality of life Questionnaire will be used
Spirometry For Airway clearance
时间窗: 8 weeks
Spirometer will be used for evaluating the Forced Expiratory values in 1 second
次要结局
未报告次要终点
