Active Cycle of Breathing Techniques With and Without Acapella in COPD Patients

Not Applicable

Completed

• Conditions: Chronic Obstructive Pulmonary Disease
• Interventions: Other: Active Cycle of breathing; Other: Active Cycle of breathing with Acapella

• Registration Number: NCT06240936
• Lead Sponsor: Riphah International University

Brief Summary

Chronic Obstructive Pulmonary Disease refers to a group of progressive lung diseases the block air flow and make it difficult to breath. It is potentially fatal and fourth leading cause of death in the world. The symptoms of this condition include shortness of breath, frequent coughing, fatigued and tightness in the chest. Due to the secretions in the lungs sometime patients will have great difficulty catching the breath after walking or exercise. Patient will also feel breathless just sitting or relaxing. Active Cycle of breathing technique can be used to mobilize and clear secretions. It will improve their stamina and reduce the episodes of breathlessness, help to remove the secretions from the lungs and feel better overall. Acapella is a small hand held device which help to loosen and clear secretions from the chest it has both resistive and vibratory features. A randomized control trial will be conducted at Gosha e Shifa hospital and General hospital Lahore through convenience sampling technique on 42 patients which will be allocated through simple random sampling through sealed opaque enveloped into group A and group B. Group A will be treated with active cycle of breathing exercises/techniques and Group B will be treated with Acapella device with active cycle of breathing exercise .Outcome measure will be conducted through Modified dyspnea scale, acapella device usage and questionnaire after 4 weeks and also perform Pulmonary function test .Data will be analyzed using SPSS software version 21. After assessing normality of data by Shapiro - wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups. Acapella device uses and active cycle of breathing technique will be applied for comparing their effect in patients of COPD.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-01-28
• Study First Submitted QC: 2024-01-28
• Study First Posted: 2024-02-05
• Study Start: 2024-02-15
• Primary Completion: 2024-03-15
• Status Verified: 2024-04
• Study Completion: 2024-04-15
• Last Update Submitted: 2024-04-18
• Last Update Posted: 2024-04-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

• Both men and women age between 35-50 years.
• Having smoking history .(1)
• Dyspnea MRC scale grade 2 and grade 3.(20)
• Gold standard COPD grade 2

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Exclusion Criteria

• Any kind of infective pulmonary condition .
• Restrictive lung disease.(20)
• Pregnancy.
• Any severe heart disease

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Active Cycle of breathing with Acapela	Active Cycle of breathing	ACBTs will be applied on the patients. It consist of the following three phases, breathing control,tboracic expension and forced expiration technique. The Acapella device is a handheld device used to help loosen mucus in the lungs. Sit up straight and hold the device in the upright position. Take a deep breath in and seal lips around the mouthpiece. Exhaleforcefully through the mouthpiece, using your stomach muscles to push the air out. Repeat this process several times, taking breaks. After using Acapella cough to clear any mucus that has been loosened. Clean the device after each use.
Active Cycle of breathing with Acapela	Active Cycle of breathing with Acapella	ACBTs will be applied on the patients. It consist of the following three phases, breathing control,tboracic expension and forced expiration technique. The Acapella device is a handheld device used to help loosen mucus in the lungs. Sit up straight and hold the device in the upright position. Take a deep breath in and seal lips around the mouthpiece. Exhaleforcefully through the mouthpiece, using your stomach muscles to push the air out. Repeat this process several times, taking breaks. After using Acapella cough to clear any mucus that has been loosened. Clean the device after each use.
Active cycle of breathing technique	Active Cycle of breathing	ACBTs will be applied on the patients. It consist of the following three phases, breathing control,tboracic expension and forced expiration technique.

Primary Outcome Measures

Name	Time	Method
Sputum diary BCSS	baseline and fourth week	In this diary we will check breathlessness, cough and sputum. It also includes the score of patient wellbeing and documented all minor symptoms
Modified Dyspnea scale.	baseline and fourth week	Data collection tool for shortness of breath is modified dyspnea scale there will be 10 readings. It also accesses breathing discomfort, sensory qualities and emotional distress.
PFTs	baseline and fourth week	The test will measure the lung volume, and ABGs. It is important tool for the investigation and monitoring of patients with respiratory pathology

Trial Locations

Locations (1)

Sheikh Zayed Hospital,; 🇵🇰 Lahore, Punjab, Pakistan