Comparison of Anterior Chest Compression Assist and Abdominal Thrust Assist Technique COPD

Not Applicable

Completed

• Conditions: COPD
• Interventions: Other: Abdominal Thrust Technique; Other: Anterior Chest Compression technique

• Registration Number: NCT05936801
• Lead Sponsor: Riphah International University

Brief Summary

A total 34 patients will be taken. 2 groups will be created to apply intervention. After signing consent form, 17 patients in group A will be given abdominal thrust assist technique and 17 patients in group B will be given anterior chest compression technique.

Detailed Description

Patient is instructed to take in a deep breath and hold it. Then, just as the patient is instructed to cough, the therapist applies a quick push up and in under the diaphragm with the heel of the hand. In Anterior chest compression: the therapist places one arm across the patient's pectorals and the other parallel to it. After the patient takes a maximal breath, the therapist pushes down to help the patient cough. The greatest force is applied through the lower chest during expulsion. A total 34 patients will be taken. 2 groups will be created to apply intervention. After signing consent form, 17 patients in group A will be given abdominal thrust assist technique and 17 patients in group B will be given anterior chest compression technique. Baseline treatment given to both groups will include percussion and tapping. The data collected will then be analyzed using IBM SPSS version 25.

Study Timeline

• Study First Submitted: 2023-06-14
• Study First Submitted QC: 2023-07-07
• Study First Posted: 2023-07-10
• Study Start: 2023-07-15
• Primary Completion: 2023-10-10
• Study Completion: 2023-12-20
• Status Verified: 2024-06
• Last Update Submitted: 2024-06-11
• Last Update Posted: 2024-06-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• uncontrolled Tachycardia
• Unconscious patients
• In neuro-compromised patients with Cognitive dysfunction
• Recent esophageal surgery
• Acute abdominal distension -Recent Broncho-pleural fistula - Pulmonary embolism, pneumothorax hemothorax
• Unstable head and neck fracture

Exclusion Criteria

• Breathlessness, Cough and sputum scale (BCSS)
• Modified Borg Dyspnea scale
• Peak Flow Meter
• Pulse Oximeter

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Abdominal Thrust Technique	Abdominal Thrust Technique	Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.
Anterior Chest Compression technique	Anterior Chest Compression technique	Baseline treatment given is percussion and vibration in side lying position. The therapist puts one arm across the patient's pectoral region to stabilize or compress the upper chest while the other arm is placed either parallel on the lower chest or abdomen below the xiphoid process. Inspiration is facilitated by the pressure on anterior chest, followed by a "hold." Just as the patient is instructed to cough, the therapist applies a quick force with both arms: down and back on the upper chest and up and back on the lower chest or abdomen. 3 sessions in a wk would be given on alternate days

Primary Outcome Measures

Name	Time	Method
Oxygen saturation	4 weeks	oxygen saturation will be measure with pulse oximeter.
sputum diary	4 weeks	sputum of each patient will be recorded.
expiratory flow rate	4 weeks	Expiratory flow rate will be measured through peak expiratory flow meter

Trial Locations

Locations (1)

Sheikh Zayed Hospital, Rahim Yar Khan.; 🇵🇰 Rahim yar khan, Punjab, Pakistan