Chronic Obstructive Pulmonary Disease
Conditions
Keywords
COPD, ACBTs, Acapella,, breathlessness, fatigue
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.
Interventions
Active Cycle of Breathing Techniques will be given to group A. In Active cycle of breathing exercises, breathing control, thoracic expansion and forced expiration technique will be applied. 3-4 sets of exercise ,10-15 mint, 4 times per week for 4 weeks.
OTHERActive Cycle of breathing with Acapella
Acapella device will be used along active cycle of breathing techniques to group B. 3-4 sets ,10 mints foe acapella training ,15 -20 munts ,4 times per week for 4 weeks. This technique is active form of therapy in which patient uses its own energy on request to aid in treatment.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
35 Years to 50 Years
Healthy volunteers
No
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
Exclusion criteria
* Any kind of infective pulmonary condition . * Restrictive lung disease.(20) * Pregnancy. * Any severe heart disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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 |
| 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 |
Countries
Pakistan
Outcome results
None listed