Asthma
Conditions
Brief summary
To compare effects of Alternate Nostril Breathing exercise with incentive spirometer on lung functions (forced vital capacity, forced expiratory volume, and peak expiratory flow rate) in Asthma patients.
Interventions
Participants in experimental group were instructed to close their left nostril by left index finger and inhale through their right nostril for six seconds, then closing the right nostril and holding breath for six seconds. Afterward, they exhaled through the left nostril slowly for six seconds. Next, they inhaled through left nostril, keeping the right nostril closed for six seconds then hold the breath by closing both nostrils for six seconds subsequently, and then exhaled through the right nostril, keeping the left closed for six seconds repeating these steps several times for 10 minutes
The control group participants were asked to do breathing exercise with incentive spirometry. The subject is asked to create a tight seal around the mouthpiece and asked to inhale deeply and slowly and the subject would observe the flow meter for visual feedback of his/her effort. At the end of the inspiration the subject is asked to sustain the inhalation 2-3 seconds to facilitate the Inspiratory hold. Subject relaxes the seal around the mouthpiece and exhales. Normal breathing is taken, then the exhalation phase in the incentive spirometry is done and the whole cycle is repeated 5 - 10 times thrice a day over a period 6 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed male & female asthma patients of age 18-60 years. * Patients with mild to moderate asthma having predicted FEV1 between 60-80%. * Stable asthma condition without recent exacerbations. * Able to perform spirometry and follow instructions for the interventions. * No recent respiratory infections.
Exclusion criteria
* Patients with severe asthma (FEV1 < 60% predicted). * Patients having respiratory infections, recent exacerbations or other comorbidities. * Inability to perform breathing exercises or spirometry. * Patients using medications like oral steroids, beta blockers. * Pregnant women due to potential risks with breathing exercises.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Forced expiratory volume in 1 second | 6 week | Forced Expiratory Volume in 1 second (FEV1) is a measurement of how much air a person can forcefully exhale from their lungs in one second |
| Forced Vital Capicity | 6 week | Forced vital capacity (FVC) is a measurement of lung function that quantifies the maximum amount of air a person can forcefully exhale after taking the deepest breath possible |
| Peak Expiratory Flow Rate | 6 week | Peak expiratory flow rate (PEFR) measures the maximum speed of air that a person can forcefully exhale in one breath |
| Asthama Control Test | 6 week | The Asthma Control Test (ACT) is scored by assigning a value from 1 to 5 to each response in the 5-question survey, then summing these values for a total score ranging from 5 to 25. A higher score indicates better asthma control. A score of 20 or higher generally suggests well-controlled asthma. |
| Asthama Quality of Life Questionaire with standardized Activities | 6 week | The Standardized Asthma Quality of Life Questionnaire (AQLQ(S)) is a 32-item questionnaire used to assess the impact of asthma on an individual's quality of life, specifically focusing on the physical, emotional, and social aspects. 7-point Likert scale (7 = not impaired at all - 1 = severely impaired). Scores range 1-7, with higher scores indicating better quality of life. |
Countries
Pakistan