Combined Effects of Resonant Breathing and Qigong Exercises in Bronchiectasis

Bronchiectasis Adult

Bronchiectasis is a chronic lung disease characterized by permanent dilation of the bronchi, leading to persistent cough, mucus overproduction, dyspnea and frequent respiratory infections. It is persistent respiratory symptoms and irreversible airway dilation due to chronic inflammation and impaired mucociliary clearance, often resulting from repeated infections or underlying conditions. This conditions leads to chronic cough, sputum production and breathlessness. Pilmonary rehabilitation is recommended as a reliable strategy for respiratory management, leading to improved lung function, reduced dyspnea and enhanced quality of life. Resonant breathing and Qigong exercise are effective in enhancing respiratory function by improving oxygen intake, relaxation and respiratory muscle strength. A randomized controlled trial will be conducted at DHQ Hospital Sheikhupura. Sample size is 46 calculated by epitool sample size calculator Convenient Sampling Technique will be used age 40 to 65 years consent will be obtained from all patients. Patients will be randomly assigned to group A and group B using simple random sampling. Group A will receive resonant breathing training with standard medical treatment. Group B will received combination of resonant breathing and Qigong exercises. Outcome measures include spirometer, MMRC dysnea scale and a quality of life questionnaire BHQ. Study will be completed within 10 months of duration treatment evaluation will be done after 3 weeks of exercise training program data will be processed using SPSS version 25. normality of data will be assessed through the Shapiro-Wilk test to determine the application of either

Interventions: Resonant Breathing (Group A): Resonant breathing is a calm, steady breathing technique that improves lung function and relaxes the body. Patients will sit comfortably with their feet on the ground. They will breathe in through the nose for 5 seconds, expanding their belly.Then breathe out slowly through the mouth for 5 seconds, relaxing completely.This pattern creates a steady rhythm of 5 to 6 breaths per minute.A timer or app may help guide the timing.Each breathing session will be 15 minutes long, done twice daily 5 days per week for 3 weeks.Patients will be randomly assigned to group A and group B using simple random sampling. Group A will receive resonant breathing training with standard medical treatment. The exercise protocol will include 15-minute sessions, twice daily, five days a week for 3 weeks. Group B : Combination of Resonant and Qigong exercise They will receive a combination of resonant breathing and Qigong exercises Qigong is a gentle, ancient Chinese practice that integrates slow body movements, controlled breathing, and focused awareness. It is designed to balance the body's internal energy (Qi) and support overall wellness. The exercises are easy to perform and adaptable to various fitness levels. Qigong helps improve respiratory efficiency, reduce anxiety, and boost immunity. It's especially beneficial for individuals managing chronic health conditions. Qigong promotes relaxation by calming the nervous system and enhancing mindfulness. It also improves posture, flexibility, and coordination. As a low-impact exercise, it carries minimal risk of injury, making it ideal for therapeutic use. along Breathing will be receive at six breaths per minute, with equal duration's of inhalation and exhalation (5 seconds each). The exercise protocol will include 15-minute sessions, twice daily, five days a week for 3 weeks. This combined technique is designed to enhance breathing efficiency, promote relaxation, improve pulmonary function, and support autonomic nervous system regulation through the c effects of both resonant breathing and Qigong movements. Exercises will involve smooth, coordinated. Preparation will be the first step of the qigong exercise for 1 to 2 minutes. Instructions will be given to the client that stand comfortably with your feet, relax your shoulders and arms, breath slowly and deeply through your nose and clear your mind and focus on calm breathing. Second step will be touch the sky foe 2 minutes. Instructions will be given to the patients that raise both arms gently above your head while inhaling, stretch lightly toward the sky, exhale and slowly lower your arms helps open lungs and stretch the spine.third step is energy punch for 2 minutes. Make soft fists and bring them to your waist, inhale deeply, exhale as you extend one fist forward like a light punch and alternate both hand s slowly.Forth step is look back for two minutes. Gently turn your head and upper body to the left , then to the right. Keep the rest of your body ready, move slowly with deep breathing. Fifth step will be the opening the chest for 2 minutes. Inhale and slowly spread your arm outward to the sides. Exhale as you bring the back to the front. Sixth step is let go. Inhale as you lift your arms up. Exhale and wing them down and behind gently, like releasing tension. Seventh step will be holding the ball for 3-5 minutes. Imagine your holding a big ball in front of your chest. Keep shoulders relaxed and feel warmth in your hands. Eighth steps is closing within one minutes. Rub your palms to warmth them, gently massage your face or chest and bow slightly with thanks your practice. Both groups will continue their respective interventions for 4 weeks

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