Participants will be randomized into two groups: an experimental group receiving Kinesio Taping (KT) in conjunction with pulmonary rehabilitation, and a control group receiving pulmonary rehabilitation alone Kinesio Taping, COPD exacerbation, oxygen saturation, pulmonary function, respiratory muscle strength, exercise capacity, hospital stay, readmission rates
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients over the age of 40 years who diagnosis of Chronic Obstructive Pulmonary Disease (COPD) Confirmed by pulmonary function test (spirometry), with post bronchodilator FEV1 to FVC ratio less than 70 percent. In cases where spirometry cannot be performed, diagnosis can be based on risk factors along with supporting evidence from chest imaging, such as lung hyperinflation or emphysema. 2.Stable Vital Signs Defined as systolic blood pressure between 90 and 160 mmHg and mean arterial pressure greater than or equal to 65 mmHg without the use of vasopressor medications. Heart rate between 50 and 140 beats per minute. Respiratory rate less than 30 breaths per minute. For patients who initially required positive pressure ventilation, either noninvasive through mask or invasive via endotracheal tube, due to type one or type two respiratory failure, screening for the study will begin only after the patient has discontinued both types of positive pressure ventilation.
Exclusion criteria
Exclusion criteria: 1. Volunteers who are unable to cooperate, such as those with psychiatric conditions, confusion, or neurological disorders. 2. Volunteers with chest wall problems, such as wounds or deformities, that make it difficult to apply KT. 3. Volunteers with a history of allergy to adhesive materials. 4. Volunteers with other acute medical conditions, such as heart failure, myocardial infarction, or sepsis, will be excluded. 5. Volunteers who cannot be assessed for MIP, MEP, or PEFR, such as those with facial anomalies. 6. Volunteers with severe limb abnormalities that prevent participation in limb rehabilitation or the 6 minute walk test, such as limb amputation or severe osteoarthritis. 7. Patients receiving long term oxygen therapy at home, using NIV, or breathing through a tracheostomy tube. 8. Volunteers who do not consent to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| maximum expiratory pressure On the first day of admission, before discharge, and one week after hospital discharge microRPM | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of hospital stay during treatment of COPD exacerbation medical record ,6-minute walk test 1 weeks after hospital discharge meter,respiratory muscle function e.g. MIP, PEF On the first day of admission, before discharge, and one week after hospital discharge microRPM, Peak flow Meters (MF-LAB),readmission rates due to COPD exacerbation 28 days after hospital discharge history taking and medical record,endotracheal intubation during hospitalization medical record ,duration of oxygen therapy during hospitalization medical record ,improve oxygen saturation during hospitalization medical record ,side effect of Kinesio tape during hospitalization history talking, physical exam and medical record | — |
Countries
Thailand
Contacts
Faculty of medicine Navamindradhiraj University