Effects Of Breath And Stacking-Spirometry Incentive in Patients With Parkinson's Disease

NCT01932684 | Completed DMC

• 1 other identifier: Rhayssa dissertação
• Study Type: interventional
• Target: 15
• Locations: 1 country
• Sites: 2

Brief Summary

Objective: To evaluate the effects of technical-Breath Stacking (BS) and incentive spirometry (IS) on the volume of the chest immediately after and within thirty minutes after the techniques in patients with Parkinson's disease (PD). Methods: This is a study of cross-over. The study investigated 14 patients with mild to moderate PD. The subjects performed the technique Breath-Stacking, incentive spirometry volume and participated in a phase control according to randomization. The volunteers were evaluated by opto-electronic plethysmography in four stages: before, immediately after fifteen and thirty minutes after the completion of the techniques. The investigators used a repeated measures ANOVA with post-hoc Tukey test for parametric variables, and the Friedman test with post-hoc Dunns for nonparametric variables. The level of significance was set at 5%, p \<0.05.

Conditions

Parkinson's Disease.

Outcome Measures

Primary Outcomes (2)

• The variation of the total volume and compartmental between technique Breath-Stacking in patients with Parkinson's disease

  25 days

• The variation of the total volume and compartmental in the technique incentive spirometry in patients with Parkinson's disease

  25 days

Secondary Outcomes (1)

• The duration of the effects of technical-Breath Stacking and incentive spirometry in patients with Parkinson's disease

  25 days

Study Arms (3)

Incentive spirometry

EXPERIMENTAL

Was utilized an incentive spirometer volume in this group.

Other: Incentive spirometry; Device: 5000 Voldyne ® Sherwood Medical, USA

Control Group

NO INTERVENTION

Breath Stacking

EXPERIMENTAL

We used a face mask silicone connected to a check valve allowing only inspiration and is connected to a spirometer showed that the volume inspired by the individual.

Other: Breath-Stacking; Device: Silicone face mask

Interventions

Breath-Stacking OTHER

We used a silicone face mask, connected to a unidirectional valve which allowed only inspiration and is connected to a spirometer showed that the volume inspired by the individual. The face mask was attached to the appraised performed successive breaths until the researcher realized the lack of volume of air being inhaled and this time it was allowed to expire (Baker et al., 1990; Feitosa et al., 2012).

Breath Stacking

Incentive spirometry OTHER

We used an incentive spirometer volume (5000 Voldyne ® Sherwood Medical, USA). Subjects performed slow, deep inhalations from functional residual capacity to total lung capacity, seeking to sustain the inspiration for at least three seconds (Restrepo et al., 2011).

Incentive spirometry

5000 Voldyne ® Sherwood Medical, USA DEVICE

Incentive spirometry

Silicone face mask DEVICE

Breath Stacking

Eligibility Criteria

• Age: 40 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Regular pharmacological treatment with levodopa and / or medications antiparkinsonian.

You may not qualify if:

• Patients who had previous lung disease;
• Altered mental status indicated by the MMSE (Mini Mental State Examination;
• A change in medication during the study;
• Demonstrated inability to perform satisfactorily any of the collection procedures of the study.

Sponsors & Collaborators

• Universidade Federal de Pernambuco: lead

Study Sites (2)

Universidade Federal de Pernambuco

Recife, Pernambuco, 50670-901, Brazil

Location

Departamento de Fisioterapia-Universidade Federal de pernambuco

Recife, Pernambuco, Brazil

Location

Related Publications (3)

• Baker WL, Lamb VJ, Marini JJ. Breath-stacking increases the depth and duration of chest expansion by incentive spirometry. Am Rev Respir Dis. 1990 Feb;141(2):343-6. doi: 10.1164/ajrccm/141.2.343.

  PMID: 2301851 RESULT

• Cala SJ, Kenyon CM, Ferrigno G, Carnevali P, Aliverti A, Pedotti A, Macklem PT, Rochester DF. Chest wall and lung volume estimation by optical reflectance motion analysis. J Appl Physiol (1985). 1996 Dec;81(6):2680-9. doi: 10.1152/jappl.1996.81.6.2680.

  PMID: 9018522 RESULT

• De Pandis MF, Starace A, Stefanelli F, Marruzzo P, Meoli I, De Simone G, Prati R, Stocchi F. Modification of respiratory function parameters in patients with severe Parkinson's disease. Neurol Sci. 2002 Sep;23 Suppl 2:S69-70. doi: 10.1007/s100720200074.

  PMID: 12548348 RESULT

MeSH Terms

Conditions

Parkinson Disease

Condition Hierarchy (Ancestors)

Parkinsonian Disorders; Basal Ganglia Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Movement Disorders; Synucleinopathies; Neurodegenerative Diseases

Study Officials

• RHAYSSA RH RIBEIRO, Msc

  Universidade Federal do Rio Grande do Norte

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: July 9, 2013
• First Posted: August 30, 2013
• Study Start: June 1, 2012
• Primary Completion: June 1, 2012
• Study Completion: December 1, 2012
• Last Updated: August 30, 2013

Record last verified: 2012-12

Locations

BR (2)