The Effectiveness of Deep Breathing Exercises and Incentive Spirometry in Second Degree Inhalation Burn Patients

NCT03742648 | Completed DMC

• 1 other identifier: 1502-PDPT-005
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study was to find out the effectiveness of the Deep Breathing Exercises and Incentive Spirometry in Second degree inhalation Burn patients and to find out best effective method.It was a Randomized Control Trial performed on the patients of Pakistan Institute of Management Sciences hospital Islamabad for duration of 06 months after approval of synopsis.30 patients of second degree inhalation burns between the age of 20-50 years having good pre burn respiratory state and irrespective of gender discrimination who were currently on nasal cannula were randomly allocated in control and experimental groups.However all unconscious patients other than second degree inhalation burn and having comorbidities were excluded. The conventional treatment with steam inhalation and nebulization followed by Incentive spirometry with 10-15cycles and the treatment session lasts for 35-45 minutes for a period of 07 days with two sessions of this protocol were given to control group each day.For experimental group patients were made to perform different types of deep breathing exercises with 5-10 repetitions for a period of 07days with two sessions of this treatment protocol each day. Self structured questionnaires with informed consents were used to assess the data on day 00 and day 07 by Physiotherapist.The data was then analyzed using SPSS version 21.0.The results were then formulated using statistical analysis and then were arranged in different tables and graphs.

Conditions

Burn Patients

Keywords

pO2; pCO2; pH; Rhonchi; Wheeze; Crackles; ISM; DBE

Outcome Measures

Primary Outcomes (3)

• Changes in values of Arterial Blood gases- pH

  Standard values taken as pH= 7.34-7.35

  On day 01 and on day 07

• Changes in values of Arterial Blood Gases-pO2

  Standard values taken as pO2= 88-100 mmHg

  On day 01 and on day 07

• Changes in values of Arterial Blood Gases- pCO2

  Standard values taken as pCO2= 45-55 mmHg

  On day 01 and on day 07

Secondary Outcomes (7)

• Changes in Respiratory distress score(lag=0,normal=1, lead=2)

  On day 01 and on day 07

• Change in Chest status/auscultation

  On day 01 and on day 07

• Change in Vital signs

  On day 01 and on day 07

• Change in Pulse rate

  On day 01 and on day 07

• Change in Respiratory rate

  On day 01 and on day 07

Study Arms (2)

Control physiotherapy group

ACTIVE COMPARATOR

Basic standard medical and nursing care along with standard chest physiotherapy involving steam inhalation and nebulization for 15-20 minutes and 10-15 cycles of incentive spirometry twice daily

Other: Physiotherapy

Experimental physiotherapy group

EXPERIMENTAL

Basic standard medical and nursing care along with chest physiotherapy involving any of the deep breathing exercises as per patients ease with 5-10 repetitions each, twice daily

Other: Physiotherapy

Interventions

Physiotherapy OTHER

Chest physiotherapy in burn patients in order to treat and prevent post burn respiratory complications like pneumonia etc

Also known as: Chest physiotherapy

Control physiotherapy group; Experimental physiotherapy group

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• All the patients suffering from Second Degree inhalation Burn.
• Both genders will be included with good Pre-Burn respiratory state.
• All the patients after first surgical intervention, using mask and nasal cannulas, between the age of 20 - 50 years.

You may not qualify if:

• Patients suffering from other types of burns e.g. chemical etc.
• All the unconscious patients/ventilator dependent patients.
• All the patients with co-morbidities including COPD, Emphysema.

Sponsors & Collaborators

• Isra University: lead

Study Sites (1)

Summyia Siddique Malik

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Related Publications (1)

• Cox RA, Burke AS, Soejima K, Murakami K, Katahira J, Traber LD, Herndon DN, Schmalstieg FC, Traber DL, Hawkins HK. Airway obstruction in sheep with burn and smoke inhalation injuries. Am J Respir Cell Mol Biol. 2003 Sep;29(3 Pt 1):295-302. doi: 10.1165/rcmb.4860.

  PMID: 12936906 RESULT

MeSH Terms

Conditions

Respiratory Sounds

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Signs and Symptoms, Respiratory; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Waqar A Awan, PhD

  Isra University Islamabad Campus

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: There is no party who is masked
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants are assigned to one of two or more groups in parallel for the duration of the study

Study Record Dates

• First Submitted: October 25, 2018
• First Posted: November 15, 2018
• Study Start: December 1, 2017
• Primary Completion: February 28, 2018
• Study Completion: February 28, 2018
• Last Updated: November 15, 2018

Record last verified: 2018-11

Locations

PA (1)