the Effectivness of the Thoracic Cage Mobilization on COPD Patients

NCT05448235 | Completed

• 1 other identifier: P. T. REC/012/003514
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

the study aims to investigate effectiveness of thoracic cage mobilizations on the chronic obstructive pulmonary diseases.

Conditions

Chronic Obstructive Pulmonary Disease

Keywords

Thoracic cage mobilization; conventional treatment

Outcome Measures

Primary Outcomes (2)

• ABG

  to measure pH (7.35-7.45), PaO2 (75-100 mmHg), PaCO2 (35-45 mmHg), HCO3 (22-26 meq/L) and SaO2 (95-100%) we will measure these types of ABG Before and after the treatment and measure the difference before and after and compared it with the standard to detect the effect of the treatment on the lung function

  up for one week

• chest expansion with tape measurement

  using tape to measure chest exp ansion during inspiration and expiration at axillary level and at the level of T10 using CM units

  up for one week

Secondary Outcomes (2)

• CAT questionnaire

  up for one week

• Dyspnea index

  up for one week

Study Arms (2)

conventional treatment

EXPERIMENTAL

the patient will receive conventional treatment daily for up to one week

Other: conventional treatment

thoracic cage mobilization

EXPERIMENTAL

the patient will receive thoracic cage mobilization added to conventional treatment daily for up to one week

Other: conventional treatment; Other: thoracic mobilization

Interventions

conventional treatment OTHER

the patient will be asked to make pursed lip breathing (Breathe in for 2 seconds through his nose and Breathe out for 4 seconds through pursed lips)for 5-10 min ,3-4 times , 8-10 rep each cycle then asked to make diaphragmatic breathing exercise (Lie on his/her back and Inhale deeply through his/her nose for a count of three)for 5-10 min , 3-4 times , 8-10 repetition then postural drainage , furthermore the patient takes different position (prone to make percussion on lower lobes, side lying on anterior basal segment then sitting position on the upper lobe). After that a vibration on the chest (place a flat hand firmly atop the lung segment to be drained., and should apply light pressure and create a rapid, shaking movement) 1 min inhale and 5 time of repetition at the exhale and finally asked the patient to make productive cough for 5 times to get out the sputum.

conventional treatment; thoracic cage mobilization

thoracic mobilization OTHER

we will use A SNAG to mobilization using type 3 oscillatory and sustain for 90 second, at first put the patient in 3 position (side lying to make mobilization of upper 6 ribs in downward direction then make on lower 6 ribs ,furthermore flexion of the thoracic and next rotation toward the midline then ask the patient to transfer to supine lying position and mobilize the sternum in downward direction the next mobilize the clavicle and ask the patient to take sitting position and put his hand on his head in adduction position and make extension on the thoracic vertebrae with inward mobilize with the investigator knees ,take each 4 vertebrae along the 12 thoracic vertebrae.

thoracic cage mobilization

Eligibility Criteria

• Age: 35 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinical diagnosis of chronic obstructive pulmonary disease.
• Age \>35 years.
• Received conventional medical treatment.
• the presence of at least two of the following three clinical criteria: a recent increase in breathlessness, sputum volume or sputum purulence.
• All enrolled patients either had previously been given a diagnosis of COPD by a physician or had at least a one-year history of chronic breathlessness or cough with sputum production

You may not qualify if:

• Admitted to the hospital, had been given a diagnosis of asthma or atrophy.
• Patients who had received oral or intravenous corticosteroid in the emergency department within the preceding 30 days.
• patient put on the mechanical ventilation.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Mariam omran Grase

Giza, 12511, Egypt

Location

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: the patients , care provider and investigator do not know the groups receive treatment
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator

Model Details: comparison between two groups one receive conventional treatment and other receives conventional treatment and thoracic mobilization

Study Record Dates

• First Submitted: June 22, 2022
• First Posted: July 7, 2022
• Study Start: October 21, 2022
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2022
• Last Updated: February 17, 2023

Record last verified: 2023-02

Locations

EG (1)