Postural Drainage With and Without Percussion in Chronic Obstructive Pulmonary Disease

NCT05649423 | Unknown

• 1 other identifier: REC/ 0349 Zunaira Zaheer
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Effects Of postural drainage with and without percussion on mucus clearance, dyspnea and quality of life in Chronic Obstructive Pulmonary disease. 34 Patients will be explained in detail about the procedure under study. Informed consent will be taken. Subjects will be evaluated using the Modified medical research council and Dyspnea-12 Questionnaire for (dyspneal), St George's Respiratory Questionnaire for quality of life. Cough and Sputum assesment questionnaire for mucus clearance would be used. One group will be tested by Postural drainage techniques and the second group will be tested by Postural drainage with Percussion.

Conditions

Chronic Obstructive Pulmonary Disease

Keywords

COPD, Mucus, Dyspnea, cough, postural drainage, percussion

Outcome Measures

Primary Outcomes (3)

• For Airway Clearance

  Sputum diary Questionnaire will be used

  8weeks

• St. George's Respiratory Questionnaire (SGRQ) quality of life assessment

  For assessment and changes in Quality of life Questionnaire will be used

  8 weeks

• Spirometry For Airway clearance

  Spirometer will be used for evaluating the Forced Expiratory values in 1 second

  8 weeks

Other Outcomes (1)

• Dyspnea-12

  8 weeks

Study Arms (2)

Postural drainage with percussion

EXPERIMENTAL

Chest percussion is performed with cupped hands in an alternating rhythmic manner The force applied must be equal 8 weeks, 3 sessions per week , each session took about 30 minutes

Other: POSTURAL DRAINAGE WITH PERCUSSION; Other: Postural drainage

Postural drainage

ACTIVE COMPARATOR

Postural drainage without Percussion Each position should be held for a minimum of five minutes Use pillows, foam wedges for comfort make position on patient back, side and stomach 8 weeks, 3 sessions of alternating positions per , each session took about 30 minutes

Other: Postural drainage

Interventions

POSTURAL DRAINAGE WITH PERCUSSION OTHER

Each position should be held for a minimum of five minutes. In each position, your chest should be lower than your hips to allow mucus to drain. On your back: Patient's chest should be lower than his hips, which you can achieve by lying on a slanted surface up about 18 to 20 inches. On your sides: With pillows under your hips, lie on one side. To clear congestion from the right and left lobes. On your stomach: Drape patient's body over a stack of pillows, this is best in clearance of mucus from the lower back area of the lungs. Percussion The equipment required here is cupped hands of caregiver to deliver the force required to drain the thick secretions. Patient should be in a comfortable position to enhance the effect. This loosens the thick, sticky secretions from the walls of the lung allowing them to into the larger airways, The sound heard must be hollow. The force applied must be equal.

Postural drainage with percussion

Postural drainage OTHER

* Each position should be held for a minimum of five minutes. * In each position, your chest should be lower than your hips to allow mucus to drain On your back: Patient's chest should be lower than your hips, which you can achieve by lying on a slanted surface or propping patient's hips up about 18 to 20 inches * This position is best for draining the bottom front parts of your lungs. On your sides: With pillows under your hips, lie on one side so that your chest is lower than your hips. To clear congestion from the bottom part of the right lung, lie on your left side. To clear congestion from the bottom part of your left lung, lie on your right side. On your stomach: Drape patient's body over a stack of pillows or other object, and rest his arms by his head, with his chest lower than his hips. This position is best for clearing mucus in the lower back area of the lungs.

Postural drainage; Postural drainage with percussion

Eligibility Criteria

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

You may qualify if:

• Age 35-65 years
• Patients who have had exacerbations in the past month
• Agreeing to participate in the study after having provided a written consent.
• Patients with heavy Mucus secretions in Lungs Field
• Diagnosed Patients of Chronic Obstructive Pulmonary Disease Stage 2(COPD)

You may not qualify if:

• Patients on bronchodilators and steroids
• Patients with severe Pulmonary Edema
• Patients with severe rib fractures
• History of any recent thoraco abdominal surgery(35)
• Left ventricular Ejection Fraction (EF)
• Anemic patients
• Pregnant women

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Sheikh Zaid Hospital

Lahore, Punjab Province, 0423, Pakistan

RECRUITING

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Dyspnea; Cough

Interventions

Drainage, Postural

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Drainage; Therapeutics; Physical Therapy Modalities; Rehabilitation; Respiratory Therapy

Study Officials

• Sumera Abdulhameed, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sumera Abdul hameed, MS

CONTACT

03104548492; sumera.hameed@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 6, 2022
• First Posted: December 14, 2022
• Study Start: April 10, 2022
• Primary Completion: February 15, 2023
• Study Completion: February 15, 2023
• Last Updated: January 25, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)