Effect of Coherent Breathing on Elderly Quality of Life

NCT05767372 | Completed DMC

• 1 other identifier: Dr Sherif Elabd
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be carried out on sixty elderlies of both gender with ages ranges from 60 to 70 years old. The participants will receive Inspiratory muscle trainer and/or Coherent breathing exercise three times per week for 12 weeks.

Conditions

Stable Diabetes Mellitus; Geriatrics; Hypertension

Outcome Measures

Primary Outcomes (7)

• Tinetti Performance Oriented Mobility Assessment (POMA)

  Evaluating tests of balance and gait Description: The Tinetti assessment tool is an easily administered task-oriented test that measures an older adult's Scoring: A three-point ordinal scale, ranging from 0-2. "0" indicates the highest level of impairment and "2" the individuals independence. Total Balance Score = 16 Total Gait Score = 12 Total Test Score = 28 Interpretation: 25-28 = low fall risk 19-24 = medium fall risk \< 19 = high fall risk

  12 weeks

• The five Times Sit to Stand Test

  Evaluating fall risk

  12 weeks

• The muscle quality index (MQI)

  Evaluating age-related alterations in muscle function

  12 weeks

• The Geriatric Depression Scale (GDS)

  Evaluating psychological aspect Of the 15 items, 10 indicated the presence of depression when answered positively, while the rest (question numbers 1, 5, 7, 11, 13) indicated depression when answered negatively. Scores of 0-4 are considered normal, depending on age, education, and complaints; 5-8 indicate mild depression; 9-11 indicate moderate depression; and 12-15 indicate severe depression.

  12 weeks

• The 6 minutes' walk test (6MWT)

  Evaluating aerobic fitness

  12 weeks

• Short form Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)

  Evaluating cognitive decline * Minimum score: 16 * Maximum score: 80 * High score means worse outcome.

  12 weeks

• Evaluation of oxygen saturation (SPO2) and heart rate (HR)

  By using the pulse oximeter.

  12 weeks

Secondary Outcomes (2)

• Modified Borg Dyspnoea Scale

  12 weeks

• Evaluation of forced expiratory volume at one second (FEV1) and maximum voluntary ventilation (MVV)

  12 weeks

Study Arms (2)

Coherent breathing group

EXPERIMENTAL

The participants will receive Inspiratory muscle trainer and Coherent breathing exercise three times per week for 12 weeks.

Other: Coherent Breathing Exercise

Inspiratory muscle training group

EXPERIMENTAL

The participants will receive Inspiratory muscle training three times per week for 12 weeks.

Device: Inspiratory muscle training

Interventions

Coherent Breathing Exercise OTHER

Step 1: Focus on your natural breathing and count the time of your inhale and exhale. Step 2: Sit in a comfortable position to practice the coherent breathing technique. Gently place one hand on your stomach. Step 3: Inhale for four seconds and then exhale for four seconds. Repeat this for one minute. Step 4: Repeat the above step but lengthen your inhales and exhale for five seconds. Step 5: Repeat the above step but extend the breaths to six seconds. Once you're able to do this for five minutes, gradually work your way up to 20 minutes. During this breathing exercise, keep your hand on your stomach. Using diaphragmatic breathing can help you feel your breaths.

Coherent breathing group

Inspiratory muscle training DEVICE

The patient was in the comfortable sitting position and then put the nose clip on the patient's nose 1. After setting the maximum training; the user recognized the load at which they could effectively execute ten breaths at greatest resistance relying upon the patient's pace of apparent effort. 2. Training was begun with a load at low intensity 20-30% of the patient maximum 10 repetition method using inspiratory muscle training (IMT) device. 3. Progress slowly and monitor carefully. 4. As the inspiratory muscle became stronger the inspiratory load was progressed to 50% of maximum effort over 3 weeks as tolerated. 5. Patient took full breath in (maximal and deep inspiration) then longer and slow expiration. Continue this breathing pattern for 10-20 breath. 6. Repeated step (5), 4-6 times or about 10-15minutes with rest in between 30 seconds. 7. The session was repeated three times per week for 12 weeks.

Inspiratory muscle training group

Eligibility Criteria

• Age: 60 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Elderly subject of both gender with age ranged from 60 to 70 years old.
• BMI will be ranged from 25 to 29.9.
• Clinically and medically stable.
• Able to understand the requirements of the study.
• Conscious patient and respond to verbal command.

You may not qualify if:

• Neurological conditions (e.g., stroke history, Parkinson's disease).
• Presence of an acute illness.
• Metabolically unstable chronic illness.
• Pre-existent untreated metabolic or renal disease.
• Patient undergoes chemotherapy.
• Recent surgery.
• Uncontrolled diabetes or hypertension.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of physical therapy outpatient clinic

Cairo, Giza Governorate, 12613, Egypt

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 2; Hypertension

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Sherif O Elabd, Master

  May University

  PRINCIPAL INVESTIGATOR

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: PRINCIPAL INVESTIGATOR
• PI Title: lecturer at faculty of physical therapy at Cairo University

Study Record Dates

• First Submitted: February 22, 2023
• First Posted: March 14, 2023
• Study Start: March 1, 2023
• Primary Completion: June 15, 2023
• Study Completion: June 30, 2023
• Last Updated: September 13, 2023

Record last verified: 2023-09

Locations

EG (1)