Combined Effects of Blow Bottle Technique and Percussion Technique in COPD Patients

NCT05922293 | Completed

• 1 other identifier: REC/RCR&AHS/23/0320
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

It will be a randomized control trial. Participants will be recruited according to inclusion criteria and will be allocated into 2 groups using convenience sampling technique. Group 1 will be treated with percussion technique for 30 min and group 2 with blow bottle technique combined with percussion technique for 30 min at DHQ Teaching Hospital Gujranwala. Intervention will be carried out for total 4 weeks of duration with 3 sessions per week. Outcome measures such as dyspnea, breathlessness, sputum and cough, O2 and pulse rate, expiratory flow rate will be measured by tools as mMRC, BCSS, peak flow meter respectively. Assessment will be done before and after intervention and result will be analyzed using statistical package for social sciences SPSS 20.

Conditions

Chronic Obstructive Pulmonary Disease

Keywords

Airway Obstruction; COPD; Dyspnea; Expiratory flow rate; Percussion.

Outcome Measures

Primary Outcomes (4)

• Dyspnea (Modified Medical Research council)

  The mMRC grade is a five-point scale based on the degree of dyspnea a patient. The use of this scale to evaluate symptoms is encouraged by current standards

  fourth week

• Breathlessness, cough and sputum scale (BCSS)

  In order to give a rapid and simple means of assessing the severity of respiratory symptoms frequent in COPD patients, the Breathlessness, Cough, and Sputum Scale (BCSS) was created. The BCSS is based on a three-item questionnaire that evaluates the patient's sputum production, coughing, and breathlessness

  fourth week

• Expiratory flow rate (peak flow meter)

  A peak flow rate should be used to capture the highest flow rates. The patient must record the highest reading out of a possible three. The best at the moment is this. A typical chart has dates with AM and PM times, a left margin, and a scale that ranges from 0 litres per minute at the bottom to 600 litres per minute at the top

  fourth week

• O2 n pulse rate by Oximeter

  A pulse oximeter measures the amount of oxygen that is carried by your blood. Typically, a little clip is attached to the tip of your finger. (On sometimes, the toe or earlobe are used.) A light beam is projected through the skin using the gadget. By measuring the proportion of your blood that is carrying oxygen, it calculates your oxygen level. Your oxygen saturation, often known as SpO2, is displayed on the screen

  fourth week

Study Arms (2)

Blow Bottle technique

ACTIVE COMPARATOR

Blowing with a straw into a water bottle is a good exercise to improve breathing capacity. The user, who has poor pulmonary function, always has his "blow bottle" handy

Other: blow bottle

percussion

EXPERIMENTAL

Percussion technique should be performed for about 30 seconds and simultaneously with no more than three or four lower thoracic expansion exercises

Other: blow bottle; Other: percussion

Interventions

blow bottle OTHER

When you blow through a tube into water in a bottle, the pressure in the airways increases. This opens up the passageways between bronchioles, allowing air to flow behind the mucus and push it into the larger airways. This way, it will be easy to remove the mucus by coughing or huffing.

Blow Bottle technique; percussion

percussion OTHER

Percussion technique should be performed for about 30 seconds and simultaneously with no more than three or four lower thoracic expansion exercises. * Do this for a total of 10 breaths, * Perform two huffs, and * Cough. * Close their mouth around the tube and exhale slightly forcefully for 3 seconds to produce bubbles. Such exhalations were conducted in two sets of ten, with a five-minute pause in between. For each subject, a fresh, disposable tube and bottle were utilized

percussion

Eligibility Criteria

• Age: 35 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Mild-to-Moderate COPD (according to GOLD criteria)
• Both gender (male and female)
• Aged between 35 and 80 years

You may not qualify if:

• Clinically unstable
• cardiovascular impairment,
• musculoskeletal dysfunction
• neurological disease

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

DHQ Teaching Hospital

Gujranwala, Punjab Province, 54560, Pakistan

Location

Related Publications (4)

• Jones PW, Watz H, Wouters EF, Cazzola M. COPD: the patient perspective. Int J Chron Obstruct Pulmon Dis. 2016 Feb 19;11 Spec Iss(Spec Iss):13-20. doi: 10.2147/COPD.S85977. eCollection 2016.

  PMID: 26937186 BACKGROUND

• Raherison C, Girodet PO. Epidemiology of COPD. Eur Respir Rev. 2009 Dec;18(114):213-21. doi: 10.1183/09059180.00003609.

  PMID: 20956146 BACKGROUND

• Liu H, Zhang X, Zhang Y. [Design and application of a pulmonary function exercise bottle]. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2019 Feb;31(2):236-237. doi: 10.3760/cma.j.issn.2095-4352.2019.02.023. Chinese.

  PMID: 30827317 BACKGROUND

• Celli BR. Update on the management of COPD. Chest. 2008 Jun;133(6):1451-1462. doi: 10.1378/chest.07-2061.

  PMID: 18574288 BACKGROUND

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Airway Obstruction; Dyspnea

Condition Hierarchy (Ancestors)

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

Study Officials

• Sidra Afzal, PP-DPT

  Riphah International 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: SPONSOR

Study Record Dates

• First Submitted: June 6, 2023
• First Posted: June 28, 2023
• Study Start: June 15, 2023
• Primary Completion: September 15, 2023
• Study Completion: December 5, 2023
• Last Updated: December 27, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)