Comparison of Anterior Chest Compression Assist and Abdominal Thrust Assist Technique COPD

NCT05936801 | Completed DMC

• 1 other identifier: REC/RCR & AHS/23/0323
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

A total 34 patients will be taken. 2 groups will be created to apply intervention. After signing consent form, 17 patients in group A will be given abdominal thrust assist technique and 17 patients in group B will be given anterior chest compression technique.

Conditions

COPD

Outcome Measures

Primary Outcomes (3)

• sputum diary

  sputum of each patient will be recorded.

  4 weeks

• Oxygen saturation

  oxygen saturation will be measure with pulse oximeter.

  4 weeks

• expiratory flow rate

  Expiratory flow rate will be measured through peak expiratory flow meter

  4 weeks

Study Arms (2)

Anterior Chest Compression technique

EXPERIMENTAL

Baseline treatment given is percussion and vibration in side lying position. The therapist puts one arm across the patient's pectoral region to stabilize or compress the upper chest while the other arm is placed either parallel on the lower chest or abdomen below the xiphoid process. Inspiration is facilitated by the pressure on anterior chest, followed by a "hold." Just as the patient is instructed to cough, the therapist applies a quick force with both arms: down and back on the upper chest and up and back on the lower chest or abdomen. 3 sessions in a wk would be given on alternate days

Other: Anterior Chest Compression technique

Abdominal Thrust Technique

EXPERIMENTAL

Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

Other: Abdominal Thrust Technique

Interventions

Anterior Chest Compression technique OTHER

Baseline treatment given is percussion and vibration in side lying position. The therapist puts one arm across the patient's pectoral region to stabilize or compress the upper chest while the other arm is placed either parallel on the lower chest or abdomen below the xiphoid process. Inspiration is facilitated by the pressure on anterior chest, followed by a "hold." Just as the patient is instructed to cough, the therapist applies a quick force with both arms: down and back on the upper chest and up and back on the lower chest or abdomen. 3 sessions in a wk would be given on alternate days Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

Also known as: Abdominal Thrust Technique

Anterior Chest Compression technique

Abdominal Thrust Technique OTHER

Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

Abdominal Thrust Technique

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• uncontrolled Tachycardia
• Unconscious patients
• In neuro-compromised patients with Cognitive dysfunction
• Recent esophageal surgery
• Acute abdominal distension -Recent Broncho-pleural fistula - Pulmonary embolism, pneumothorax hemothorax
• Unstable head and neck fracture

You may not qualify if:

• Breathlessness, Cough and sputum scale (BCSS)
• Modified Borg Dyspnea scale
• Peak Flow Meter
• Pulse Oximeter

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Sheikh Zayed Hospital, Rahim Yar Khan.

Rahim Yar Khan, Punjab Province, Pakistan

Location

Related Publications (6)

• Petty TL. The history of COPD. Int J Chron Obstruct Pulmon Dis. 2006;1(1):3-14. doi: 10.2147/copd.2006.1.1.3.

  PMID: 18046898 BACKGROUND

• Lopez-Campos JL, Calero C, Quintana-Gallego E. Symptom variability in COPD: a narrative review. Int J Chron Obstruct Pulmon Dis. 2013;8:231-8. doi: 10.2147/COPD.S42866. Epub 2013 May 7.

  PMID: 23687444 BACKGROUND

• Ramos FL, Krahnke JS, Kim V. Clinical issues of mucus accumulation in COPD. Int J Chron Obstruct Pulmon Dis. 2014 Jan 24;9:139-50. doi: 10.2147/COPD.S38938. eCollection 2014.

  PMID: 24493923 BACKGROUND

• Liao LY, Chen KM, Chung WS, Chien JY. Efficacy of a respiratory rehabilitation exercise training package in hospitalized elderly patients with acute exacerbation of COPD: a randomized control trial. Int J Chron Obstruct Pulmon Dis. 2015 Aug 27;10:1703-9. doi: 10.2147/COPD.S90673. eCollection 2015.

  PMID: 26345529 BACKGROUND

• Andersen TM, Hov B, Halvorsen T, Roksund OD, Vollsaeter M. Upper Airway Assessment and Responses During Mechanically Assisted Cough. Respir Care. 2021 Jul;66(7):1196-1213. doi: 10.4187/respcare.08960. Epub 2021 Feb 12.

  PMID: 33579747 BACKGROUND

• Hughes R, Rapsomaniki E, Janson C, Keen C, Make BJ, Burgel PR, Tomaszewski EL, Mullerova H, Reddel HK; NOVELTY study investigators. Frequent productive cough: Symptom burden and future exacerbation risk among patients with asthma and/or COPD in the NOVELTY study. Respir Med. 2022 Aug-Sep;200:106921. doi: 10.1016/j.rmed.2022.106921. Epub 2022 Jun 20.

  PMID: 35820227 BACKGROUND

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 Officials

• Sidra Faisal, MS.CPPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: A total 34 patients will be taken. 2 groups will be created to apply intervention. After signing consent form, 17 patients in group A will be given abdominal thrust assist technique and 17 patients in group B will be given anterior chest compression technique. Baseline treatment given to both groups will include percussion and tapping. The data collected will then be analyzed using IBM SPSS version 25
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A total 34 patients will be taken. 2 groups will be created to apply intervention. After signing consent form, 17 patients in group A will be given abdominal thrust assist technique and 17 patients in group B will be given anterior chest compression technique. Baseline treatment given to both groups will include percussion and tapping.

Study Record Dates

• First Submitted: June 14, 2023
• First Posted: July 10, 2023
• Study Start: July 15, 2023
• Primary Completion: October 10, 2023
• Study Completion: December 20, 2023
• Last Updated: June 13, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)