Effects of BBT Versus Diaphragmatic Breathing on Exercise Capacity and Quality of Life in Patients With COPD

NCT05947227 | Completed DMC

• 1 other identifier: REC/RCR & AHS/23/0311
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

Group A will be treated with manual chest physical therapy and Buteyko breathing technique Group-B will be treated with manual chest physical therapy and Diaphragmatic breathing technique. Patients will perform the technique 5 times a weeks for 8weeks and treatment evaluation will be done after 8 weeks

Conditions

Breathing Technique

Keywords

Chronic obstructive pulmonary disease/COPD; Diaphragmatic breathing technique

Outcome Measures

Primary Outcomes (1)

• 6 Minute Walk Distance

  Distance will be measured in meter through 6 minute walk test.

  4 weeks.

Secondary Outcomes (1)

• St George Respiratory Questionnaire for quality of life :

  4 weeks.

Other Outcomes (2)

• oxygen saturation

  4 weeks

• heart rate

  4 weeks

Study Arms (2)

manual chest physical therapy and Buteyko breathing technique

EXPERIMENTAL

Group A will be treated with manual chest physical therapy and Buteyko breathing technique

Other: Buteyko breathing technique

manual chest physical therapy and Diaphragmatic breathing technique.

EXPERIMENTAL

Group-B will be treated with manual chest physical therapy and Diaphragmatic breathing technique.

Other: Diaphragmatic breathing technique.

Interventions

Buteyko breathing technique OTHER

Group A : will be treated with manual chest physiotherapy \& Buteyko Breathing exercise

manual chest physical therapy and Buteyko breathing technique

Diaphragmatic breathing technique. OTHER

Group B : will be treated with manual chest physiotherapy \& Diaphragmatic Breathing Treatment evaluation will be done after 8 weeks through 6MWT \& St George respiratory Questionnaire. Patients will perform technique 5 times a weeks for 8 weeks

manual chest physical therapy and Diaphragmatic breathing technique.

Eligibility Criteria

• Age: 40 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age group : 40-65 years
• Both males and females
• Clinical diagnosis of COPD confirmed by smoking history and PFT airflow
• Patients taking their regular medications e.g bronchodilator

You may not qualify if:

• Restrictive lung disease
• Pneumothorax
• Resting O2 saturation \<90% with room air breathing
• Recent exacerbations
• Patients with active viral or bacterial infection
• Abdominal or thoracic surgery (\<3months ago)
• Cardiologic conditions (\<6months ago e.g Myocardial infarction or unstable angina
• Intubated Patients
• Orthopedic or urogenital conditions
• Neurological disorders limiting cognition \& mobility

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Gulab Devi Hospital, Lahore

Lahore, Punjab Province, Pakistan

Location

Related Publications (7)

• Iheanacho I, Zhang S, King D, Rizzo M, Ismaila AS. Economic Burden of Chronic Obstructive Pulmonary Disease (COPD): A Systematic Literature Review. Int J Chron Obstruct Pulmon Dis. 2020 Feb 26;15:439-460. doi: 10.2147/COPD.S234942. eCollection 2020.

  PMID: 32161455 BACKGROUND

• Chatreewatanakul B, Othaganont P, Hickman RL. Early symptom recognition and symptom management among exacerbation COPD patients: A qualitative study. Appl Nurs Res. 2022 Feb;63:151522. doi: 10.1016/j.apnr.2021.151522. Epub 2021 Nov 6.

  PMID: 35034709 BACKGROUND

• Adeloye D, Song P, Zhu Y, Campbell H, Sheikh A, Rudan I; NIHR RESPIRE Global Respiratory Health Unit. Global, regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: a systematic review and modelling analysis. Lancet Respir Med. 2022 May;10(5):447-458. doi: 10.1016/S2213-2600(21)00511-7. Epub 2022 Mar 10.

  PMID: 35279265 BACKGROUND

• Gea J, Agusti A, Roca J. Pathophysiology of muscle dysfunction in COPD. J Appl Physiol (1985). 2013 May;114(9):1222-34. doi: 10.1152/japplphysiol.00981.2012. Epub 2013 Mar 21.

  PMID: 23519228 BACKGROUND

• Cavalcanti JD, Fregonezi GAF, Sarmento AJ, Bezerra T, Gualdi LP, Pennati F, Aliverti A, Resqueti VR. Electrical activity and fatigue of respiratory and locomotor muscles in obstructive respiratory diseases during field walking test. PLoS One. 2022 Apr 1;17(4):e0266365. doi: 10.1371/journal.pone.0266365. eCollection 2022.

  PMID: 35363800 BACKGROUND

• Tang CY, Taylor NF, Blackstock FC. Chest physiotherapy for patients admitted to hospital with an acute exacerbation of chronic obstructive pulmonary disease (COPD): a systematic review. Physiotherapy. 2010 Mar;96(1):1-13. doi: 10.1016/j.physio.2009.06.008. Epub 2009 Sep 22.

  PMID: 20113757 BACKGROUND

• Vogelmeier CF, Criner GJ, Martinez FJ, Anzueto A, Barnes PJ, Bourbeau J, Celli BR, Chen R, Decramer M, Fabbri LM, Frith P, Halpin DM, Lopez Varela MV, Nishimura M, Roche N, Rodriguez-Roisin R, Sin DD, Singh D, Stockley R, Vestbo J, Wedzicha JA, Agusti A. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report. GOLD Executive Summary. Am J Respir Crit Care Med. 2017 Mar 1;195(5):557-582. doi: 10.1164/rccm.201701-0218PP.

  PMID: 28128970 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
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Group A will be treated with manual chest physical therapy and Buteyko breathing technique Group-B will be treated with manual chest physical therapy and Diaphragmatic breathing technique. Patients will perform the technique 5 times a weeks for 8weeks and treatment evaluation will be done after 8 weeks.

Study Record Dates

• First Submitted: June 14, 2023
• First Posted: July 17, 2023
• Study Start: June 15, 2023
• Primary Completion: August 15, 2023
• Study Completion: November 20, 2023
• Last Updated: June 13, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)