Comparison of Jacobson Relaxation Technique and Pranayama Technique in Patients With COPD

NCT06463288 | Completed

• 1 other identifier: REC/ 31831 Iqra
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Comparison of Jacobson Relaxation Technique and Pranayama Technique in patients with COPD

Conditions

COPD; Shortness of Breath; Quality of Life; Cough

Keywords

COPD; Jacobson Technique; Pranayama Technique; SOB

Outcome Measures

Primary Outcomes (3)

• Dyspnea Severity (Borg Scale)

  The Borg scale measures the severity of dyspnea (shortness of breath). Scale Details: Full Title: Borg Rating of Perceived Exertion (RPE) ScaleFull Title: Borg Rating of Perceived Exertion (RPE) Scale Minimum Value: 0 (No breathlessness at all) Maximum Value: 10 (Maximal breathlessness) Interpretation: Higher scores indicate worse outcomes, meaning greater severity of dyspnea.

  4 weeks

• Cough and Sputum Analysis (CASA-Q)

  The CASA-Q (Cough and Sputum Assessment Questionnaire) evaluates the severity and impact of cough and sputum production. Scale Details: Full Title: Cough and Sputum Assessment Questionnaire (CASA-Q) Minimum Value: 0 (No symptoms) Maximum Value: 100 (Severe symptoms) Interpretation: Higher scores indicate worse outcomes, meaning more severe symptoms of cough and sputum.

  4 Weeks

• Spirometry (FEV1 and FVC)

  Spirometry will be used to measure lung function, specifically Forced Expiratory Volume in 1 second (FEV1) and Forced Vital Capacity (FVC). Scale Details: Full Title: Spirometry (FEV1 and FVC) Minimum Value: Variable (dependent on patient's lung function) Maximum Value: Variable (dependent on patient's lung function) Interpretation: Higher values typically indicate better lung function.

  4 Weeks

Secondary Outcomes (2)

• Quality of Life (SF-36 Questionnaire)

  4 Weeks

• Patient Satisfaction (Patient Satisfaction Questionnaire)

  4 Weeks

Study Arms (2)

Jacobson's Technique

EXPERIMENTAL

Participant in the group A were instructed to perform the Jacobson relaxation technique. * Quite place were chosen where there is no disturbance. * Patients were relax either on the lying position or sitting position with head well-supported. * Patients were instructed to loosen any tight clothing. * Patients were educated for muscles of each group emphasis on attention on that muscle group only. * Repeat this three times, constrict the muscle and then relax, tens the muscle and maintain it for five seconds then relax it lightly and then tense and relax. Constrict the muscle very slightly then relax it. Focus on each muscle group and then decide to relax the target muscle.

Procedure: Jacobsons Breathing Technique

Pranayama Technique

ACTIVE COMPARATOR

Participant in group B were instructed to perform the pranayama relaxation technique. * Quite place were chosen where there is no disturbance and patient were relaxed in sitting position with spine straight. * In this technique patients were instructed to perform different type of pranayama techniques. * Guide the participants to take a steady breath in through your both nostrils. Then inhale until you reach your total lung capacity, maintaining a tall spine. Treatment was continuous 4 weeks, 3 times in a week for 15 mint. Assessment was done through the tool before and after the treatment.

Procedure: Pranayama Technique

Interventions

Jacobsons Breathing Technique PROCEDURE

Quality of life, cough and sputum analysis, spirometry, and shortness of breath were assessed.

Jacobson's Technique

Pranayama Technique PROCEDURE

Quality of life, cough and sputum analysis, spirometry, and shortness of breath were assessed.

Pranayama Technique

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients of Age between 40 and 70.
• Both Genders (Male, Female) were included.
• Stage 2 patient with COPD with Dyspnea FEV1 \<70% and Maximal Expiratory Pressure = 50% (Gold Criteria) were included.
• Cognitive Stable patients were included.
• Those Patients were included who were clinically stable without exacerbations in the past 01 month.

You may not qualify if:

• Common Cough
• Upper respiratory tract inflammation
• Patients who have other co-morbid diseases which prevents them from exercise training, for example, disability due to neurological, orthopedic and acute cardiac causes
• Patients who were mentally and physically and sick to join at the hospital or research site for training
• Patients who were already participated or completed or in a P.R program in the past one year.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Gulab Devi Chest Hospital

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (5)

• Pauwels RA, Buist AS, Ma P, Jenkins CR, Hurd SS; GOLD Scientific Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: National Heart, Lung, and Blood Institute and World Health Organization Global Initiative for Chronic Obstructive Lung Disease (GOLD): executive summary. Respir Care. 2001 Aug;46(8):798-825. No abstract available.

  PMID: 11463370 BACKGROUND

• 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

• Ozgundondu B, Gok Metin Z. Effects of progressive muscle relaxation combined with music on stress, fatigue, and coping styles among intensive care nurses. Intensive Crit Care Nurs. 2019 Oct;54:54-63. doi: 10.1016/j.iccn.2019.07.007. Epub 2019 Jul 29.

  PMID: 31371164 BACKGROUND

• Ranjita R, Hankey A, Nagendra HR, Mohanty S. Yoga-based pulmonary rehabilitation for the management of dyspnea in coal miners with chronic obstructive pulmonary disease: A randomized controlled trial. J Ayurveda Integr Med. 2016 Jul-Sep;7(3):158-166. doi: 10.1016/j.jaim.2015.12.001. Epub 2016 Aug 18.

  PMID: 27545747 BACKGROUND

• Basoglu OK, Atasever A, Bacakoglu F. The efficacy of incentive spirometry in patients with COPD. Respirology. 2005 Jun;10(3):349-53. doi: 10.1111/j.1440-1843.2005.00716.x.

  PMID: 15955148 BACKGROUND

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Dyspnea; Cough

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

Study Officials

• Sumera Hameed, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: Randomized Clinical Trial

Study Record Dates

• First Submitted: March 4, 2024
• First Posted: June 17, 2024
• Study Start: July 20, 2023
• Primary Completion: December 1, 2023
• Study Completion: December 10, 2023
• Last Updated: June 17, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)