Combined Effects of Blow Bottle Device and Postural Drainage in Moderate to Severe Elderly COPD Patients

NCT06476769 | Recruiting DMC

• 1 other identifier: REC/RCR & AHS/23/0376
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

It will be a randomized clinical trial. Age of selected subjects will be between 40 to 70 years. Data will be collected from Wazirabad institute of cardiology. There will be 2 groups i.e. group A will receive combination of blow bottle technique and postural drainage and group B will receive postural drainage. Spirometer will be used to evaluate pulmonary functions and breathless, cough and sputum scale (BCSS) will be used to evaluate the improvement in sputum diary of patients. Interventions will be given to the patients for 20-25 minutes twice a day for 6 days per week. After data collection, data will be analyzed using SPSS version 25.

Conditions

Chronic Obstructive Pulmonary Disease

Keywords

Dyspnea; Postural drainage

Outcome Measures

Primary Outcomes (3)

• Breathlessness cough sputum scale

  Breathlessness, Cough and Sputum scale (BCSS) was developed to effectively measure the severity of respiratory symptoms. The BCSS records symptoms in a 5-point Likert like scale in which zero represents improvement symptoms and scores towards 4 indicating worsening of symptoms. It is commonly used in patients with COPD. BCSS provides a simple and robust quantification of symptoms that is sensitive to the effects of treatment and could therefore be used to assess therapeutic interventions. It has good reliability and validity for use in patients with respiratory disorders.

  4 weeks

• Modified borg RPE scale:

  The Modified Borg Dyspnea Scale (MBS) is rated numerical score used to measure dyspnea as reported by the patient during submaximal exercise, one of the most common and frequently used measures to assess the severity of dyspnea.

  4 weeks

• Incentive spirometry

  Incentive spirometry is frequently used after thoracic surgery as an adjunct to physiotherapy. Despite its widespread use, it has remained challenging to demonstrate a clinical benefit in terms of either incidence of pulmonary complications or hospital stay.

  4 weeks

Study Arms (2)

blow bottle technique

EXPERIMENTAL

There were 20 patients in group A received blow bottle device and postural drainage for 20- 25 minutes per session twice a day for 4 days per week, for 8 weeks.

Other: blow bottle technique

percussion

ACTIVE COMPARATOR

There were 20 patients in group B received postural drainage with percussion for 20- 25 minutes per session twice a day for 4 days per week, for 8 weeks.

Other: percussion

Interventions

blow bottle technique OTHER

There were 20 patients in group A received blow bottle device and postural drainage for 20- 25 minutes per session twice a day for 4 days per week, for 8 weeks.

Also known as: postural drainage

blow bottle technique

percussion OTHER

Group B: There were 20 patients in group B received postural drainage with percussion for 20- 25 minutes per session twice a day for 4 days per week, for 8 weeks.

Also known as: postural drainage

percussion

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Diagnosed moderate to severe GOLD (2017) COPD
• years old
• Both male and female
• Patients hemodynamically stable
• PFT showing irreversible airflow limitation.

You may not qualify if:

• Type II diabetic mellitus
• Systemic illness
• Thoracic deformation or rib fracture.
• Pulmonale decompensation and signs of an unstable heart condition.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Wazirabad Institute of Cardiology

Multan Khurd, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (3)

• Kullowatz A, Kanniess F, Dahme B, Magnussen H, Ritz T. Association of depression and anxiety with health care use and quality of life in asthma patients. Respir Med. 2007 Mar;101(3):638-44. doi: 10.1016/j.rmed.2006.06.002. Epub 2006 Aug 7.

  PMID: 16891108 BACKGROUND

• Goodwin RD, Eaton WW. Asthma and the risk of panic attacks among adults in the community. Psychol Med. 2003 Jul;33(5):879-85. doi: 10.1017/s0033291703007633.

  PMID: 12877402 BACKGROUND

• Wright RJ, Rodriguez M, Cohen S. Review of psychosocial stress and asthma: an integrated biopsychosocial approach. Thorax. 1998 Dec;53(12):1066-74. doi: 10.1136/thx.53.12.1066.

  PMID: 10195081 BACKGROUND

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Dyspnea

Interventions

Drainage, Postural

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

Intervention Hierarchy (Ancestors)

Drainage; Therapeutics; Physical Therapy Modalities; Rehabilitation; Respiratory Therapy

Study Officials

• Sidra Faisal, MS.CPPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Iqbal Tariq, PHD

CONTACT

O3338236752; iqbal.tariq@riphah.edu.pk

imran amjad, PHD

CONTACT

03324390125; imran.amjad@riphah.edu.pk

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 12, 2024
• First Posted: June 26, 2024
• Study Start: January 15, 2024
• Primary Completion: July 10, 2024
• Study Completion: July 15, 2024
• Last Updated: June 26, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)