Effects of Balloon-blowing Exercises in 90/90 Bridge Position With a Ball on Pulmonary Function Among Asthmatic Patients

NCT06660537 | Recruiting

• 1 other identifier: FUI/CTR/2024/37
• Study Type: interventional
• Target: 41
• Locations: 1 country
• Sites: 1

Brief Summary

In asthma, the airways in the respiratory system can experience inflammation and constriction, causing increased difficulty in expelling air during exhalation. This results in disruptions to respiratory parameters, exercise intolerance, and a diminished overall quality of life.Engaging in balloon-blowing exercises while in a 90/90 bridge position with the use of a ball will lead to enhanced pulmonary function and quality of life in individuals with asthma.

Conditions

Asthma

Keywords

Dyspnea, asthma, spirometry, quality of life, oxygen saturation

Outcome Measures

Primary Outcomes (4)

• pulmonary function test

  Evaluation will be done using Spirometry

  4 weeks

• Dyspnea

  Evaluation will be done using mMRC scale

  4 weeks

• Quality of life of patient

  Quality of life will be evaluated by asthma quality of life questionnaire with standardized Activities AQLQ(S)

  4 Weeks

• Oxygen Saturation

  Oxygen saturation will be evaluated by pulse oximeter

  4 Weeks

Study Arms (2)

Interventional group

EXPERIMENTAL

In this group patients will undergo balloon-blowing exercises in the 90/90 bridge position with a ball. In this intervention, patients lie on back with feet against a wall and knee bent at 90 degrees, holding a ball between their knees. While extending one arm overhead and holding a balloon in the other hand, perform a pelvic tilt without lifting their backoff the mat. Inhale through the nose, exhale into the balloon for four breaths, then remove the balloon and repeat the sequence four times. The 4-week protocol includes three supervised sessions per week, each supervised by a physiotherapist. Progress will be monitored regularly to evaluate improvements throughout the intervention.

Procedure: Balloon-blowing exercises in 90/90 bridge position with a ball.

Control group

EXPERIMENTAL

In this group, patient will receive Buteyko breathing exercises consists of two main exercises; the control pause and the maximum pause .For control pause, patient exhale, plug the nose, and hold their breath until they feel the urge to breathe, then inhale and breathe normally for 10 seconds.In Maximum pause, patient exhale,plug their nose ,and hold their breath as long as posiible, aiming for double the control pause time, then inhale and breath normally for 10 seconds.This is a 4-week protocol with three sessions per week.Pre- and post- intervention values will be recorded to assess progress.n.

Procedure: Buteyko breathing exercises management

Interventions

Balloon-blowing exercises in 90/90 bridge position with a ball. PROCEDURE

In this group patients will undergo balloon-blowing exercises in the 90/90 bridge position with a ball. In this intervention, patients lie on back with feet against a wall and knee bent at 90 degrees, holding a ball between their knees. While extending one arm overhead and holding a balloon in the other hand, perform a pelvic tilt without lifting their back off the mat. Inhale through the nose, exhale into the balloon for four breaths, then remove the balloon and repeat the sequence four times. The 4-week protocol includes three supervised sessions per week, each supervised by a physiotherapist. Progress will be monitored regularly to evaluate improvements throughout the intervention.

Interventional group

Buteyko breathing exercises management PROCEDURE

In this group, patients will receive Buteyko breathing exercises, which consist of two main exercises; the control pause and the maximum pause. For control pause, patients exhale, plug the nose, and hold their breath until they feel the urge to breathe, then inhale and breathe normally for 10 seconds. In Maximum pause, patients exhale, plug their nose, and hold their breath as long as possible, aiming for double the control pause time, then inhale and breath normally for 10 seconds. This is a 4-week protocol with three sessions per week. Pre- and post-intervention values will be recorded to assess progress.

Control group

Eligibility Criteria

• Age: 18 Years - 59 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Adults: aged (18-59 years)
• Gender: Both male and females
• Grade1- Grade 4 on Modified MRC dyspnea scale
• Asthma severity ( level 1 mild intermediate, levell 2 mild persistent)

You may not qualify if:

• Level 3 and above asthmatics or status asthmatics.
• Any congenital deformities of chest wall/ Heart/ Lungs.
• Demonstrated neuromuscular or neurological deficit/ chest wall deformity.
• Cardiopulmonary diseases including coronary artery disease(CAD), Pulmonary HTN, ------Aortic Stenosis, regurgitation, etc.
• Any Autoimmune disease with manifestations of Chest wall/ heart/ Lungs.
• Any recent cardiothoracic or abdominal surgery or sternotomy.
• Recent history of the blunt chest wall or abdominal trauma.
• Unstable hemodynamic parameters (arterial pressure \>140mmhg systolic and \>90mmhg for diastolic).
• Pregnancy

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

MeSH Terms

Conditions

Asthma; Dyspnea

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Respiration Disorders; Signs and Symptoms, Respiratory; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Anam Anwar, MS-CPT*

CONTACT

0333-5226687; anam.anwar102@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a randomized controlled trial having two groups. One group will receive (interventional group) balloon-blowing exercises in 90/90 bridge position with a ball and the other group (control group) will receive buteyko breathing exercises.

Study Record Dates

• First Submitted: October 24, 2024
• First Posted: October 28, 2024
• Study Start: August 15, 2024
• Primary Completion: January 1, 2025
• Study Completion: February 1, 2025
• Last Updated: October 28, 2024

Record last verified: 2024-09

Locations

PA (1)