Study on Effect of Papworth Technique in Anemic Asthmatic Pediatrics

NCT06750354 | Not Yet Recruiting DMC

• 1 other identifier: P.T.REC/012/005437
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

As asthma is chronic condition which interferes with quality of life and exercise tolerance, so it is important to find out cost-effective alternative for the management of asthma due to increased prevalence and rising health care cost as well . Therefore, to provide comprehensive asthma treatment, it is necessary to rule out and address the factor affecting quality of life and exercise tolerance. Asthmatics require stepwise approach which contains assessment treatment planning and review of response. Along with this modification of risk factors, controller therapy is adjusted accordingly. But this is inadequate for asthma management as pharmacological management has some side effects. So, in addition to medical care, Papworth method provides good adjuvant to control asthma symptoms. Asthma subjects require comprehensive approach to deal with these hyperinflation and hyperventilation which are common manifestations of asthma

Conditions

Anaemia; Asthma Exacerbations

Keywords

papworth technique; aerobic training; anaemic asthmatic pediatrics

Outcome Measures

Primary Outcomes (5)

• Haemoglobin level

  Oxygen saturation measures how much hemoglobin is bound to oxygen compared to how much hemoglobin remains unbound. a normal pulse oximeter reading for your oxygen saturation level is between 95% and 100%

  AFTER 12 WEEKS

• Asthma-related Quality of life questionnaire (AQLQ)

  The Asthma Quality of Life Questionnaire (AQLQ) is a 32-item questionnaire used to assess the physical, occupational, emotional, and social qualities of adults aged 17 to 70 years with asthma. The AQLQ has 4 domains: symptoms (12 items), activity limitation (6 generic and 5 patient-specific items), emotional function (5 items), and environmental stimuli (4 items). The AQLQ was developed for patients exhibiting mild to moderate asthma. The AQLQ items are each scored on a 7-point Likert scale, with 1 representing maximal impairment and 7 representing no impairment.

  AFTER 12 WEEKS

• Six-minute walk test.

  The 6 Minute Walk Test is a sub-maximal exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity. An increase in the distance walked indicates improvement in basic mobility.

  AFTER 12 WEEKS

• Oxygen saturation

  by using a normal pulse oximeter reading for your oxygen saturation level is between 95% and 100%. If you have a lung disease such as COPD or pneumonia, your normal oxygen saturation level may be lower.

  AFTER 12 WEEKS

• Respiratory rate

  The normal respiratory rate for healthy adults is between 12-20 breaths per minute. At this breathing rate, the carbon dioxide exits the lungs at the same rate that the body produces it. Breathing rates of below 12 or above 20 can mean a disruption in the breathing processes.

  AFTER 12 WEEKS

Study Arms (2)

Study group

EXPERIMENTAL

will receive papworth technique and aerobic training programme in addition to medical treatment 3 sessions per week for 12 weeks.

Procedure: papworth technique; Procedure: aerobic training

Control group

ACTIVE COMPARATOR

aerobic training programme only in addition to medical treatment3 sessions per week for 12 weeks

Procedure: aerobic training

Interventions

papworth technique PROCEDURE

For Group A: The Papworth breathing technique consists of a series of diaphragmatic breathing and relaxation exercises, and teaches patients which muscles to use when breathing and how to avoid breathing too or too fast by emphasizing nose breathing. The technique is altered to suit activity; this allows the technique to be integrated by patients into their everyday lives with subsequent improvements in quality of life.

Study group

aerobic training PROCEDURE

Aerobic training exercises are any activities that raise heart rate and make breathing somewhat harder. The activity you are doing must be constant and continuous. Examples of aerobic activities are Walking or hiking Jogging or running Biking Swimming Rowing In-line skating Cross-country skiing Exercising on a stair-climber or elliptical machine

Control group; Study group

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patients will be included:
• patients from both genders.
• Participants between the age 12 and 18 years
• Oriented, medically stable and taking their medical treatment
• Mild and moderate asthma
• All patients are diagnosed as iron deficiency anemia
• Body mass index between 18.5 -24.9

You may not qualify if:

• \. Have any serious chest diseases, Patients with heart diseases. 2. Patients with neurological disease affecting respiratory muscles or any muscular dystrophy 3. Patients with kidney diseases 4. Patients with liver diseases 5. Other types of anaemia Chest deformities

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Anemia

Condition Hierarchy (Ancestors)

Hematologic Diseases; Hemic and Lymphatic Diseases

Central Study Contacts

alaa mohamed naguib lecturer, lecturer

CONTACT

01092224967; Alaanaguib91@cu.edu.eg

alshaimaa alsayed ali, lecturer

CONTACT

01063957095; shaimaa.ali8181@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer of physical therapy

Model Details: Patients will be included: 1. 40 patients from both genders. 2. Participants between the age 12 and 18 years 3. Oriented, medically stable and taking their medical treatment 4. Mild and moderate asthma 5. All patients are diagnosed as iron deficiency anemia 6. Body mass index between 18.5 -24.9 While excluded if: 1. Have any serious chest diseases, Patients with heart diseases. 2. Patients with neurological disease affecting respiratory muscles or any muscular dystrophy 3. Patients with kidney diseases 4. Patients with liver diseases 5. Other types of anaemia Chest deformities

Study Record Dates

• First Submitted: December 16, 2024
• First Posted: December 27, 2024
• Study Start: December 20, 2024
• Primary Completion: January 15, 2025
• Study Completion: March 15, 2025
• Last Updated: December 27, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share