Comparative Effects of Pilates Breathing and Pursed Lip Breathing on Chest Expension and Peak Expiratory Flow Rate in Patients With Chronic Obstructive Lung Disease

NCT07177976 | Recruiting

• 1 other identifier: FUI/CTR/2025/91
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic Obstructive Pulmonary Disease is a particular type of irreversible disease that may damage or obstruct airways and make it difficult to breath. This respiratiry condition may lead to shallow breathing. Breathing exercisers help to manage hyperventilation often seen in COPD patients. To handle respiratory complications patients are advised to practice breathing techniques along with pharmacological management

Conditions

Pulmonary Disease, Chronic Obstructive (COPD)

Keywords

Chest expansion; peak expiratory flow rate; dyspnea

Outcome Measures

Primary Outcomes (3)

• Chest Expansion

  Evaluation will be done using inch tape (inches) for Chest Expansion

  03 weeks

• Peak expiratory flow rate

  Evaluation will be done by using Peak flow meter

  03 weeks

• Dyspnea

  Evaluation will be done by using Modified Medical Research Council Dyspnea Scale (mMRC)

  03 weeks

Study Arms (2)

Group A

EXPERIMENTAL

Patients in this group will receive Pilates breathing techniques along with pharmacological management for total of 3 weeks. Two sessions per week will be supervised by physiotherapist and 5 days at home. A home diary will be provided in order to ensure and follow-up of the participants are performing breathing exercises at home.

Procedure: Pilates Breathing Technique along with standard pharmacological management

Group B

EXPERIMENTAL

Patients in this group will receive Pursed-lip breathing along with pharmacological management for 3 weeks. Two sessions per weeek will be supervised by physiotherapist and 5 days at home. A home diary will be provided in order to ensure and follow-up of the participants that they are performing breathing exercises at home.

Procedure: Pursed-lip breathing along with pharmacological management

Interventions

Pilates Breathing Technique along with standard pharmacological management PROCEDURE

Patients in this group will receive pilates breathing technique along with pharmacological management. A total 3 weeks protocol will be followed in which 2 seesions per week will be supervised by physiotherapist and 5 days at home. Pilates breathing will be performed in sitting or supine position. The patient will place a hand over the Lower Posterior rib Cage and inhale through the nose. While breathing they will actively contract the Transverse Abdominis (TrA) as if preparing for punch or holding in urine and engaging the pelvic floor muscles.

Group A

Pursed-lip breathing along with pharmacological management PROCEDURE

Patient in this group will receive pursed-lip breathing along with pharmacological management. A total 3 weeks protocol will be followed in which 2 sessions per week will be supervised by physiotherapist and 5 days at home. The patient will sit comfortably with straight back and relaxed shoulders. They will inhale slowly through the nose, with a deep relaxed breath, and then exhale slowly through the pursed lips, as if blowing out a candle. The exhalation should take 2-3 times longer than inhalation. This breathing cycle will be repeated with a focus on slow and relaxed breathing. Pharmacological management: Patient will receive medications as per prescribed by pulmonologist

Group B

Eligibility Criteria

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

You may qualify if:

• Age between 40-64 years
• Both genders (male and female)
• Grade 1-3 on mMRC scale of dyspnea
• COPD mild stage according to global initiative for chronic obstructive lung disease (GOLD) classification; Mild = FEV1 greater than or equal to 80% predicted

You may not qualify if:

• Moderate, severe and very severe stage of COPD according to GOLD classification
• Patients having acute exerbation of COPD
• Patients diagnosed with acute infection
• Patients unable to follow command and instructions

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy, Islamabad, 44000

Rawalpindi, 46000, Pakistan

RECRUITING

MeSH Terms

Conditions

Lung Diseases; Pulmonary Disease, Chronic Obstructive; Dyspnea

Condition Hierarchy (Ancestors)

Respiratory Tract Diseases; Lung Diseases, Obstructive; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Respiration Disorders; Signs and Symptoms, Respiratory; Signs and Symptoms

Central Study Contacts

Sana Kalim, DPT

CONTACT

03369169645; sanakalim408@gmail.com

Zara Khalid, PhD

CONTACT

03335415822; zara.khalid@fui.edu.pk

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 (interventional group) wil receive Pilates breathing along with pharmacological management and the other group (control group) will perform Pursed-lip breathing along with pharmacological management.

Study Record Dates

• First Submitted: September 10, 2025
• First Posted: September 17, 2025
• Study Start: September 15, 2025
• Primary Completion: January 1, 2026
• Study Completion: February 1, 2026
• Last Updated: October 7, 2025

Record last verified: 2025-09

Locations

PA (1)