Combined Effects of Blow Bottle Technique and Percussion Technique in COPD Patients
Condition: Chronic Obstructive Pulmonary Disease
MeSH terms: Lung Diseases; Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
Study type: Interventional

Summary: 
      It will be a randomized control trial. Participants will be recruited according to inclusion
      criteria and will be allocated into 2 groups using convenience sampling technique. Group 1
      will be treated with percussion technique for 30 min and group 2 with blow bottle technique
      combined with percussion technique for 30 min at DHQ Teaching Hospital Gujranwala.
      Intervention will be carried out for total 4 weeks of duration with 3 sessions per week.
      Outcome measures such as dyspnea, breathlessness, sputum and cough, O2 and pulse rate,
      expiratory flow rate will be measured by tools as mMRC, BCSS, peak flow meter respectively.
      Assessment will be done before and after intervention and result will be analyzed using
      statistical package for social sciences SPSS 20.
    

Detailed description: 
      Chronic obstructive pulmonary disease (COPD) is characterized by nonreversible airway
      obstruction. A diagnosis of COPD is determined by clinical assessment of airflow limitation
      and symptoms such as cough and wheeze; however, the detrimental effect of COPD symptoms on a
      patient's quality of life (QoL) is often underestimated. Rehabilitation exercise can lessen
      the possibility of the progressive exacerbation of the patient's condition, exerting an
      active role in improving their lung function and the quality of the patients' life.
      Therefore, a lung function exercise bottle is designed, which is capable of adjusting the
      pressure according to the patient's needs. The exercise bottle is composed of three
      components, including bottle body, threaded round cap and air blow pipe. Furthermore, manual
      chest percussion is the rhythmic clapping on the chest wall with relaxed wrist and cupped
      hand, creating an energy wave that is transmitted to the airways. It is applied with a
      frequency of approximately 3-6 Hz. To reduce any adverse consequences, the technique should
      be performed for about 30 seconds and simultaneously with no more than three or four lower
      thoracic expansion exercises.

      It will be a randomized control trial. Participants will be recruited according to inclusion
      criteria and will be allocated into 2 groups using convenience sampling technique. Group 1
      will be treated with percussion technique for 30 min and group 2 with blow bottle technique
      combined with percussion technique for 30 min at DHQ Teaching Hospital Gujranwala.
      Intervention will be carried out for total 4 weeks of duration with 3 sessions per week.
      Outcome measures such as dyspnea, breathlessness, sputum and cough, O2 and pulse rate,
      expiratory flow rate will be measured by tools as mMRC, BCSS, peak flow meter respectively.
      Assessment will be done before and after intervention and result will be analyzed using
      statistical package for social sciences SPSS 20.
    

Intervention name(s): blow bottle; percussion
Intervention type(s): Other; Other
Intervention description(s): When you blow through a tube into water in a bottle, the pressure in the airways increases. This opens up the passageways between bronchioles, allowing air to flow behind the mucus and push it into the larger airways. This way, it will be easy to remove the mucus by coughing or huffing.; Percussion technique should be performed for about 30 seconds and simultaneously with no more than three or four lower thoracic expansion exercises.
Do this for a total of 10 breaths,
Perform two huffs, and
Cough.
Close their mouth around the tube and exhale slightly forcefully for 3 seconds to produce bubbles. Such exhalations were conducted in two sets of ten, with a five-minute pause in between. For each subject, a fresh, disposable tube and bottle were utilized
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Airway Obstruction; COPD; Dyspnea; Expiratory flow rate; Percussion.