Effects of Incentive Spirometry on Dyspnea and Chest Clearance in Asthmatic Patients During Seasonal Smog
Condition: Shortness of Breath
MeSH terms: Dyspnea
Study type: Interventional

Summary: 
      EFFECTS OF INCENTIVE SPIROMETRY ON DYSPNEA AND CHEST CLEARANCE IN ASTHMATIC PATIENTS DURING
      SEASONAL SMOG
    

Detailed description: 
      Asthma is a serious and life threatening chronic respiratory disease that affects the quality
      of life of more than 23 million Americans- with exposure to air pollution. Air pollution can
      make asthma symptoms worse and trigger asthma attacks. Particle pollution can cause breathing
      problems. It's created when tiny bits of dust, dirt, smoke, soot, and other stuff hang in the
      air. The smaller the particles, the deeper they can get into the lungs and cause breath
      problems. Seasonal smog aggravates asthma, irritates the lungs, and makes it difficult to
      breathe. Long-term inflammation from breathing in too much ground-level ozone can permanently
      scar lung tissue. Smog with high levels of ozone is also particularly damaging for people
      with asthma. During seasonal smog asthma patients are more affected than normal people.
      Various consecutive treatments are used to treat the asthma patients for the improvement of
      quality of life. But at this check the effects of incentive spirometry on dyspnea and chest
      clearance in asthmatic patients.

      This study will be randomized controlled trial. This study will be conducted in Ittefaq
      Hospital Lahore. Subjects meeting the predetermined inclusion and exclusion criteria. Sample
      size will be 44 including both male and female. QUESTIONNAIRE used as subjective measurements
      and ASHMA CONTROL TEST as objective measurement. Dyspnea-12 will be used to check the dyspnea
      severity in asthma patients and asthma control test will be used to check asthma severity
      during seasonal smog. Cough and sputum assessment questionnaire will be used to check
      effectiveness of chest clearance. Subjects of one group will be treated with active cycle of
      breathing and incentive spirometry and the other group will be treated with only spirometry.
      Each group will receive 12 treatment sessions with one treatment session per week and it will
      take less than 1 hour. Pre- treatment reading of dynpnea-12, cough and sputum assessment
      questionnaire and asthma control test will be recorded. And post-treatment readings will also
      be recorded.

      Outcome variables will be dyspnea-12, incentive spirometry, cough and sputum assessment
      questionnaire and asthma control test. Most commonly used incentive spirometry to clear the
      dyspnea and chest clearance in asthma patients. Data will be analyzed on SPSS-25.
    

Intervention name(s): INCENTIVE SPIROMETRY; Active cycle of breathing
Intervention type(s): Other; Other
Intervention description(s): Sit up and hold the device.
Then Place the mouthpiece spirometer in mouth and make a good seal over the mouthpiece with lips.
Breathe out (exhale) normally.
Breathe in (inhale) slowly. A piece in the incentive spirometer will rise as you breathe in. And try to get this piece to rise as high as you can.
Usually, there is a marker placed by your doctor that tells you how big of a breath you should take.
A smaller piece in the spirometer looks like a ball or disk.
Your goal should be to make sure this ball stays in the middle of the chamber while you breathe in.
If you breathe in too fast, the ball will shoot to the top.
If you breathe in too slowly, the ball will stay at the bottom. Hold your breath for 3 to 5 seconds. Then slowly exhale.; Breathe in and out gently through your nose if you can. If you cannot, breathe through your mouth instead. If you breathe out through your mouth, it's best to use breathing control with 'pursed lips breathing'. keep your shoulders relaxed.
Try closing your eyes to help you to focus on your breathing and to relax. Breathing control should continue until the person feels ready to progress to the other stages in the cycle. Try to keep your chest and shoulders relaxed.
At the end of the breath in, hold the air in your lungs for 2-3 seconds before breathing out. Breathe out gently and relaxed. Repeat 3 - 5 times. Sit up straight with chin tilted slightly up and mouth open.
Take a slow deep breath to fill lungs about three quarters full. Hold breath for two or three seconds. Exhale forcefully, but slowly, in a continuous exhalation to move mucus from the smaller to the larger airways
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Spirometry,Asthma,Dyspnea and Chest clearance