Combined Effects of ACBT and AUTOGENIC DRAINAGE in Patients With Chronic Obstructive Pulmonary Disease
Condition: Chronic Obstructive Pulmonary Disease
MeSH terms: Lung Diseases; Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
Study type: Interventional

Summary: 
      A randomised controlled trial will be conducted with COPD patients as its target population.
      There will be 40 individuals for both the control group and the intervention group. Group A
      is a control group while Group B is an experimental group (20 participants on Group A and 20
      on group B). The baseline treatment for both groups were pursed lip breathing and ACBT. On
      the other hand, group B experimental group will also undergo (pursued lip breathing and ACBT)
      with autogenic drainage. Group A session lasts for 30 minutes and Group B session lasts for
      45 minutes. There is only one session per day. There is a three session in a week for 4
      weeks. Measurements are made of dyspnea, oxygen saturation, peak expiratory flow rate, pulse
      rate and fatigue both before and after the treatment, data were recorded. Participants in the
      trial must have mild to moderate COPD (GOLD Criteria) and be between the ages of 40 to 60
      years. Data from Sheikh Zayed Hospital, Rahim Yar Khan will be collected. Follow-up for both
      completed tasks and changes in pulmonary status will be evaluated after 4 weeks. Modified
      Borg Dyspnea (RPE) Scale, Breathlessness, Cough and Sputum Scale (BCSS), Fatigue Severity
      Scale or Visual Analogue Scale, Peak flow meter, Oximeter will be used to measure the
      outcomes. Data will be analysed using the SPSS 21.0 Statistical Software
    

Detailed description: 
      The term "COPD" refers to a range of illnesses that impair breathing and obstruct airflow.

      Smoking or having smoked in the past increases the risk of developing COPD because tobacco
      smoke is the primary cause of the disease. The risk is further increased by family history,
      occupational or home, air pollution exposure and respiratory illnesses including pneumonia.
      The signs and symptoms include wheezing, coughing up mucus (sputum) and difficulty in
      breathing. It is frequently brought on by prolonged exposure to irritant gases or
      particulates most frequently from cigarette smoke. Heart disease, lung cancer and a number of
      other diseases are more likely to occur in people with COPD.

      A randomised controlled trial will be conducted with COPD patients as its target population.
      There will be 40 individuals for both the control group and the intervention group. Group A
      is a control group while Group B is an experimental group (20 participants on Group A and 20
      on group B). The baseline treatment for both groups were pursed lip breathing and ACBT. On
      the other hand, group B experimental group will also undergo (pursued lip breathing and ACBT)
      with autogenic drainage. Group A session lasts for 30 minutes and Group B session lasts for
      45 minutes. There is only one session per day. There is a three session in a week for 4
      weeks. Measurements are made of dyspnea, oxygen saturation, peak expiratory flow rate, pulse
      rate and fatigue both before and after the treatment, data were recorded. Participants in the
      trial must have mild to moderate COPD (GOLD Criteria) and be between the ages of 40 to 60
      years. Data from Sheikh Zayed Hospital, Rahim Yar Khan will be collected. Follow-up for both
      completed tasks and changes in pulmonary status will be evaluated after 4 weeks. Modified
      Borg Dyspnea (RPE) Scale, Breathlessness, Cough and Sputum Scale (BCSS), Fatigue Severity
      Scale or Visual Analogue Scale, Peak flow meter, Oximeter will be used to measure the
      outcomes. Data will be analysed using the SPSS 21.0 Statistical Software.
    

Intervention name(s): Active cycle of breathing technique; Autogenic drainage
Intervention type(s): Other; Other
Intervention description(s): The ACBT technique consists of three different breathing techniques: breathing control, thoracic expansion exercises and forced expiration technique. 1. Breathing Control 2. Thoracic Expansion Exercises: 3. Forced Expiration Technique:; Huffing or blowing the nose helped to get rid of any secretions in the upper airways. The therapist was placed close enough to hear the subject's breathing while sitting to the side and slightly behind the patient. Both the physiotherapist's hand and the subject's hands were put on the subject's abdomen to feel the activity of the abdominal muscles. The patient inhaled slowly through the nose while using their diaphragm and holding their breath for two to three seconds to allow collateral ventilation to bring air behind their secretions. Exhalation was done through the mouth. The palm of the therapist placed on the upper chest felt the vibration of the mucous. Their positions were disclosed by the vibrations' frequency.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Chronic Obstructive; Drainage; Postural; Pulmonary Disease; Respiratory Therapy.