Breathing Exercises With And Without Aerobic Training In Patients With Postural Orthostatic Tachycardia Syndrome
Condition: Postural Orthostatic Tachycardia Syndrome
MeSH terms: Respiratory Aspiration; Postural Orthostatic Tachycardia Syndrome; Tachycardia; Syndrome
Study type: Interventional

Summary: 
      Postural orthostatic tachycardia syndrome (POTS) is a chronic, multifactorial syndrome with
      complex symptoms of orthostatic intolerance. Of the major complaints are breathlessness and
      exercise intolerance. The aim is to explore the potential impact of a physiotherapy
      intervention involving education and breathing control on dysfunctional breathing and
      improving exercise intolerance in POTS. The study would be a randomised controlled trial.
      Duration would be 4 week. Patients will be randomly divided into two groups by lottery
      method. Data will be collected through questionnaire from enrolled subjects in physical
      therapy department of Liaqat Hospital, Lahore. Experimental group will be treated by
      Progressive Breathing Retraining Exercise Program-2 times a day for 15 minutes, initially
      Controlled Nasal Breathing with progressively increasing the Controlled Pause, 4 times a day
      for 15 minutes, then both techniques will be performed together. In addition to this Aerobic
      training will be assigned to both the groups. Aerobic training will include cycling and
      treadmill- for 30 minutes\day for 5 days\week for 1 month. Total 20 sessions. While the
      controlled group will receive only aerobic training which will include cycling and treadmill
      for 30 minutes\day for 5 days\week for 1 month. Total 20 sessions. The dysfunctional
      breathing and exercise intolerance will be assessed through Nijmegen Questionnaire and
      Veterans Questionnaire respectively at 0 week, after 2 week and after 4 week. The data will
      be analyzed by spss version 25.
    


Intervention name(s): Aerobic Training; Conventional Treatment
Intervention type(s): Other; Other
Intervention description(s): Progressive breathing retraining exercises for a period of 4 weeks, for 15 minutes twice daily. As patients progressed to the seated posture, the controlled pause technique (exercise) will be introduced. 4 times a day followed by a sustained period of breathing control. In addition to this Aerobic Training (cycling, treadmill) will also be practiced for 30 minutes constituting 5 days/ week. Initial training would avoid upright position. Mild-to-moderate-intensity endurance training, progressing from semi-recumbent to upright position plus strength training will be practiced.; Progressive breathing retraining exercises for a period of 4 weeks, for 15 minutes twice daily. As patients progressed to the seated posture, the controlled pause technique (exercise) will be introduced. 4 times a day followed by a sustained period of breathing control.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Postural orthostatic tachycardia syndrome; Dysfunctional Breathing; Aerobic Training; Exercise Intolerance; Progressive Breathing Retraining