Comparison Of Blow Bottle Positive Expiratory Pressure (BBPEP) Versus Acapella Among Patient With Chronic Bronchitis
Condition: Chronic Bronchitis
MeSH terms: Bronchitis; Bronchitis, Chronic; Acute Disease
Study type: Interventional

Summary: 
      Comparison of Blow Bottle Positive Expiratory pressure(BBPEP)versus acapella on Oxygenation
      ,peak Expiratory Flow Rate(PEFR)among patient with chronic bronchitis.
    

Detailed description: 
      Worldwide most of the people belong to all age group may affected with Non communicable
      diseases(NCD) which leads them toward death globally . According to stats World Health
      Organization (WHO) declares about 41 million people are died due to NCD which means about 71
      %people are died globally due to this .Chronic Respiratory diseases are one of the main non
      communicable disease . About 9.0 million(3.6%) adult belong to age group of 18 or older may
      suffer from chronic bronchitis . Hallmark of chronic bronchitis is that cough and sputum
      production for more than >3months in each of at least two connective years. Chronic
      bronchitis effects every third person having COPD but it may effect any body who had normal
      pulmonary functions. Now a days positive expiratory pressure (PEP)devices are used along
      Cardio Pulmonary Therapy(CPT) .PEP devices are help full in mobilize the secretion in lower
      respiratory tract , may also beneficial in collateral ventilation ,mucous secretion and most
      importantly optimize functional residual capacity among people who had pulmonary
      complications. Many PEP devices are available in market but BBPEP is in low cost and are
      easily in approach of every single person .PEP is non invasive technique used to improve
      clinical outcome .

      In this study investigator compare the effect of BBPEP and Acapella in participant having
      chronic bronchitis .In case of BBPEP patient expires against resistance of water column which
      increase PEP ( positive expiratory pressure ) in inlet which transferred airway patients
      lungs this will keep the alveoli patent or may recruit the collapsed alveoli. This will
      decrease airway resistance and improve lung compliance . As airway resistance decreases the
      amount of SPO2 AND PEFR also improved . participant are randomly assigned into two different
      group GROUP(A) AND GROUP(B) Group (A) receive intervention by using BBPEP device along with
      deep breathing exercises group (B)participant use acapella devices so out come will be
      measured participant rotate the device toward positive(+) sign to increase resistance or may
      rotate device to minus (-) to decrease resistance participant is in comfortable short sitting
      position ask him to take deep breath and hold it for 3 sec nose clip attached to the
      participant participant lips sealed mouthpiece ask him to exhale into mouth piece maneuver
      repeated for 10 to 12 breath with 3 to 4 huffs all the steps repeated for 15 minute. study
      will be carried out for 8 weeks , 3 days per week. Outcome variables will be Peak flow meter
      , pulse oximeter ,casa q scale ,heart rate, respiratory rate blood pressure. Data will be
      analyzed on SPSS-25.
    

Intervention name(s): blow bottle positive expiratory pressure; acapella
Intervention type(s): Device; Device
Intervention description(s): Water was poured into a 1 L plastic container until it reached a 10 cm height. A 30 cm long tube was put into the water in the bottle, 8 cm deep. The participants were instructed to close their mouths around the tubing in the apparatus for three seconds to produce bubbles, do this for a total of 10 breaths, perform two huffs, then cough. 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,Because it is a homemade device and can be used with less equipment and with more ease at home . patient perform session three day per week for the duration of 8 weeks , each session last for 35-40 minutes.; Make sure the frequency adjustment dial has been rotated counterclockwise to the lowest frequency-resistance setting before using the Acapella for the first time.On a chair, adopt a straight stance. maintaining a straight back and relaxing your elbows on a table. Now gradually tilt your head upward to maintain the opening of your upper airways.Inhale more deeply than you frequently do. Make sure your lips are encircling the mouthpiece, then blow into the device with a strong expiration.You should ideally blow out roughly twice as quickly as usual.For around ten breaths, keep going like this.Make careful to expel to clear the secretions from the airways after the final try. You can even conduct 2 to 3 "huffs" to improve secretion elimination when necessary.It should be noted that while using the device, you must be capable of exhale for a minimum of three to four seconds. patient perform session three day per week for the duration of 8 weeks , each session last for 35-40 minutes
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: alveolar collapse,hypersecreation,airway obstruction