Comparative Effects of ACBT and Slow Expiration 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: 
      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 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,
      Active cycle breathing techniques (ACBT) is a cycle of techniques consisting of breathing
      control, lower thoracic expansion exercises and the forced expiration technique modifiable
      for every patient to reduce condition . The effect of ELTGOL on mucus clearance of right and
      left lungs, especially of peripheral lung areas, in stable patients with COPD . A couple of
      relaxed breaths and when you are ready go on to your huff. Repeat the huff two or three times
      until you have the urge to cough. Once you have cleared your chest have a few normal relaxed
      breaths and start the cycle over again with deep breaths and huffs.

      A Randomized clinical trial, subjects with age group between 4O-70 years. In Group -A
      subjects (n=15) were treated with Active Cycle of Breathing Technique where Group-B subjects
      (n=15) received ELTGOL training . This study is to compare the effectiveness of ACBT and
      ELTGOL on improving the Quality Of Life and increasing Functional Capacity in subjects with
      COPD . Assessment will be done before and after intervention and result will be analyzed
      using statistical package for social sciences SPSS 20.
    


Intervention name(s): ACTIVE CYCLE OF BREATHING TECHNIQUES; SLOW EXPIRATION WITH OPEN GLOTTIS IN LATERAL POSITION
Intervention type(s): Other; Other
Intervention description(s): The participants in group A will be given ACBT with conventional chest physiotherapy .
Instruction for patient
Try to keep your chest
Take a long, slow and deep breath in, through your nose if you can.
At the end of the breath in, hold the air in your lungs for 2-3 seconds before breathing
Breathe out gently and relaxed, like a sigh. Don't force the air out.
Repeat 3 - 5 times.
If the patient feels light-headed then it is important that they revert back to the breathing control phase of the cycle
Huffing; The participants in group B will be given slow expiration with open glottis in lateral posture and conventional chest physiotherapy .In this technique, a patient adopts a lateral posture or a lateral decubitus posture. The affected lung is in the dependent position. A patient commences breathing normally, at tidal volumes. They are then instructed to perform a series of slow expirations with an open glottis. Expiration from functional residual capacity to the end of the expiratory reserve volume are encouraged to achieve maximum inflation . To assist in maintaining an open glottis, a mouthpiece may be used, to decrease the degree of airway compression A series of three ELTGOL may be performed, with each series composed of approximately 10 slow and deep expirations. In between each series of maneuvers, a rest period (around 1-2 minutes) is provided, with the patient staying in the same position. A typical treatment lasts for around 20 minutes
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: COPD(chronic obstructive pulmonary disease),; ACBT(active cycle of breathing techniques); ELTGOL