Effects Of Breath And Stacking-Spirometry Incentive in Patients With Parkinson's Disease

Study Overview
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Brief Summary
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Objective: To evaluate the effects of technical-Breath Stacking (BS) and incentive spirometry (IS) on the volume of the chest immediately after and within thirty minutes after the techniques in patients with Parkinson's disease (PD). Methods: This is a study of cross-over. The study investigated 14 patients with mild to moderate PD. The subjects performed the technique Breath-Stacking, incentive spirometry volume and participated in a phase control according to randomization. The volunteers were evaluated by opto-electronic plethysmography in four stages: before, immediately after fifteen and thirty minutes after the completion of the techniques. The investigators used a repeated measures ANOVA with post-hoc Tukey test for parametric variables, and the Friedman test with post-hoc Dunns for nonparametric variables. The level of significance was set at 5%, p <0.05.

Official Title
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EFFECTS OF BREATH AND STACKING-SPIROMETRY INCENTIVE PACKAGES IN THE RIB CAGE IN PATIENTS WITH PARKINSON'S DISEASE

Conditions
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Parkinson's Disease.

Intervention / Treatment
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* Other: Breath-Stacking
* Other: Incentive spirometry
* Device: 5000 Voldyne ® Sherwood Medical, USA
* Device: Silicone face mask


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Regular pharmacological treatment with levodopa and / or medications antiparkinsonian. Exclusion Criteria: Patients who had previous lung disease; Altered mental status indicated by the MMSE (Mini Mental State Examination; A change in medication during the study; Demonstrated inability to perform satisfactorily any of the collection procedures of the study.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Incentive spirometry<br>Was utilized an incentive spirometer volume in this group. | Other: Incentive spirometry<br>* We used an incentive spirometer volume (5000 Voldyne ® Sherwood Medical, USA). Subjects performed slow, deep inhalations from functional residual capacity to total lung capacity, seeking to sustain the inspiration for at least three seconds (Restrepo et al., 2011).<br>Device: 5000 Voldyne ® Sherwood Medical, USA<br> <br> |
| No Intervention: Control Group<br> | |
| Experimental: Breath Stacking<br>We used a face mask silicone connected to a check valve allowing only inspiration and is connected to a spirometer showed that the volume inspired by the individual. | Other: Breath-Stacking<br>* We used a silicone face mask, connected to a unidirectional valve which allowed only inspiration and is connected to a spirometer showed that the volume inspired by the individual. The face mask was attached to the appraised performed successive breaths until the researcher realized the lack of volume of air being inhaled and this time it was allowed to expire (Baker et al., 1990; Feitosa et al., 2012).<br>Device: Silicone face mask<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The variation of the total volume and compartmental between technique Breath-Stacking in patients with Parkinson's disease |  | 25 days | 
| The variation of the total volume and compartmental in the technique incentive spirometry in patients with Parkinson's disease |  | 25 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The duration of the effects of technical-Breath Stacking and incentive spirometry in patients with Parkinson's disease |  | 25 days |