Effectiveness of Acapella and ELTGOL Technique to Promote Airway Clearance in COPD:a Comparative Study

Study Overview
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Brief Summary
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To compare the efficacy of acapella and expiration against open glottis (ELTGOL) technique in promoting airway clearance of chronic obstructive pulmonary disease (COPD) patients

Detailed Description
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This study is carried out to determine the effectiveness of acapella and expiration in lateral position with open glottis to clear the secretion in COPD patients. The sessions will be carried twice daily for twenty minutes. The outcome measures are values of pre and post intervention fev1/fvc and breathlessness cough sputum scale. Duration of the study will be for five days.

Official Title
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Effectiveness of Acapella and ELTGOL (Expiration in Lateral Position With Open Glottis)Technique to Promote Airway Clearance in COPD Patients:a Comparative Study

Conditions
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Chronic Obstructive Pulmonary Disease

Intervention / Treatment
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* Device: Acapella
* Other: ELTGOL
* Other: conventional physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mild copd Moderate copd Patient able to sustain expiratory flow greater than 15l/min Patient expectorate more than 25.-30ml Exclusion Criteria: Severe copd Peripheral oxygen saturation lower than 85% Rr>35breaths/min Current acute chest pain Recent history of haemoptysis

Ages Eligible for Study
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Minimum Age: 30 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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Acapella<br>Acapella is given to the patients twice daily for 20 min. | Device: Acapella<br>* Treatment time for 20 min twice daily<br>* Other names: ACAPELLA DHD;|
| Experimental: ELTGOL<br>Expiration with open glottis in lateral position is done twice daily for 20 min | Other: ELTGOL<br>* ELTGOL technique 20 min twice daily<br>* Other names: Expiration in lateral position with open glottis for twenty min twice daily.;|
| Active Comparator: conventional physiotherapy<br>Conventional physiotherapy like breathing exercise, active coughing, chest mobilisation was encouraged twice daily for 20 min. | Other: conventional physiotherapy<br>* Conventional physiotherapy was given twice daily for 20 min<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Force expiratory volume in one second | Fev1/fvc values were noted after pre and post intervention of airway clearance manoeuver | change from baseline at 30 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in breathlessness cough sputum score | Bcss scale was interviewed to the patient on first day and the fifth day. The changes were noted. | change from baseline at 5 days |