Postural Drainage and PEP Technique in Community Acquired Pneumonia

Study Overview
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Brief Summary
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Community-acquired pneumonia is acquired outside the hospital. Postural drainage is the positioning of a patient with an involved lung segment such that gravity has a maximal effect of facilitating the drainage of Broncho-pulmonary secretions from the tracheobronchial tree. It is based on the concept of gravity-assisted mobilization of secretions and transports it for removal. The objective of the study to find the effect of postural drainage and positive expiratory pressure techniques (PEP) to improve the air way clearance and breathing in pneumonia patients. This study will be a RCT and will be conducted in Services Hospital. The study will be completed within the duration of six month. Consecutive sampling study technique will be used to collect the data. The sample size of 46 patients will be taken. Patients will be divided into two groups. (Group A will be treated with postural drainage and Group B will be treated with positive expiratory pressure technique). Outcome measure will be taken on Pulse oximeter, incentive spirometer and chest X- Ray. A regular follow up visits to department and a final assessment was made at the end of four week. Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro- Wilk test, it will be decided either parametric or non-parametric test will be use within a group or between two groups.

Official Title
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Comparisons Effects of Postural Drainage and Positive Expiratory Pressure Technique in Community Acquired Pneumonia.

Conditions
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Community-acquired Pneumonia

Intervention / Treatment
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* Other: Postural drainage
* Other: Positive expiratory pressure


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed with community acquired pneumonia. Clinically stable patients. Both genders Age 30 to 70 years Exclusion Criteria: Presence of any genetic disorders (cystic fibrosis). Recent spinal / chest surgery Cardiac issues Fractures of vertebra caused by osteoporosis.
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: Parallel Assignment
Interventional Model Description: The study concluded that both techniques are effective in improving oxygen saturation and reported statistically significant differences, but no other parameter was statistically improved.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: postural drainage<br>(Group A will be treated with postural drainage) | Other: Postural drainage<br>* (Group A will be treated with postural drainage)<br>|
| Experimental: positive expiratory pressure technique<br>(Group B will be treated with positive expiratory pressure technique). | Other: Positive expiratory pressure<br>* (Group B will be treated with positive expiratory pressure technique).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| INCENTIVE SPIROMETER | An incentive spirometer is a handheld device that helps your lungs recover after a surgery or lung illness. When you breathe from an incentive spirometer, a piston rises inside the device and measures the volume of your breath. A healthcare provider can set a target breath volume for you to hit. | 1 Last week | 
| OXYGEN SATURATION | Oxygen saturation, or O2 sates, indicates that amount of oxygen traveling through your body with your red blood cells. Normal oxygen saturation is usually between 95% and 100% for most health. | 1 Last week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pneumonia,, Postural Drainage, Positive Expiratory Pressure