Clinical trial NCT01932684: Effects Of Breath And Stacking-Spirometry Incentive in Patients With Parkinson's Disease
Official title: EFFECTS OF BREATH AND STACKING-SPIROMETRY INCENTIVE PACKAGES IN THE RIB CAGE IN PATIENTS WITH PARKINSON'S DISEASE
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Parkinson's Disease.
Lead sponsor: Universidade Federal de Pernambuco
Sponsor class: OTHER
First posted: 2013-08-30
Enrollment: 15
Sex: ALL
Minimum age (years): 40
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

Brief summary: 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.


Eligibility criteria: 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.

Primary outcomes:
measure: The variation of the total volume and compartmental between technique Breath-Stacking in patients with Parkinson's disease
timeFrame: 25 days
measure: The variation of the total volume and compartmental in the technique incentive spirometry in patients with Parkinson's disease
timeFrame: 25 days
Secondary outcomes:
measure: The duration of the effects of technical-Breath Stacking and incentive spirometry in patients with Parkinson's disease
timeFrame: 25 days
Other outcomes:
Locations:
city: Recife
country: Brazil
facility: Universidade Federal de Pernambuco
state: Pernambuco
city: Recife
country: Brazil
facility: Departamento de Fisioterapia-Universidade Federal de pernambuco
state: Pernambuco
Study officials:
affiliation: Universidade Federal do Rio Grande do Norte
name: RHAYSSA RH RIBEIRO, Msc
role: PRINCIPAL_INVESTIGATOR
References:
citation: Baker WL, Lamb VJ, Marini JJ. Breath-stacking increases the depth and duration of chest expansion by incentive spirometry. Am Rev Respir Dis. 1990 Feb;141(2):343-6. doi: 10.1164/ajrccm/141.2.343.
citation: Cala SJ, Kenyon CM, Ferrigno G, Carnevali P, Aliverti A, Pedotti A, Macklem PT, Rochester DF. Chest wall and lung volume estimation by optical reflectance motion analysis. J Appl Physiol (1985). 1996 Dec;81(6):2680-9. doi: 10.1152/jappl.1996.81.6.2680.
citation: De Pandis MF, Starace A, Stefanelli F, Marruzzo P, Meoli I, De Simone G, Prati R, Stocchi F. Modification of respiratory function parameters in patients with severe Parkinson's disease. Neurol Sci. 2002 Sep;23 Suppl 2:S69-70. doi: 10.1007/s100720200074.