Clinical trial NCT06480422: Combined Effects Of Autogenic Drainage and Segmental Breathing Techniques in Chronic Obstructive Pulmonary Disease
Official title: Combined Effects Of Autogenic Drainage and Segmental Breathing Techniques in Chronic Obstructive Pulmonary Disease
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Chronic Obstructive Pulmonary Disease
Keywords: Autogenic Drainage,
Segmental breathing technique
Chronic Obstructive Pulmonary Disease.
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-06-28
Enrollment: 40
Sex: ALL
Minimum age (years): 40
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Chronic obstructive pulmonary disease is one of the most common life threatening disease affecting population. It is a preventable and treatable lung disease. People with COPD must work harder to breathe, which can lead to shortness of breath and/or feeling tired. Autogenic drainage (AD) works by adapting your breathing and maximizing airflow within the airways to improve ventilation and clear sputum. Segmental breathing, also referred to as localized expansion breathing, is the exercise used to improve ventilation and oxygenation. This research of randomized controlled trial will check the combined effects of segmental breathing technique and autogenic drainage technique in chronic obstructive pulmonary disease by taking sample of 40 patients through non probability convenient sampling and randomly allocating them into two groups A and B out of which A will receive both autogenic drainage and segmental breathing technique, B will receive autogenic drainage only for upto the duration of 3 days per week(20-45 min) for upto 4 weeks.Pre and post training outcomes will be measured through pulse oximeter,spirometer and BCSS.The data will be analyzed through SPSS 25.


Eligibility criteria: Inclusion Criteria:

* Age between 40 - 60 years.
* Diagnosed moderate COPD patients according to GOLD criteria.
* FEV / FVC ratio \< 70 years
* Stable patients can understand written and oral english,urdu trial information.

Exclusion Criteria:

* Pregnancy, due to the Pressure on pelvic and Abdomen muscles.
* Malignant disease
* Severe (RA)
* Diagnosis of Asthma and major diseases, functionally limiting diseases, life expectancy \< 3 months.
* Neurological disorders

Primary outcomes:
measure: SPIROMETER
timeFrame: baseline and fourth week
measure: PULSE OXIMETER
timeFrame: baseline and fourth week
measure: BREATHLESSNESS COUGH SPUTUM SCALE(BCSS)
timeFrame: baseline and fourth week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Ever Care Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Sidra Afzal, PP-DPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Ali RA, Obeisat SM, Tarawneh LH. Improving nursing knowledge and care for neonates with respiratory distress in Jordan. Int Nurs Rev. 2019 Sep;66(3):338-345. doi: 10.1111/inr.12510. Epub 2019 Apr 1.
citation: Fink JB. Forced expiratory technique, directed cough, and autogenic drainage. Respir Care. 2007 Sep;52(9):1210-21; discussion 1221-3.
citation: Zak M, Gauchez H, Boberski M, Stangret A, Kempinska-Podhorodecka A. Effectiveness of Autogenic Drainage in Improving Pulmonary Function in Patients with Cystic Fibrosis. Int J Environ Res Public Health. 2023 Feb 21;20(5):3822. doi: 10.3390/ijerph20053822.