Clinical trial NCT05587829: Effects of Diaphragm and Abdominal Muscle Training on PFT and Dyspnea Among COPD Obstructive Pulmonary Disease Patients.
Official title: Effects of Diaphragm and Abdominal Muscle Training on Pulmonary Function Testing and Dyspnea Among Chronic Obstructive Pulmonary Disease Patients.
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Chronic Obstructive Pulmonary Disease
Keywords: dyspnea
pulmonary function testing
diaphragmatic training
abdominal training
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-10-20
Enrollment: 50
Sex: ALL
Minimum age (years): 35
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: It will be a randomized control trial at Services Hospital Lahore through convenience sampling technique which will be allocated through simple random sampling through sealed opaque enveloped in to Group A and Group B . Group A: patients will be treated with basic breathing technique whereas Group B: will be treated by will be breathing technique along with diaphragm and abdominal training. The study will be completed within 6 months after synopsis approval from ethical Committee of RCRS \& AHS . Data will be entered and analyzed by SPSS version 25. After assessing the normality of data , it will be decided either parametric or non-parametric test will be use within a group or between two groups.

Detailed description: Chronic Obstructive Pulmonary Disease (COPD) is a set of diseases that cause airflow obstruction, breathing difficulties, wheezing and chest tightness. Risk factors are smoking and non-tobacco-smoking, the use of biomass fuel and open fires for domestic purposes in poorly ventilated households. Physiotherapy is an important component of multidisciplinary therapies. Airway clearing, pulmonary rehabilitation, inspiratory muscle training, and non-invasive ventilation is the prior treatment .The aim of this study will be to find the effects of diaphragm and abdominal muscle training on pulmonary function testing and dyspnea among COPD patients .

It will be a randomized control trial at Services Hospital Lahore through convenience sampling technique which will be allocated through simple random sampling through sealed opaque enveloped in to Group A and Group B . Group A: patients will be treated with basic breathing technique whereas Group B: will be treated by will be breathing technique along with diaphragm and abdominal training. The study will be completed within 6 months after synopsis approval from ethical Committee of RCRS \& AHS . Data will be entered and analyzed by SPSS version 25. After assessing the normality of data , it will be decided either parametric or non-parametric test will be use within a group or between two groups.

Eligibility criteria: Inclusion Criteria:

* Age group of 35-60 years
* Moderate COPD patients.
* Cognitive
* no previous surgery
* clinically stable COPD patients with reduced inspiratory muscle strength \[Pi and persistent activity-related dyspnea

Exclusion Criteria:

* Acute attack
* Severe copd
* Inability to perform physiological testing
* active cardiovascular comorbidity (i.e., severe heart failure with reduced left ventricular ejection fraction, cardiomyopathy, recent acute myocardial infarction, cardiac arrhythmias, or stroke),
* Unstable
* Red Flags Like: Fever, Night Sweats, Malaise

Primary outcomes:
measure: • Spirometer for pulmonary function testing FVC
timeFrame: 4 months
measure: • Spirometer for pulmonary function testing FVC1
timeFrame: 4 months
Secondary outcomes:
measure: • Dyspnea MDP
timeFrame: 4 months
Other outcomes:
Locations:
Study officials:
affiliation: Riphah International University
name: Wajeeha Zia, PP-DPT
role: PRINCIPAL_INVESTIGATOR
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