Clinical trial NCT06995989: Effects of Energy Conservation Techniques With Pursed Lip Breathing on Quality of Life in Bronchiectasis
Official title: Combined Effects of Energy Conservation Techniques With Pursed Lip Breathing on Functional Independence and Quality of Life in Bronchiectasis
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Bronchiectasis
Keywords: Bronchiectasis, breathing exercises , Dyspnea
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-05-30
Enrollment: 46
Sex: ALL
Minimum age (years): 40
Maximum age (years): 46
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Bronchiectasis is the abnormal dilatation of the bronchi. Due to airway dilatation patient is unable to clear the mucus and risk of infection is increased. For mucus clearance used many breathing techniques employed along with or without mechanical devices. Many researches have shown the inconsistent results of energy conservation techniques along with breathing exercises among variety of cardiopulmonary disorders. This study will be conducted to determine the combined effects of energy conservation techniques with pursed lip breathing on functional independence and quality of life in patients of bronchiectasis. It will be a randomized clinical trial. Two groups will be taken under the age of 40 to 60 years and data will be collected from pulmonary wards of selected hospitals. Sample size will be 46 keeping the attrition rate 10%.

St. George's Respiratory Questionnaire (SGRQ) will be used to evaluate the quality of life of patients and 6 mint walk test is used to determine functional independence of bronchiectasis patients. After data collection, data will be analyzed using SPSS version 26.

Detailed description: Bronchiectasis is the abnormal dilatation of the bronchi. Due to airway dilatation patient is unable to clear the mucus and risk of infection is increased. For mucus clearance and reduced labored breathing, conventional chest physiotherapy is used in which many breathing techniques can be employed along with or without mechanical devices and inspiratory muscle training, coughing support and positioning to improve the respiratory functions but there is no consensus on which breathing technique is better. Many researches have shown the inconsistent results of energy conservation techniques along with breathing exercises among variety of cardiopulmonary disorders such as in asthma, chronic obstructive pulmonary disease (COPD) patients but no results were seen among patients of bronchiectasis. This study will be conducted to determine the combined effects of energy conservation techniques with pursed lip breathing on functional independence and quality of life in patients of bronchiectasis. It will be a randomized clinical trial. Age of selected subjects will be between 40 to 60 years and data will be collected from pulmonary wards of selected hospitals. Sample size will be 46 keeping the attrition rate 10%. There will be 2 groups i.e. group A will receive energy conservation techniques along with pursed lip breathing technique and group B will receive only pursed lip breathing technique. St. George's Respiratory Questionnaire (SGRQ) will be used to evaluate the quality of life of patients and 6 mint walk test is used to determine functional independence of bronchiectasis patients. After data collection, data will be analyzed using SPSS version 26.

Eligibility criteria: Inclusion Criteria:

* Both genders, aged between 40 to 60 years Bronchiectasis

Exclusion Criteria:

* Prior history of open-heart surgery

  * Prior severe pulmonary/hepatic or renal disease
  * Life-threatening arrhythmias (ventricular fibrillation, ventricular tachycardia, atrial fibrillation)
  * Pulmonary complications (atelectasis, acute respiratory distress syndrome (ARDS), diaphragmatic injury)
  * Congestive heart failure
  * Deep venous thrombosis (DVT)
  * Any known psychological disease

Primary outcomes:
measure: St. George's Respiratory Questionnaire (SGRQ)
timeFrame: 2 weeks
measure: 6 Minutes walk test
timeFrame: 2 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Sargodha
country: Pakistan
facility: Sadiq hospital Sargodha, DHQ Sargodha
state: Punjab
Study officials:
affiliation: Riphah International University
name: Arjumand Bano, MS-CPPT
role: PRINCIPAL_INVESTIGATOR
References: