Clinical trial NCT04170361: The Effect of Incentive Spirometry Added to Routine Physiotherapy Program on Hemodynamic Responses and Hospital Stay in Patients With COPD Exacerbation
Official title: The Effect of Incentive Spirometry Added to Routine Physiotherapy Program on Hemodynamic Responses and Hospital Stay in Patients With COPD Exacerbation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: COPD Exacerbation
Keywords: COPD
incentive spirometry
length of stay
hemodynamic responses
Lead sponsor: Bezmialem Vakif University
Sponsor class: OTHER
First posted: 2019-11-20
Enrollment: 108
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: COPD; it is a common, preventable and treatable disease that is associated with increased chronic inflammatory responses in the airways and lungs against harmful gases and particles, and that it manages progressive airflow. The definition of exacerbation is defined as an acute onset with a change in where daily differences in the main symptoms occur and which may occur with the presence of drugs. The number of exacerbations in the course of the disease is between 1-3 years on average. Routine physiotherapy treatment in COPD exacerbation is expected to increase lung volume and effective removal of airway secretions. The concept of physiotherapy programs is vibration, thoracic expression exercise, positive expiratory pressure therapy and gait programs.

An incentive spirometer is a simple, inexpensive device to adjust lung tissue re-expansion by increasing lung volumes and diaphragmatic mobility, providing maximal inspiration with termination control without a resistive loading. In COPD patients, the use of incentive spirometry is to increase alveolar ventilation and oxygenation in lifestyle.

There are a limited number of studies in the literature regarding the results of the use of incentive spirometry in COPD patients. The results of postoperative results of incentive spirometry in COPD patients were tried and established on pulmonary complications, diseases, postoperative dyspnea perception and lifestyle. The importance of the investigator's research; this is the first study to evaluate hemodynamic responses and hospitalization plans of incentive spirometer and routine physiotherapy program in COPD exacerbations.


Eligibility criteria: Inclusion Criteria:

* Being diagnosed with COPD exacerbation
* Hemodynamically stable
* To be conscious and voluntarily agree to participate in the study

Exclusion Criteria:

* Existence of neurological, cardiovascular and musculoskeletal problems to prevent exercise
* Having chronic respiratory disease other than COPD

Primary outcomes:
measure: Oxygen saturation
timeFrame: 30 minutes
measure: Heart rate
timeFrame: 30 minutes
measure: Systolic and diastolic blood pressure
timeFrame: 30 minutes
measure: Respiratory rate
timeFrame: 30 minutes
measure: Forced Vital Capacity (FVC)
timeFrame: 30 minutes
measure: Forced Expiratory Volume in 1 second (FEV1)
timeFrame: 30 minutes
measure: Peak Expiratory Flow (PEF)
timeFrame: 30 minutes
measure: Forced Expiratory Volume 25-75%
timeFrame: 30 minutes
Secondary outcomes:
Other outcomes:
Locations:
city: İstanbul
country: Turkey
facility: Meltem Kaya
city: Istanbul
country: Turkey
facility: Bezmialem Vakif University, Department of Physiotheraphy and Rehabilitation
Study officials:
affiliation: Bezmialem Vakif University
name: Meltem Kaya, PT, PhD(c)
role: PRINCIPAL_INVESTIGATOR
References: