Effects of Energy Conservation Techniques With Pursed Lip Breathing on Quality of Life in Bronchiectasis

Официальное название

Combined Effects of Energy Conservation Techniques With Pursed Lip Breathing on Functional Independence and Quality of Life in Bronchiectasis

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое energy conservation techniques with pursed lip breathing
  Group A will receive energy conservation techniques with pursed lip breathing with 1 session a day for total 5 days in a week. 1 session will consist of 3 cycles of pursed lip breathing for duration of 10 minutes with a break of 20 minutes in between. ECTs will be trained for 2 weeks. A detailed manual will be developed to ensure the consistency of the training for all subjects. Examples of interventions are training to use ergonomic principles along with pursed lip breathing. The subjects were
• Другое pursed lip breathing
  pursed lip breathing

Первичные конечные точки

• St. George's Respiratory Questionnaire (SGRQ) [Срок оценки: 2 weeks]
• 6 Minutes walk test [Срок оценки: 2 weeks]

Критерии участия

Критерии включения

• Both genders, aged between 40 to 60 years Bronchiectasis

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Sadiq hospital Sargodha, DHQ Sargodha — Sargodha

Идентификаторы

NCT: NCT06995989 · REC/RCR & AHS/24/0358

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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