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Postural Drainage and PEP Technique in Community Acquired Pneumonia

NCT ID: NCT05356494

Last Updated: 2022-12-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-15

Study Completion Date

2022-08-20

Brief Summary

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Community-acquired pneumonia is acquired outside the hospital. Postural drainage is the positioning of a patient with an involved lung segment such that gravity has a maximal effect of facilitating the drainage of Broncho-pulmonary secretions from the tracheobronchial tree. It is based on the concept of gravity-assisted mobilization of secretions and transports it for removal. The objective of the study to find the effect of postural drainage and positive expiratory pressure techniques (PEP) to improve the air way clearance and breathing in pneumonia patients. This study will be a RCT and will be conducted in Services Hospital. The study will be completed within the duration of six month. Consecutive sampling study technique will be used to collect the data. The sample size of 46 patients will be taken. Patients will be divided into two groups. (Group A will be treated with postural drainage and Group B will be treated with positive expiratory pressure technique). Outcome measure will be taken on Pulse oximeter, incentive spirometer and chest X- Ray. A regular follow up visits to department and a final assessment was made at the end of four week. Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro- Wilk test, it will be decided either parametric or non-parametric test will be use within a group or between two groups.

Detailed Description

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Conditions

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Community-acquired Pneumonia

Keywords

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Pneumonia, Postural Drainage Positive Expiratory Pressure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study concluded that both techniques are effective in improving oxygen saturation and reported statistically significant differences, but no other parameter was statistically improved.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
The results of the study are in accordance with current study but for improvement in oxygen saturation. However, other variables of ABGs did not show significant improvement after both techniques in community acquired pneumonia patients. In contrast to previous study, the techniques are only effective for improving saturation in patients with community acquired pneumonia.

single blinded study only participant blind.

Study Groups

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postural drainage

(Group A will be treated with postural drainage)

Group Type EXPERIMENTAL

Postural drainage

Intervention Type OTHER

(Group A will be treated with postural drainage)

positive expiratory pressure technique

(Group B will be treated with positive expiratory pressure technique).

Group Type EXPERIMENTAL

Positive expiratory pressure

Intervention Type OTHER

(Group B will be treated with positive expiratory pressure technique).

Interventions

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Postural drainage

(Group A will be treated with postural drainage)

Intervention Type OTHER

Positive expiratory pressure

(Group B will be treated with positive expiratory pressure technique).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with community acquired pneumonia.
* Clinically stable patients.
* Both genders
* Age 30 to 70 years

Exclusion Criteria

* Presence of any genetic disorders (cystic fibrosis).
* Recent spinal / chest surgery
* Cardiac issues
* Fractures of vertebra caused by osteoporosis.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sidra Faisal, MS.CPPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Services Hospital, Lahore.

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Li L, Qin L, Xu Z, Yin Y, Wang X, Kong B, Bai J, Lu Y, Fang Z, Song Q, Cao K, Liu D, Wang G, Xu Q, Fang X, Zhang S, Xia J, Xia J. Using Artificial Intelligence to Detect COVID-19 and Community-acquired Pneumonia Based on Pulmonary CT: Evaluation of the Diagnostic Accuracy. Radiology. 2020 Aug;296(2):E65-E71. doi: 10.1148/radiol.2020200905. Epub 2020 Mar 19.

Reference Type BACKGROUND
PMID: 32191588 (View on PubMed)

Ouyang X, Huo J, Xia L, Shan F, Liu J, Mo Z, Yan F, Ding Z, Yang Q, Song B, Shi F, Yuan H, Wei Y, Cao X, Gao Y, Wu D, Wang Q, Shen D. Dual-Sampling Attention Network for Diagnosis of COVID-19 From Community Acquired Pneumonia. IEEE Trans Med Imaging. 2020 Aug;39(8):2595-2605. doi: 10.1109/TMI.2020.2995508.

Reference Type BACKGROUND
PMID: 32730212 (View on PubMed)

Metlay JP, Waterer GW. Treatment of Community-Acquired Pneumonia During the Coronavirus Disease 2019 (COVID-19) Pandemic. Ann Intern Med. 2020 Aug 18;173(4):304-305. doi: 10.7326/M20-2189. Epub 2020 May 7.

Reference Type BACKGROUND
PMID: 32379883 (View on PubMed)

Wang Z, Xiao Y, Li Y, Zhang J, Lu F, Hou M, Liu X. Automatically discriminating and localizing COVID-19 from community-acquired pneumonia on chest X-rays. Pattern Recognit. 2021 Feb;110:107613. doi: 10.1016/j.patcog.2020.107613. Epub 2020 Aug 26.

Reference Type BACKGROUND
PMID: 32868956 (View on PubMed)

Pernica JM, Harman S, Kam AJ, Carciumaru R, Vanniyasingam T, Crawford T, Dalgleish D, Khan S, Slinger RS, Fulford M, Main C, Smieja M, Thabane L, Loeb M. Short-Course Antimicrobial Therapy for Pediatric Community-Acquired Pneumonia: The SAFER Randomized Clinical Trial. JAMA Pediatr. 2021 May 1;175(5):475-482. doi: 10.1001/jamapediatrics.2020.6735.

Reference Type BACKGROUND
PMID: 33683325 (View on PubMed)

Waseem MH, Lasi FF, Valecha J, Samejo B, Sangrasi SA, Ali SM. Effectiveness of Chest Physiotherapy in Cerebrovascular Accident Patients With Aspiration Pneumonia. Journal of Modern Rehabilitation. 2021;15(1):47-52.

Reference Type BACKGROUND

Ryrso CK, Faurholt-Jepsen D, Ritz C, Pedersen BK, Hegelund MH, Dungu AM, Sejdic A, Lindegaard B, Krogh-Madsen R. The impact of physical training on length of hospital stay and physical function in patients hospitalized with community-acquired pneumonia: protocol for a randomized controlled trial. Trials. 2021 Aug 28;22(1):571. doi: 10.1186/s13063-021-05503-2.

Reference Type BACKGROUND
PMID: 34454594 (View on PubMed)

Nair GB, Niederman MS. Updates on community acquired pneumonia management in the ICU. Pharmacol Ther. 2021 Jan;217:107663. doi: 10.1016/j.pharmthera.2020.107663. Epub 2020 Aug 15.

Reference Type BACKGROUND
PMID: 32805298 (View on PubMed)

Leemans G, Belmans D, Van Holsbeke C, Becker B, Vissers D, Ides K, Verhulst S, Van Hoorenbeeck K. The effectiveness of a mobile high-frequency chest wall oscillation (HFCWO) device for airway clearance. Pediatr Pulmonol. 2020 Aug;55(8):1984-1992. doi: 10.1002/ppul.24784. Epub 2020 Apr 22.

Reference Type BACKGROUND
PMID: 32320537 (View on PubMed)

Other Identifiers

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REC/Lhr/22/0318 M Ahmad

Identifier Type: -

Identifier Source: org_study_id