Comparison of Anterior Chest Compression Assist and Abdominal Thrust Assist Technique COPD

NCT ID: NCT05936801

Last Updated: 2024-06-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 34 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-07-15
• Study Completion Date: 2023-12-20

Brief Summary

A total 34 patients will be taken. 2 groups will be created to apply intervention. After signing consent form, 17 patients in group A will be given abdominal thrust assist technique and 17 patients in group B will be given anterior chest compression technique.

Detailed Description

Patient is instructed to take in a deep breath and hold it. Then, just as the patient is instructed to cough, the therapist applies a quick push up and in under the diaphragm with the heel of the hand. In Anterior chest compression: the therapist places one arm across the patient's pectorals and the other parallel to it. After the patient takes a maximal breath, the therapist pushes down to help the patient cough. The greatest force is applied through the lower chest during expulsion. A total 34 patients will be taken. 2 groups will be created to apply intervention. After signing consent form, 17 patients in group A will be given abdominal thrust assist technique and 17 patients in group B will be given anterior chest compression technique. Baseline treatment given to both groups will include percussion and tapping. The data collected will then be analyzed using IBM SPSS version 25.

Conditions

COPD

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Anterior Chest Compression technique

Baseline treatment given is percussion and vibration in side lying position. The therapist puts one arm across the patient's pectoral region to stabilize or compress the upper chest while the other arm is placed either parallel on the lower chest or abdomen below the xiphoid process. Inspiration is facilitated by the pressure on anterior chest, followed by a "hold."

Just as the patient is instructed to cough, the therapist applies a quick force with both arms:

down and back on the upper chest and up and back on the lower chest or abdomen. 3 sessions in a wk would be given on alternate days

Group Type: EXPERIMENTAL

Anterior Chest Compression technique

Intervention Type: OTHER

Baseline treatment given is percussion and vibration in side lying position. The therapist puts one arm across the patient's pectoral region to stabilize or compress the upper chest while the other arm is placed either parallel on the lower chest or abdomen below the xiphoid process. Inspiration is facilitated by the pressure on anterior chest, followed by a "hold."

Just as the patient is instructed to cough, the therapist applies a quick force with both arms:

down and back on the upper chest and up and back on the lower chest or abdomen. 3 sessions in a wk would be given on alternate days Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

Abdominal Thrust Technique

Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

Group Type: EXPERIMENTAL

Abdominal Thrust Technique

Intervention Type: OTHER

Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

Interventions

Anterior Chest Compression technique

Baseline treatment given is percussion and vibration in side lying position. The therapist puts one arm across the patient's pectoral region to stabilize or compress the upper chest while the other arm is placed either parallel on the lower chest or abdomen below the xiphoid process. Inspiration is facilitated by the pressure on anterior chest, followed by a "hold."

Just as the patient is instructed to cough, the therapist applies a quick force with both arms:

down and back on the upper chest and up and back on the lower chest or abdomen. 3 sessions in a wk would be given on alternate days Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

Intervention Type: OTHER

Abdominal Thrust Technique

Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

Intervention Type: OTHER

Other Intervention Names

Abdominal Thrust Technique

Eligibility Criteria

Inclusion Criteria

• uncontrolled Tachycardia
• Unconscious patients
• In neuro-compromised patients with Cognitive dysfunction
• Recent esophageal surgery
• Acute abdominal distension -Recent Broncho-pleural fistula - Pulmonary embolism, pneumothorax hemothorax
• Unstable head and neck fracture

Exclusion Criteria

• Breathlessness, Cough and sputum scale (BCSS)
• Modified Borg Dyspnea scale
• Peak Flow Meter
• Pulse Oximeter

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Sidra Faisal, MS.CPPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Sheikh Zayed Hospital, Rahim Yar Khan.

Rahim Yar Khan, Punjab Province, Pakistan

Countries

Pakistan

References

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Reference Type: BACKGROUND

PMID: 18046898 (View on PubMed)

Lopez-Campos JL, Calero C, Quintana-Gallego E. Symptom variability in COPD: a narrative review. Int J Chron Obstruct Pulmon Dis. 2013;8:231-8. doi: 10.2147/COPD.S42866. Epub 2013 May 7.

Reference Type: BACKGROUND

PMID: 23687444 (View on PubMed)

Ramos FL, Krahnke JS, Kim V. Clinical issues of mucus accumulation in COPD. Int J Chron Obstruct Pulmon Dis. 2014 Jan 24;9:139-50. doi: 10.2147/COPD.S38938. eCollection 2014.

Reference Type: BACKGROUND

PMID: 24493923 (View on PubMed)

Liao LY, Chen KM, Chung WS, Chien JY. Efficacy of a respiratory rehabilitation exercise training package in hospitalized elderly patients with acute exacerbation of COPD: a randomized control trial. Int J Chron Obstruct Pulmon Dis. 2015 Aug 27;10:1703-9. doi: 10.2147/COPD.S90673. eCollection 2015.

Reference Type: BACKGROUND

PMID: 26345529 (View on PubMed)

Andersen TM, Hov B, Halvorsen T, Roksund OD, Vollsaeter M. Upper Airway Assessment and Responses During Mechanically Assisted Cough. Respir Care. 2021 Jul;66(7):1196-1213. doi: 10.4187/respcare.08960. Epub 2021 Feb 12.

Reference Type: BACKGROUND

PMID: 33579747 (View on PubMed)

Hughes R, Rapsomaniki E, Janson C, Keen C, Make BJ, Burgel PR, Tomaszewski EL, Mullerova H, Reddel HK; NOVELTY study investigators. Frequent productive cough: Symptom burden and future exacerbation risk among patients with asthma and/or COPD in the NOVELTY study. Respir Med. 2022 Aug-Sep;200:106921. doi: 10.1016/j.rmed.2022.106921. Epub 2022 Jun 20.

Reference Type: BACKGROUND

PMID: 35820227 (View on PubMed)

Other Identifiers

REC/RCR & AHS/23/0323

Identifier Type: -

Identifier Source: org_study_id