Effects of Post-isometric Relaxation Technique on Chest Expansion and Pulmonary Function Tests in Smokers

NCT ID: NCT06444971

Last Updated: 2024-06-06

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-03-07
• Study Completion Date: 2024-06-27

Brief Summary

The primary objective of the study was to investigate the immediate effects of PIR technique on chest expansion and pulmonary functions in cigarette smokers.This quasi-experimental pre-test post-test study will be conducted. Participants of interest would be approached and explained about the research. Informed written consent will be taken. Recruited participants will receive PIR technique on assessory respiratory muscles and chest expansion and pulmonary function tests will be obtained before and after the treatment. Data collection tools for this study are spirometer and measuring tape.

Detailed Description

Tobacco use, particularly cigarette smoking, is a major cause of disease and death globally. In Pakistan, the prevalence of tobacco use has increased significantly, with men being more likely to smoke than women. Chronic smoking is strongly associated with cardiovascular and respiratory diseases, as well as various forms of cancer. Smoking negatively affects lung function, leading to reduced pulmonary capacity and chronic obstructive pulmonary disease. Additionally, long-term smoking may lead to the loss of respiratory capacity and systemic muscle mass, affecting the performance and work of breathing.

The primary objective of the study was to investigate the effects of PIR technique on chest expansion and pulmonary functions in cigarette smokers.

This quasi-experimental pre-test post-test study will be conducted over one year at FFH, FUSH and among the general public. A sample will be calculated through pilot study. Participants between the ages of 18-60 will be recruited using convenience sampling. Inclusion criteria included individuals with min of 2 pack-years of tobacco smoking, while exclusion criteria included patients with certain cardiopulmonary medical conditions and those who underwent surgery or physiotherapy within past few months. Data collection tools for this study are spirometer and measuring tape.

There is little to no literature on the effects of PIR technique on chest expansion and pulmonary functions in cigarette smokers. The immediate effects of PIR technique demonstrated in this study will provide physical therapists with valuable insight into its use as a treatment option for smokers to improve their pulmonary function. Moreover, this study adds to the existing literature on manual therapy and its effects on smokers. The findings of this study will provide a basis for future research in the field of musculoskeletal rehabilitation and will encourage future researchers to explore this area further.

Conditions

Tobacco Smoking

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

PIR Group

Post isometric relaxation technique will be applied to sternocleidomastoid and scalene muscles in all the participants with following parameters

• Participant will perform isometric contractions using 20 -30% of their strength
• HOLD TIME: 5-7 sec followed by 20 to 30 sec stretch
• REST TIME: 5 sec
• REPETITIONS: 3-5 repetitions

Group Type: EXPERIMENTAL

Post isometric Relaxation

Intervention Type: PROCEDURE

Post isometric relaxation technique: It is defined as a manual procedure which involves the precisely controlled and specifically directed active contraction of a muscle at varying levels of intensity against a counterforce applied by the therapist.

PIR will be applied to following muscles

1. scalene (anterior, middle and posterior)

2. sternocleidomastoid

Interventions

Post isometric Relaxation

Post isometric relaxation technique: It is defined as a manual procedure which involves the precisely controlled and specifically directed active contraction of a muscle at varying levels of intensity against a counterforce applied by the therapist.

PIR will be applied to following muscles

1. scalene (anterior, middle and posterior)

2. sternocleidomastoid

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Individuals between the ages of 18-60
• Only tobacco cigarette smokers
• Cigarette smokers (with min 2 pack years )
• Both males and females

Exclusion Criteria

• Patients undergoing any surgery
• Symptomatic patients of cystic fibrosis, asthma, exercise induced asthma, unstable angina, bronchitis , bronchiectasis, chest deformities, congenital cardiopulmonary disorders , disc herniation, current rib or vertebral fracture
• Patients with a positive history of trauma, fracture or surgery of the cervical and thoracic spine in the last 12 months

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Foundation University Islamabad

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Huma Masood, MS-MSKPT*

Role: CONTACT

humakhalid603@gmail.com

03485289948

Facility Contacts

Zara Khalid, DPT, MS-CPPT,PHD*

Role: primary

zara.khalid@fui.edu.pk

03335415822

Other Identifiers

FUI/CTR/2024/8

Identifier Type: -

Identifier Source: org_study_id