Effects Of of Pursed Lip Breathing and Coordinated Breathing in Adult Patients With COPD

NCT ID: NCT06459843

Last Updated: 2025-01-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 54 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-01-15
• Study Completion Date: 2024-07-15

Brief Summary

COPD is the chronic lung condition characterized by the damage and enlargement of the air sacs in the lungs, leading to breathing difficulties. A blockage may develop, which traps air inside your lungs. The patient shows clinical manifestation of cough, wheezing, chest tightness, shortness of breath. This research of randomized clinical trial will check the combined effects of pursed lip breathing and coordinated breathing techniques to improve aerobic capacity and dyspnea in patients with COPD by taking sample of 54 patients through convenience sampling and randomly allocating them to two groups A and B out of which A will receive pursed lip breathing with aerobic exercise for 4 times per week for 4 week and duration will be 45-60 min, B will receive coordinated breathing with aerobic exercise for 4 times per week for 4 weeks. And duration will be 45-60 min.Pre and post training outcomes of aerobic capacity and dyspnea will be measured through Six minute walk test and dyspnea Borg scale, and Saint George respiratory questionnaire. The data will be analyzed through SPSS 21.

Conditions

Chronic Obstructive Pulmonary Disease

Study Design

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

Study Groups

pursed lip breathing techniques

Pursed lip breathing with aerobic exercise for 4 times per week for 4 week and duration will be 45-60 min. Relax your neck and shoulder muscles. For the use of PLB exercise, the intervention will be given every day till the patient discharged from hospital. Patient will perform 5 sets

Group Type: EXPERIMENTAL

pursed lip breathing techniques

Intervention Type: OTHER

Relax your neck and shoulder muscles. For the use of PLB exercise, the intervention will be given every day till the patient discharged from hospital. Patient will perform 5 sets. In each set, 10 times will be included. Then, instruct the patient to take deep breath through nose for two counts, and keep mouth closed. Inhale for 2 seconds. Now, ask the patient to purse the lips as if the patient was going to gently flicker the flame of candle. Now the patient will breathe out gently while counting for 4 seconds.

coordinated breathing technique

The intervention will be given un every day till the patient discharge from hospital. Coordinated breathing with aerobic exercise for 4 times per week for 4 weeks. And duration will be 45-60 min

Group Type: ACTIVE_COMPARATOR

coordinated breathing technique

Intervention Type: OTHER

Put one hand on your abdomen. Make your abdomen push out while you breathe in through your nose. Suck in your abdominal muscles. Breathe out using the pursed-lip technique. You should feel your abdomen go down. Repeat three times and rest for two minutes.

Interventions

pursed lip breathing techniques

Relax your neck and shoulder muscles. For the use of PLB exercise, the intervention will be given every day till the patient discharged from hospital. Patient will perform 5 sets. In each set, 10 times will be included. Then, instruct the patient to take deep breath through nose for two counts, and keep mouth closed. Inhale for 2 seconds. Now, ask the patient to purse the lips as if the patient was going to gently flicker the flame of candle. Now the patient will breathe out gently while counting for 4 seconds.

Intervention Type: OTHER

coordinated breathing technique

Put one hand on your abdomen. Make your abdomen push out while you breathe in through your nose. Suck in your abdominal muscles. Breathe out using the pursed-lip technique. You should feel your abdomen go down. Repeat three times and rest for two minutes.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age range 25 -45 years(5)
• Adult patient diagnosed with (chronic obstructive pulmonary disease) based on clinical and diagnostic criteria.
• Patient willing and able to participate in an pursed lip breathing and coordinated breathing exercise program
• Gender both male and female

Exclusion Criteria

• Those who cognitive impairment that might affect their ability to comprehend and follow instructions
• Any contraindication to the use of pursed lip breathing or coordinated breathing exercise as determined by the health care provider.
• Individual with severe musculoskeletal limitations or other physical condition that may hinder the ability to perform exercise
• Individual who have experienced the recent exacerbation of COPD symptoms within past three month

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Sidra Afzal, PP-DPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Jinnah Hospital

Lahore, Punjab Province, Pakistan

Countries

Pakistan

References

Thurlbeck WM, Muller NL. Emphysema: definition, imaging, and quantification. AJR Am J Roentgenol. 1994 Nov;163(5):1017-25. doi: 10.2214/ajr.163.5.7976869.

Reference Type: BACKGROUND

PMID: 7976869 (View on PubMed)

Rodrigues A, Munoz Castro G, Jacome C, Langer D, Parry SM, Burtin C. Current developments and future directions in respiratory physiotherapy. Eur Respir Rev. 2020 Dec 15;29(158):200264. doi: 10.1183/16000617.0264-2020. Print 2020 Dec 31.

Reference Type: BACKGROUND

PMID: 33328280 (View on PubMed)

Other Identifiers

REC/RCR & AHS/23/0366

Identifier Type: -

Identifier Source: org_study_id