Deep Breathing Exercises and Incentive Spirometry After Rib Fracture
NCT ID: NCT06853002
Last Updated: 2025-02-28
Study Results
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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RECRUITING
NA
104 participants
INTERVENTIONAL
2025-02-15
2025-10-01
Brief Summary
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Detailed Description
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spirometry exercise and deep breathing exercises are breathing exercises that help expand the lungs. They are often used to prevent postoperative lung atelectasis and reduce pulmonary complications after cardiac, lung, or abdominal surgery. They can increase maximum inspiratory capacity and lung compliance, improve oxygenation, and maintain lower airway patency to prevent and treat atelectasis.
Patients admitted to the intensive care unit due to rib fractures will be randomized into two groups according to the closed envelope drawing method. (Group S: spirometry group, Group D: deep breathing exercise group). Patients over the age of 18 who developed rib fractures due to thoracic trauma will be included in the study. Demographic characteristics, trauma score, systemic diseases, presence of lung contusion, number of rib fractures, additional trauma status laboratory values of the patients will be recorded.
The pain level of the patients will be monitored with Numeric rating scale (NRS) and the target will be NRS:0-2. The analgesia regimen will be recorded for this purpose.
Group S: Spirometry exercises will be performed in a sitting position by holding the device, exhaling normally and then closing the lips tightly around the mouthpiece. Then, the patient will perform maximum inspiration by taking long, deep and slow breaths. When the patient takes a deep breath, the balls in the chamber rise, after maximum inhalation, the patient will be asked to hold their breath for 3-5 seconds, then remove the mouthpiece and exhale slowly. spirometry exercises will be prescribed daily for follow-up in the intensive care unit, five times a day, ten repetitions each, with 1-2 hours of rest between exercises.
Group D: The patient will be asked to sit in a comfortable position with their hands on their lap, press the tip of their tongue to the tissue behind their upper front teeth and hold it there throughout the breathing cycle. After three normal breaths, they will take a deep breath through the nose for 4 counts, hold their breath for 7 counts, and then exhale slowly through the mouth for 8 counts and repeat the breathing cycle. This cycle will be applied five times a day, ten repetitions, during the follow-up in the intensive care unit.
The effect of these practices on oxygenation will be evaluated according to saturation and routine blood gas results.
In this study, the effects of spirometry and deep breathing exercises on oxygenation after rib fracture will be investigated as the primary objective, and the effects of spirometry and deep breathing exercises on the duration of intensive care stay will be investigated as the secondary objective.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Group S
Spirometer group
Breathing exercise with spirometry
Breathing exercise with spirometry
Group D
Deep breathing exercise group
Breathing exercise with deep breathing method
Breathing exercise with deep breathing method
Interventions
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Breathing exercise with spirometry
Breathing exercise with spirometry
Breathing exercise with deep breathing method
Breathing exercise with deep breathing method
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Patients with a history of chronic obstructive pulmonary disease or asthma
* Patients with an Injury Severity Score (ISS) ≥ 16
* Patients who require mechanical ventilation
18 Years
80 Years
ALL
No
Sponsors
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Samsun University
OTHER
Responsible Party
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Principal Investigators
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özgür kömürcü
Role: STUDY_DIRECTOR
Samsun University
Locations
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Samsun University
Samsun, , Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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özgür kömürcü, 1
Role: primary
References
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Renault JA, Costa-Val R, Rosseti MB, Houri Neto M. Comparison between deep breathing exercises and incentive spirometry after CABG surgery. Rev Bras Cir Cardiovasc. 2009 Apr-Jun;24(2):165-72. doi: 10.1590/s0102-76382009000200012.
Witt CE, Bulger EM. Comprehensive approach to the management of the patient with multiple rib fractures: a review and introduction of a bundled rib fracture management protocol. Trauma Surg Acute Care Open. 2017 Jan 5;2(1):e000064. doi: 10.1136/tsaco-2016-000064. eCollection 2017.
Hu L, Hua Y, Wang L, Mao Z, Jia X, Lei Z, Chang D, Cheng W. Effect of Short-term Deep Breathing Exercises on Perioperative Anxiety and Pain in Pediatric Orthopedic Patients: A Randomized Controlled Trial. J Perianesth Nurs. 2025 Feb;40(1):69-75. doi: 10.1016/j.jopan.2024.03.009. Epub 2024 Jul 9.
Other Identifiers
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GOKAEK 2025/2/2
Identifier Type: -
Identifier Source: org_study_id