Additive Effects of 4-7-8 Breathing Technique With Standard Management on Dyspnea, Pulmonary Function and Quality of Life in Patients With COPD.
NCT ID: NCT06966063
Last Updated: 2025-09-15
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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COMPLETED
NA
40 participants
INTERVENTIONAL
2024-06-15
2025-07-01
Brief Summary
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Breathing exercises help to manage dyspnea and reduced pulmonary function often seen in COPD patients. To handle respiratory complications COPD patients are advised to practice breathing techniques in conjunction with their prescribed medications.
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Detailed Description
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Breathing exercises help to manage dyspnea associated with COPD. In order to manage respiratory conditions COPD patients are encouraged for nasal breathing techniques along with standard management. Hence the objective of the study is to compare the effects of 4-7-8 breathing along with standard management versus standard management alone on dyspnea, pulmonary function, and quality of life in patients with COPD.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Interventional group
Patients in interventional group will recieve 4-7-8 breathing along with standard management.
For 4-7-8 breathing, Patient is asked sit in comfortable position. Patient is asked place the tip of your tongue up against the back of your front teeth. Keep it there through the entire breathing process. Instruct the patient to breathe in silently through your nose to the count of four (4sec) and Hold your breath to the count of seven (7sec). Exhale through your mouth to the count of eight (8sec), making an audible "whoosh" sound. That completes one full breath. Repeat the cycle another three time, and gradually in increase the cycle four time.
Total 4 weeks protocol. Two sessions per week will be supervised by physiotherapist and 5 days at home. A home diary will be provided in order to ensure and follow-up that participants are performing breathing exercise at home along with medications prescribed by pulmonologist.
4-7-8 breathing along with standard management.
For 4-7-8 breathing, Patient is asked sit in comfortable position. Patient is asked place the tip of your tongue up against the back of your front teeth. Keep it there through the entire breathing process. Instruct the patient to breathe in silently through your nose to the count of four (4sec) and Hold your breath to the count of seven (7sec). Exhale through your mouth to the count of eight (8sec), making an audible "whoosh" sound. That completes one full breath. Repeat the cycle another three time, and gradually in increase the cycle four time.
Total 4 weeks protocol. Two sessions per week will be supervised by physiotherapist and 5 days at home. Week 01 and 02 Frequenc: 01 session/day Intensity: Start with comfortable duration. Time: 10 minutes Week 03 and 04 Frequecy: 02 sessions/day Intensity: 4 sec inhale, 7 sec hold and 8 sec exhale Time: 15 minutes
Control group
Patients will receive medication as prescribed by pulmonologist through stepwise approach according to symptoms and severity.
Total 4 weeks protocol. Before and after 4 weeks pre and post interventional values will be taken.
Week 01 and 02 Patients will receive medications prescribed by pulmonologist. Week 03 and 04 Patients will receive medications prescribed by pulmonologist.
Control Group
Patients will recieve medication as prescribed by pulmonologist through stepwise approach according to symptoms and severity.
Total 4 weeks protocol. Before and after 4 weeks pre and post interventional values will be taken.
Week 01 and 02 Patients will receive medications prescribed by pulmonologist. Week 03 and 04 Patients will receive medications prescribed by pulmonologist.
Interventions
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4-7-8 breathing along with standard management.
For 4-7-8 breathing, Patient is asked sit in comfortable position. Patient is asked place the tip of your tongue up against the back of your front teeth. Keep it there through the entire breathing process. Instruct the patient to breathe in silently through your nose to the count of four (4sec) and Hold your breath to the count of seven (7sec). Exhale through your mouth to the count of eight (8sec), making an audible "whoosh" sound. That completes one full breath. Repeat the cycle another three time, and gradually in increase the cycle four time.
Total 4 weeks protocol. Two sessions per week will be supervised by physiotherapist and 5 days at home. Week 01 and 02 Frequenc: 01 session/day Intensity: Start with comfortable duration. Time: 10 minutes Week 03 and 04 Frequecy: 02 sessions/day Intensity: 4 sec inhale, 7 sec hold and 8 sec exhale Time: 15 minutes
Control Group
Patients will recieve medication as prescribed by pulmonologist through stepwise approach according to symptoms and severity.
Total 4 weeks protocol. Before and after 4 weeks pre and post interventional values will be taken.
Week 01 and 02 Patients will receive medications prescribed by pulmonologist. Week 03 and 04 Patients will receive medications prescribed by pulmonologist.
Eligibility Criteria
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Inclusion Criteria
* Gender: Both males and females
* Grade1- Grade 1-3 on Modified MRC dyspnea scale
* COPD mild and moderate according to GOLD classification
* Mild: FEV1 \> 80% predicted
* Moderate: FEV1 \>50% predicted
Exclusion Criteria
* Patients having Acute exacerbation of COPD.
* Patients diagnosed with acute infections.
* Patients unable to follow commands/ instructions.
18 Years
64 Years
ALL
No
Sponsors
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Foundation University Islamabad
OTHER
Responsible Party
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Locations
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Foundation University College of Physical Therapy
Islamabad, , Pakistan
Countries
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Other Identifiers
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FUI/CTR/2024/69
Identifier Type: -
Identifier Source: org_study_id
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