Alternate Nostril Breathing With Incentive Spirometry on Lung Function Among Asthma Patients

NCT ID: NCT07110116

Last Updated: 2025-09-05

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 54 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-08-20
• Study Completion Date: 2025-11-30

Brief Summary

To compare effects of Alternate Nostril Breathing exercise with incentive spirometer on lung functions (forced vital capacity, forced expiratory volume, and peak expiratory flow rate) in Asthma patients.

Conditions

Asthma

Study Design

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

Study Groups

Alternate nostril breathing with Incentive Spirometery

Group Type: EXPERIMENTAL

Alternate nostril breathing with Incentive Spirometery

Intervention Type: OTHER

Participants in experimental group were instructed to close their left nostril by left index finger and inhale through their right nostril for six seconds, then closing the right nostril and holding breath for six seconds. Afterward, they exhaled through the left nostril slowly for six seconds. Next, they inhaled through left nostril, keeping the right nostril closed for six seconds then hold the breath by closing both nostrils for six seconds subsequently, and then exhaled through the right nostril, keeping the left closed for six seconds repeating these steps several times for 10 minutes

Incentive Spirometery

Group Type: ACTIVE_COMPARATOR

Incentive spirometery

Intervention Type: OTHER

The control group participants were asked to do breathing exercise with incentive spirometry. The subject is asked to create a tight seal around the mouthpiece and asked to inhale deeply and slowly and the subject would observe the flow meter for visual feedback of his/her effort. At the end of the inspiration the subject is asked to sustain the inhalation 2-3 seconds to facilitate the Inspiratory hold. Subject relaxes the seal around the mouthpiece and exhales. Normal breathing is taken, then the exhalation phase in the incentive spirometry is done and the whole cycle is repeated 5 - 10 times thrice a day over a period 6 weeks

Interventions

Alternate nostril breathing with Incentive Spirometery

Participants in experimental group were instructed to close their left nostril by left index finger and inhale through their right nostril for six seconds, then closing the right nostril and holding breath for six seconds. Afterward, they exhaled through the left nostril slowly for six seconds. Next, they inhaled through left nostril, keeping the right nostril closed for six seconds then hold the breath by closing both nostrils for six seconds subsequently, and then exhaled through the right nostril, keeping the left closed for six seconds repeating these steps several times for 10 minutes

Intervention Type: OTHER

Incentive spirometery

The control group participants were asked to do breathing exercise with incentive spirometry. The subject is asked to create a tight seal around the mouthpiece and asked to inhale deeply and slowly and the subject would observe the flow meter for visual feedback of his/her effort. At the end of the inspiration the subject is asked to sustain the inhalation 2-3 seconds to facilitate the Inspiratory hold. Subject relaxes the seal around the mouthpiece and exhales. Normal breathing is taken, then the exhalation phase in the incentive spirometry is done and the whole cycle is repeated 5 - 10 times thrice a day over a period 6 weeks

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosed male & female asthma patients of age 18-60 years.
• Patients with mild to moderate asthma having predicted FEV1 between 60-80%.
• Stable asthma condition without recent exacerbations.
• Able to perform spirometry and follow instructions for the interventions.
• No recent respiratory infections.

Exclusion Criteria

• Patients with severe asthma (FEV1 < 60% predicted).
• Patients having respiratory infections, recent exacerbations or other comorbidities.
• Inability to perform breathing exercises or spirometry.
• Patients using medications like oral steroids, beta blockers.
• Pregnant women due to potential risks with breathing exercises.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Iqbal Tariq, PhD*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Allied Specialist Hospital & Clinics

Abbottābād, Khyber PkahtoonKhwa, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Muhammad Iqbal Tariq, PhD*

Role: CONTACT

iqbal.tariq@riphah.edu.pk

03338236752

Facility Contacts

Hira Qazi, MSPT

Role: primary

hiraqazi5sem@gmail.com

+92 319 5523996

Other Identifiers

REC/02192 Hira Qazi

Identifier Type: -

Identifier Source: org_study_id