Correlation of forced expiratory technique, chest physiotherapy, pursed lips breathing exercises on cardiorespiratory and renal parameters fitness in acute pneumonia patients in Multan
Aim of this study is to explore the correlates (B.P, pulse rate, oxygen saturation, glucose level, lipid profile, temperature, respiration rate) of young adults with acute pneumonia of Multan that are associated with body mass index and cardiorespiratory and renal parameters health.
Design
randomization single group desgin triple blinding study
Settings and conduct
Ch. Pervaiz Elahi Institute of Cardiology Multan.
Participants/Inclusion and exclusion criteria
Including criteria
• Young adults
• Age group of 18-30
• Acute pneumonia patient
• Acute pneumonia patients from Multan
• Good mental health
Excluding criteria
• Any type of physical disability
• Acute pneumonia patients with active infection
• Any type of mental disorder
• Any type of major surgery
• Older adults
• Childs
• Smear positive respiratory sample
Intervention groups
We take three groups.
Group A
Group B
Group C
In Group A we take 18 participants .They perform forced expiratory technique exercises.
In Group B we take 17 participants .They perform chest phyiotherapy exercises.
In Group C we take 18 participants.They perform pursed lips breathing exercises.
Main outcome variables
This study will investigate the correlation of cardiorespiratory fitness and renal parameters with body mass index and in young adults with acute pneumonia of Multan and also investigate the respiratory improvements. We will expect the positive and negative correlation.
General information
Reason for update
Acronym
Cross sectional study
IRCT registration information
IRCT registration number:IRCT20230718058826N2
Registration date:2023-08-28, 1402/06/06
Registration timing:prospective
Last update:2023-08-28, 1402/06/06
Update count:0
Registration date
2023-08-28, 1402/06/06
Registrant information
Name
Perwasha Perwasha
Name of organization / entity
Muhammad Institute of Medical and Allied Sciences, Multan, Pakistan.
Country
Pakistan
Phone
+92 310 6562039
Email address
perwashanaseer123@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-09-01, 1402/06/10
Expected recruitment end date
2023-10-01, 1402/07/09
Actual recruitment start date
2023-09-01, 1402/06/10
Actual recruitment end date
2023-10-01, 1402/07/09
Trial completion date
2023-10-01, 1402/07/09
Scientific title
Correlation of forced expiratory technique, chest physiotherapy, pursed lips breathing exercises on cardiorespiratory and renal parameters fitness in acute pneumonia patients in Multan
Public title
Correlation of forced expiratory technique, chest physiotherapy, pursed lips breathing exercises on cardiorespiratory and renal parameters fitness in acute pneumonia patients in Multan
Purpose
Health service research
Inclusion/Exclusion criteria
Inclusion criteria:
• Young adults• Age group of 18-30• Acute pneumonia patient • Acute pneumonia patients from Multan • Good mental health
Exclusion criteria:
• Any type of physical disability• Acute pneumonia patients with active infection• Any type of mental disorder• Any type of major surgery• Older adults• Childs• Smear positive respiratory sample
Age
From 18 years old to 35 years old
Gender
Both
Phase
1
Groups that have been masked
Participant
Investigator
Data analyser
Sample size
Target sample size:
53
Actual sample size reached:
53
Randomization (investigator's opinion)
Randomized
Randomization description
We take three group
• Group I with forced expiratory technique(1.Take 3—5 slow deep breaths, inhaling through the nose, exhaling through pursed lips, using diaphragmatic breathing. 2. Take a deep breath and hold it for 1—3 seconds. 3. Exhale from mid-to-low lung volume (to clear secretions from peripheral airways). 4. Take a normal breath in and then squeeze it out by contracting the abdominal and chest wall muscles, with the mouth and glottis open, while whispering the word “huff” (sounds like a forced sigh) during exhalation. Repeat several times. 5. As secretions enter the larger airways, exhale from high-to-mid lung volume to clear secretions from more proximal airways. Repeat maneuver 2—3 times. 6. Take several relaxed diaphragmatic breaths before the next cough effort.)
• Group II with chest physiotherapy(CPT should be done 1-4 times a day, preferably half an hour before meals or one and half hour after meals. The total duration should not exceed 30 minutes with 3-6 minutes in each position.)
• Group III with Pursed lips breathing exercise( Pursed lip breathing was to be done as a home exercise daily for 5 min thrice a day over a period of 6 weeks.)
Blinding (investigator's opinion)
Triple blinded
Blinding description
Triple Blinding..
In triple blinding participant do not know in which group they are evaluated.
In triple blinding investigator are randomly evaluated.
In triple blinding data analyser analyse the data.
Placebo
Not used
Assignment
Single
Other design features
Randomized single group desgin triple blinding study
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Muhammad Institute of Medical and Allied Sciences Multan.
Street address
HBL street near sabazazar station bosan road Multan.
City
Multan
Postal code
66000
Approval date
2023-10-01, 1402/07/09
Ethics committee reference number
MIMAS /Ref/IRB/24/17
Health conditions studied
1
Description of health condition studied
Pneumonia
ICD-10 code
(J00-J99)
ICD-10 code description
Diseases of the respiratory system
Primary outcomes
1
Description
Improve cardiorespiratory and renal parameters.
Timepoint
4 days/week for 4 weeks
Method of measurement
• Pulse oximeter (choiceMMed), Digital Thermometer (certeza), Sphygmomanometer BP apparatus (Medisign Aneroid Sphygmomanometer MODEL: MC 2002), Glucose strips (on call plus), spirometer (besmed incentive), Cholesterol devise (beneCheck Multi-Monitoring Meter). Urine output measurements.• Urine tests• Blood tests• Imaging tests• Removing a sample of kidney tissue for testing.
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: 1 Forced expiratory technique, Intervention group 2 Chest physiotherapy exercises and intervention group 3 Pursed lips breathing.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Ch. Pervaiz Elahi Institute of Cardiology Multan.
Full name of responsible person
Dr.Perwasha
Street address
HBL street near sabazazar station bosan road Multan.
City
Multan
Postal code
66000
Phone
+92 310 6562039
Email
perwashanaseer123@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
mimas
Full name of responsible person
imran durrani
Street address
HBL street near sabazazar station bosan road Multan.
City
Multan
Postal code
66000
Phone
+92 333 6120602
Email
imranahmadkhandurrani@gmail.com
Grant name
research grant
Grant code / Reference number
765478
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
mimas
Proportion provided by this source
80
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
mimas
Full name of responsible person
Imran Ahmad Khan
Position
Assistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Cardiology
Street address
HBL street near sabazazar station bosan road Multan.
City
Multan
Province
punjab
Postal code
66000
Phone
+92 61 6221111
Email
imranahmadkhandurrani@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
mimas
Full name of responsible person
Perwasha
Position
med. doctor
Latest degree
Medical doctor
Other areas of specialty/work
Physiotherapy
Street address
HBL street near sabazazar station bosan road Multan.
City
Multan
Province
punjab
Postal code
66000
Phone
+92 61 6231111
Email
perwashanaseer123@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
mimas
Full name of responsible person
perwasha
Position
med.doc
Latest degree
Medical doctor
Other areas of specialty/work
Physiotherapy
Street address
HBL street near sabazazar station bosan road Multan.
City
Multan
Province
punjab
Postal code
66000
Phone
+92 61 6221111
Email
perwashanaseer123@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
Correlation of forced expiratory technique, chest physiotherapy, pursed lips breathing exercises on cardiorespiratory and renal parameters fitness in acute pneumonia patients in Multan
When the data will become available and for how long
after 4 weeks
To whom data/document is available
supervisor
Under which criteria data/document could be used
ethical consideration
From where data/document is obtainable
supervisor
What processes are involved for a request to access data/document