To find the effects of diaphragmatic stretch with and without rib cage mobilization on chest expansion, dyspnea and pulmonary function test in COPD patients.
Design
36 participants will be recruited. Two parallel groups, double blinded, randomized controlled trial with pre and post assessment.
Settings and conduct
The study will be conducted in Pulmonology ward at Shalamar hospital Lahore. Participants and outcome assessor will be blinded.
Participants/Inclusion and exclusion criteria
Inclusion Criteria:
• Age group of 35-55 years
• Both male and female
• At least history of COPD from 1 year
• Decrease FEV1/FEV ratio
• History of smoking.(11)
Exclusion Criteria:
• Acute exacerbations of COPD
• COPD diagnosed at severe stage
• Patients with comorbidities
• Patients with other life- threatening conditions
• Patients who are vitally unstable.
Intervention groups
Diaphragmatic stretch with and without rib cage mobilization. Diaphragmatic Stretch Technique with Rib Cage Mobilization: Group A will be treated with diaphragmatic stretch technique with rib cage mobilization. This treatment duration will be 10 minutes, once a day, 5 days per week for 2 weeks.
Diaphragmatic Stretch Technique: Group B will be treated by diaphragmatic stretch technique only. This treatment duration will be 20 minutes, once a day, 5 days per week for 2 weeks.
Main outcome variables
Dyspnea using Modified Medical Research Council Dyspnea Scale, Chest expansion using Measuring Tape, Pulmonary Function Test using Portable Spirometer.
General information
Reason for update
Acronym
EDSWRMCEDPFTA
IRCT registration information
IRCT registration number:IRCT20191117045462N10
Registration date:2023-11-30, 1402/09/09
Registration timing:registered_while_recruiting
Last update:2023-11-30, 1402/09/09
Update count:0
Registration date
2023-11-30, 1402/09/09
Registrant information
Name
Wajeeha Zia
Name of organization / entity
Riphah International University
Country
Pakistan
Phone
+92 42 35126110
Email address
wajeeha_z@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-11-01, 1402/08/10
Expected recruitment end date
2024-01-31, 1402/11/11
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
EFFECTS OF DIAPHRAGMATIC STRETCH WITH AND WITHOUT RIB CAGE MOBILIZATION ON CHEST EXPANSION, DYSPNEA, PULMONARY FUNCTION TEST AMONG COPD PATIENTS
Public title
EFFECTS OF DIAPHRAGMATIC STRETCH WITH AND WITHOUT RIB CAGE MOBILIZATION ON CHEST EXPANSION, DYSPNEA, PULMONARY FUNCTION TEST AMONG COPD PATIENTS
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Age group of 35-55 years
Both male and female
At least history of COPD from 1 year
Decrease FEV1/FEV ratio
History of smoking
Exclusion criteria:
Acute exacerbations of COPD
COPD diagnosed at severe stage
Patients with comorbidities
Patients with other life- threatening conditions
Patients who are vitally unstable
Age
From 35 years old to 55 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Outcome assessor
Sample size
Target sample size:
40
Randomization (investigator's opinion)
Randomized
Randomization description
Convenient sampling technique will be used to recruit the COPD patients in the study and then they will be divided into two groups by simple random sampling through sealed opaque enveloped.
Blinding (investigator's opinion)
Double blinded
Blinding description
Participants will be aware of the research but they will not be aware of the groups and study hypothesis. So, we will divide the participants into two different groups and they will not have any knowledge about these techniques and objective of the study. So, the participants will be blinded. The second one assessor therapist will do the assessment before and after the treatment. So, the assessor therapist will not be aware of your objective and research project.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Riphah college of Rehabilitation & Allied Health Sciences
Modified Medical Research Council Dyspnea Scale (MMRC)
2
Description
Chest Expansion
Timepoint
Pre-Post Treatment
Method of measurement
Measuring Tape
3
Description
Pulmonary Function Test
Timepoint
Pre-Post Treatment
Method of measurement
Portable Spirometer
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Diaphragmatic stretch with rib cage mobilization Diaphragmatic Stretch Technique: The diaphragmatic stretch techniques will be applied on patient. Patient will be positioned in seated with your knees bent and feet flat on the floor. Place one hand on your chest, and the other on your belly. Take a deep breath in through your nose and focus on expanding your belly, allowing it to push out against your hand. Hold for a few seconds and then exhale slowly through your mouth, contracting your belly muscles as you do so. The treatment duration will be 10 minutes, once a day, 5 days per week for 2 weeks. Rib Cage Mobilization: Rib cage mobilization will be applied on patients in the seated position, the patients remained seated on the stretcher, keeping the feet on the floor, while the therapist stood in front of him or her. The patient’s head (frontal region) was positioned over his or her overlapping arms, which were placed on the therapist’s trunk. The therapist then positioned his or her fingertips at the costal angles (bilaterally), moving from the lateral region to the anterior midline throughout the patient’s inspiration and returning to the initial position on expiration. The therapist’s fingers were then placed 1 level below the rib, repeating this procedure until his or her fifth finger reached the 10th rib. This technique was then carried out toward the 1st rib, completing a treatment cycle. Another cycle was conducted after a 1-minute rest period. The treatment duration will be 20 minutes, once a day, 5 days per week for 2 weeks.
Category
Rehabilitation
2
Description
Control group: Diaphragmatic stretch Diaphragmatic Stretch Technique: The diaphragmatic stretch techniques will be applied on patient. Patient will be positioned in seated with your knees bent and feet flat on the floor. Place one hand on your chest, and the other on your belly. Take a deep breath in through your nose and focus on expanding your belly, allowing it to push out against your hand. Hold for a few seconds and then exhale slowly through your mouth, contracting your belly muscles as you do so. The treatment duration will be 10 minutes, once a day, 5 days per week for 2 weeks.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Riphah college of Rehabilitation & Allied Health Sciences
Full name of responsible person
Riphah college of Rehabilitation & Allied Health Sciences