Study of Individualized Physiotherapy for Airway Clearance in Cystic Fibrosis.

January 10, 2013 updated by: Oslo University Hospital

Efficacy Study of Physiotherapy for Airway Clearance in Cystic Fibrosis. Randomized Controlled Trials in Single Subjects (N of 1 RCT's).

The purpose of this study is to investigate individual efficacy in Physiotherapy for Airway Clearance, and to investigate user experience, i.e.utility value and preference.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

6

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Diagnosis: CF
  • Age >18 years
  • Amount of sputum >5 ml/60 min
  • Wet inhalation of saline/DNase/both
  • Informed consent

Exclusion Criteria:

  • Respiratory failure
  • Hemoptysis
  • Bacteriology (burkholderia cephacia, multi-resistent pseudomonas aeruginosa, atypical mycobacteria, MRSA).
  • Ongoing intravenous medication
  • Pregnancy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Crossover Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Physiotherapy techniques
Cough Technique vs Forced Expiration Technique
Other: Physiotherapy
Physiotherapy for Airway Clearance

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Expectorated sputum (gram)
Time Frame: 8 weeks

Total amount of expectorated sputum (g) will be collected and weighed wet after each intervention for eight weeks, using a Mettler TOLEDO Weighing Balance (EL 202, accuracy: 0.01 g).

N of 1 trial design. Each trial consist of eight pairs (8 weeks) of treatment periods with two interventions each week (one with Cough Technique and one with Forced Expiration technique), 16 treatments for each participant. Outcome measure after each treatment.
8 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Patient's experience, i.e. perceived utility value and preference of technique.
Time Frame: 8 weeks

Utility value: Measured by self-reported questionnaire after completion of each intervention in week 8.

Preference: Measured by three self-reported questions after both interventions in week 8.
8 weeks

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Physiological measurements
Time Frame: 8 weeks

Oxygen saturation and heart rate measurements in the beginning and at the end of each intervention.

Pulmonary function tests (week 2): measurements before and after each intervention with spirometry.
8 weeks
Health related quality of life (HRQOL)
Time Frame: 8 weeks
HRQOL measured by the Cystic Fibrosis Questionnaire Revised (CFQR-R), i.e. respiratory symptoms, in the beginning and at completion of the study.
8 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Oslo University Hospital

Investigators

  • Principal Investigator: Sandra Gursli, PT, MSc, Oslo University Hospital, National Centre for cystic fibrosis

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

August 1, 2010

Primary Completion (Actual)

April 1, 2011

Study Completion (Actual)

April 1, 2011

Study Registration Dates

First Submitted

September 6, 2010

First Submitted That Met QC Criteria

December 23, 2010

First Posted (Estimate)

December 24, 2010

Study Record Updates

Last Update Posted (Estimate)

January 11, 2013

Last Update Submitted That Met QC Criteria

January 10, 2013

Last Verified

January 1, 2013

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2010/802

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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