Postural Drainage With and Without Percussion in Chronic Obstructive Pulmonary Disease

Effects of Postural Drainage With and Without Percussion on Mucus Clearance, Dyspnea and Quality of Life in Chronic Obstructive Pulmonary Disease

Effects Of postural drainage with and without percussion on mucus clearance, dyspnea and quality of life in Chronic Obstructive Pulmonary disease. 34 Patients will be explained in detail about the procedure under study. Informed consent will be taken.

Subjects will be evaluated using the Modified medical research council and Dyspnea-12 Questionnaire for (dyspneal), St George's Respiratory Questionnaire for quality of life. Cough and Sputum assesment questionnaire for mucus clearance would be used. One group will be tested by Postural drainage techniques and the second group will be tested by Postural drainage with Percussion.

Study Overview

• Status: Recruiting
• Conditions: Chronic Obstructive Pulmonary Disease
• Intervention / Treatment: Other: POSTURAL DRAINAGE WITH PERCUSSION; Other: Postural drainage

Detailed Description

Chronic respiratory diseases refer to chronic diseases of the airways and other structures like alveoli bronchi and bronchioles of the lung. Some of the most common diseases include asthma, chronic obstructive pulmonary disease (COPD), and other respiratory allergies. COPD leads to permanent damaged airways, which causes them to become narrower making it difficult for air to go into and out of lungs it belongs to a group of progressive lung diseases that make it difficult to breathe - including chronic bronchitis and emphysema (assessed by pulmonary function and x-ray evidence).

People have difficulty breathing due to long-term damage to their lungs, caused mainly due to cigarette smoking, exposure to air pollution, exposure to fumes or particles at work, for example, welding fumes or coal dust and Alpha-1-antitrypsin deficiency, a genetic condition. Symptoms that badly effects the health of the patient includes cough, decreased exercise tolerance production, shortness of breath, and shortness of breath.

In this research, the effects of postural drainage with and without percussion on mucus clearance, dyspnea and quality of life would be determined. Chest physiotherapy is the term for a group of treatments designed to eliminate secretions, thus helping to decrease work of breathing, promote the expansion of the lungs, and prevent the lungs from collapse.

There is a large impact on quality of life for individuals living with COPD, decreased exercise tolerance, decreased ability to carry out activities of daily living (ADLs), anxiety, feelings of isolation, decreased social participation etc.

This study will be a randomized controlled trial. The study will be conducted in Sheikh Zaid hospital Lahore. In the present study under considerations we mainly look on the subjects meeting predetermined inclusion and exclusion criteria will be divided into two groups using lottery method. Sample size will be 34 which would include both male and female. Subjects irrespective of gender aged between 35-65 years of age are involved.

• Study Type: Interventional
• Enrollment (Anticipated): 34
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: sumera abdul hameed, MS; Phone Number: 03104548492; Email: sumera.hameed@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan, 0423
      • Recruiting
      • Sheikh Zaid Hospital
      • Contact: Sumera Abdul-Hameed, MS; Phone Number: 03324390125; Email: sumera.hameed@riphah.edu.pk
      • Principal Investigator: Sumera Abdul-Hameed, MS
      • Principal Investigator: Zunaira Zaheer, MSCPPT

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 35 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• • Age 35-65 years

  • Patients who have had exacerbations in the past month
  • Agreeing to participate in the study after having provided a written consent.
  • Patients with heavy Mucus secretions in Lungs Field
  • Diagnosed Patients of Chronic Obstructive Pulmonary Disease Stage 2(COPD)

Exclusion Criteria:

• • Patients on bronchodilators and steroids

  • Patients with severe Pulmonary Edema
  • Patients with severe rib fractures
  • History of any recent thoraco abdominal surgery(35)
  • Left ventricular Ejection Fraction (EF)
  • Anemic patients
  • Pregnant women

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Postural drainage with percussion; Chest percussion is performed with cupped hands in an alternating rhythmic manner The force applied must be equal 8 weeks, 3 sessions per week , each session took about 30 minutes	Other: POSTURAL DRAINAGE WITH PERCUSSION; Each position should be held for a minimum of five minutes. In each position, your chest should be lower than your hips to allow mucus to drain. On your back: Patient's chest should be lower than his hips, which you can achieve by lying on a slanted surface up about 18 to 20 inches. On your sides: With pillows under your hips, lie on one side. To clear congestion from the right and left lobes. On your stomach: Drape patient's body over a stack of pillows, this is best in clearance of mucus from the lower back area of the lungs. Percussion The equipment required here is cupped hands of caregiver to deliver the force required to drain the thick secretions. Patient should be in a comfortable position to enhance the effect. This loosens the thick, sticky secretions from the walls of the lung allowing them to into the larger airways, The sound heard must be hollow. The force applied must be equal.; Other: Postural drainage; Each position should be held for a minimum of five minutes.; In each position, your chest should be lower than your hips to allow mucus to drain On your back: Patient's chest should be lower than your hips, which you can achieve by lying on a slanted surface or propping patient's hips up about 18 to 20 inches; This position is best for draining the bottom front parts of your lungs. On your sides: With pillows under your hips, lie on one side so that your chest is lower than your hips. To clear congestion from the bottom part of the right lung, lie on your left side. To clear congestion from the bottom part of your left lung, lie on your right side. On your stomach: Drape patient's body over a stack of pillows or other object, and rest his arms by his head, with his chest lower than his hips. This position is best for clearing mucus in the lower back area of the lungs.
Active Comparator: Postural drainage; Postural drainage without Percussion Each position should be held for a minimum of five minutes Use pillows, foam wedges for comfort make position on patient back, side and stomach 8 weeks, 3 sessions of alternating positions per , each session took about 30 minutes	Other: Postural drainage; Each position should be held for a minimum of five minutes.; In each position, your chest should be lower than your hips to allow mucus to drain On your back: Patient's chest should be lower than your hips, which you can achieve by lying on a slanted surface or propping patient's hips up about 18 to 20 inches; This position is best for draining the bottom front parts of your lungs. On your sides: With pillows under your hips, lie on one side so that your chest is lower than your hips. To clear congestion from the bottom part of the right lung, lie on your left side. To clear congestion from the bottom part of your left lung, lie on your right side. On your stomach: Drape patient's body over a stack of pillows or other object, and rest his arms by his head, with his chest lower than his hips. This position is best for clearing mucus in the lower back area of the lungs.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
For Airway Clearance	Sputum diary Questionnaire will be used	8weeks
St. George's Respiratory Questionnaire (SGRQ) quality of life assessment	For assessment and changes in Quality of life Questionnaire will be used	8 weeks
Spirometry For Airway clearance	Spirometer will be used for evaluating the Forced Expiratory values in 1 second	8 weeks

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Dyspnea-12	Dyspnea-12 questionnaire is used to check for the dyspnea.	8 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Sumera abdulhameed, ms, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): April 10, 2022
• Primary Completion (Anticipated): February 15, 2023
• Study Completion (Anticipated): February 15, 2023

Study Registration Dates

• First Submitted: December 6, 2022
• First Submitted That Met QC Criteria: December 6, 2022
• First Posted (Actual): December 14, 2022

Study Record Updates

• Last Update Posted (Actual): January 25, 2023
• Last Update Submitted That Met QC Criteria: January 23, 2023
• Last Verified: January 1, 2023

More Information

Terms related to this study

• Keywords: COPD, Mucus, Dyspnea, cough, postural drainage, percussion
• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Lung Diseases; Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
• Other Study ID Numbers: REC/ 0349 Zunaira Zaheer

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No