Combined Effects of Balloon Blowing Therapy With Percussion in Patients With Pneumonia

Combined Effects of Balloon Blowing Therapy With Percussion on Pulmonary Functions in Patients With Pneumonia

Pneumonia is an infection of the lungs that is caused by bacteria, viruses, fungi, or parasites. It is characterized primarily by inflammation of the alveoli in the lungs or by alveoli that are filled with fluid (alveoli are microscopic sacs in the lungs that absorb oxygen). The symptoms of pneumonia can develop suddenly (over 24-48 hours) or may show more slowly, over several days. Common symptoms of pneumonia are likely to have a cough which can be dry, or may produce phlegm (thick mucus) that is yellow, green, brownish or bloodstained and breathing difficulty, wheezing and chest tightness where the rate will be high and the rhythm will be rapid and shallow. This activity encourages deep breathing, allowing a patient body to relax. Explain the patient that this exercise will help him or he can feel more relaxed. Make the patient to imagine that he/she is blowing up a balloon. Ask him/her to take in a deep breath; steadily and slowly blow up the huge balloon. See the balloon getting bigger, and bigger. Now ask the patient to close the eyes and imagine the balloon floating into the air. Let the patient continue blowing of balloons until he or she gets relaxed and calm. Percussion is a technique involving rhythmic tapping or clapping on the chest or back, serves as a means to move and loosen retained secretions within the airways. This mechanical intervention helps in removing mucus from the bronchial walls, and facilitates its expectoration and clearance.

Study Overview

• Status: Recruiting
• Conditions: Pneumonia
• Intervention / Treatment: Other: Balloon blowing; Other: Percussion

Detailed Description

Pneumonia is an infection of the lungs that is caused by bacteria, viruses, fungi, or parasites. It is characterized primarily by inflammation of the alveoli in the lungs or by alveoli that are filled with fluid (alveoli are microscopic sacs in the lungs that absorb oxygen). The symptoms of pneumonia can develop suddenly (over 24-48 hours) or may show more slowly, over several days. Common symptoms of pneumonia are likely to have a cough which can be dry, or may produce phlegm (thick mucus) that is yellow, green, brownish or bloodstained and breathing difficulty, wheezing and chest tightness where the rate will be high and the rhythm will be rapid and shallow. This activity encourages deep breathing, allowing a patient body to relax. Explain the patient that this exercise will help him or he can feel more relaxed. Make the patient to imagine that he/she is blowing up a balloon. Ask him/her to take in a deep breath; steadily and slowly blow up the huge balloon. See the balloon getting bigger, and bigger. Now ask the patient to close the eyes and imagine the balloon floating into the air. Let the patient continue blowing of balloons until he or she gets relaxed and calm. Percussion is a technique involving rhythmic tapping or clapping on the chest or back, serves as a means to move and loosen retained secretions within the airways. This mechanical intervention helps in removing mucus from the bronchial walls, and facilitates its expectoration and clearance.

This research methodology is likely to employ a randomized clinical trial design, dividing participants into two groups: group A will be receiving the combined therapy (Balloon blowing, percussion) for 7 days, while the Group B will be given intervention as Buteyko breathing techniques (ACBT, Percussion and deep breathing) for 3 weeks. Parameters such as breath auscultation by stethoscope, CASA Q questionnaire, Pulmonary function test will likely be utilized to gauge the efficacy of the combined intervention versus standard treatments. Anticipated outcomes encompass improvements in lung function metrics, clearer breath sounds denoting improved airway clearance, and potentially quicker recovery or shortened illness duration as compared to conventional treatments. If successful, this study could signify a more comprehensive and effective approach to manage pneumonia by combining specific therapies to enhance pulmonary functions and help in patients' recovery. Ultimately, these findings could contribute significantly to use respiratory therapy for individuals suffering from pneumonia

• Study Type: Interventional
• Enrollment (Estimated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Imran Amjad, PhD; Phone Number: 03324390125; Email: Imran.amjad@riphah.edu.pk
• Study Contact Backup: Name: Tasneem Shahzadi, Mphil; Phone Number: 03104108327; Email: Tasneem.shehzadi@ripha.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan, 54000
      • Recruiting
      • University of Lahore Teaching Hospital
      • Contact: Samia Sarmad, PHD; Phone Number: 03004813195; Email: info@hospital.uol.edu.pk
      • Contact: Jawad, MS-NMPT; Phone Number: 03124047465; Email: info@hospital.uol.edu.pk

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Diagnosed pneumonia patients

Exclusion Criteria:

• Other respiratory complications
• Patients with surgeries
• Patients with neurological disorders

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: Balloon Blowing, Percussion; intervention will be given as blowing 10-15 balloons per day for 6 days. 05.minutes active cycle of breathing technique as baseline 10 minute to blowing 15 balloons 10 minutes percussion 25 minutes session	Other: Balloon blowing; Ask the patient to take in a deep breath; steadily and slowly blow up the huge balloon. See the balloon getting bigger, and bigger. Now ask the patient to close the eyes and imagine the balloon floating into the air. Let the patient continue blowing of balloons until he or she gets relaxed and calm.; Other: Percussion; Percussion is a technique involving rhythmic tapping or clapping on the chest or back, serves as a means to move and loosen retained secretions within the airways. This mechanical intervention helps in removing mucus from the bronchial walls, and facilitates its expectoration and clearance
Active Comparator: Perccussion; intervention Will be given as Buteyko breathing techniques for 3 weeks. 15 Minutes ACBT with rest interval 10 minutes percussion 25 minutes session	Other: Percussion; Percussion is a technique involving rhythmic tapping or clapping on the chest or back, serves as a means to move and loosen retained secretions within the airways. This mechanical intervention helps in removing mucus from the bronchial walls, and facilitates its expectoration and clearance

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
FEV1(Forced Expiratory Volume per second)	Pulmonary Function Test using Digital Spirometer	Pre and post after 1 week
FVC (Forced Vital Capacity)	Pulmonary Function Test using Digital Spirometer	Pre and Post after 1 week
FEV1/FVC	Pulmonary Function Test using Digital Spirometer	Pre and Post after 1 week
CASA-Q (Cough and Sputum Assessment Questionnaire)	To assess the Level of Cough and Sputum	Pre and post after 1 week
Auscultatory Breath Sound	To assess the breath sound	pre and Post after 1 week

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Tasneem Shehzadi, Mphil, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): May 30, 2024
• Primary Completion (Estimated): June 30, 2024
• Study Completion (Estimated): July 10, 2024

Study Registration Dates

• First Submitted: June 11, 2024
• First Submitted That Met QC Criteria: June 11, 2024
• First Posted (Actual): June 14, 2024

Study Record Updates

• Last Update Posted (Actual): June 14, 2024
• Last Update Submitted That Met QC Criteria: June 11, 2024
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Keywords: Balloon Therapy, Percussion, Pneumonia, Breath Sounds
• Additional Relevant MeSH Terms: Infections; Respiratory Tract Infections; Respiratory Tract Diseases; Lung Diseases; Pneumonia
• Other Study ID Numbers: REC/RCR & AHS/23/0371

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