Effects of Energy Conservation Techniques With Pursed Lip Breathing on Quality of Life in Bronchiectasis

Combined Effects of Energy Conservation Techniques With Pursed Lip Breathing on Functional Independence and Quality of Life in Bronchiectasis

Bronchiectasis is the abnormal dilatation of the bronchi. Due to airway dilatation patient is unable to clear the mucus and risk of infection is increased. For mucus clearance used many breathing techniques employed along with or without mechanical devices. Many researches have shown the inconsistent results of energy conservation techniques along with breathing exercises among variety of cardiopulmonary disorders. This study will be conducted to determine the combined effects of energy conservation techniques with pursed lip breathing on functional independence and quality of life in patients of bronchiectasis. It will be a randomized clinical trial. Two groups will be taken under the age of 40 to 60 years and data will be collected from pulmonary wards of selected hospitals. Sample size will be 46 keeping the attrition rate 10%.

St. George's Respiratory Questionnaire (SGRQ) will be used to evaluate the quality of life of patients and 6 mint walk test is used to determine functional independence of bronchiectasis patients. After data collection, data will be analyzed using SPSS version 26.

Study Overview

• Status: Not yet recruiting
• Conditions: Bronchiectasis
• Intervention / Treatment: Other: energy conservation techniques with pursed lip breathing; Other: pursed lip breathing

Detailed Description

Bronchiectasis is the abnormal dilatation of the bronchi. Due to airway dilatation patient is unable to clear the mucus and risk of infection is increased. For mucus clearance and reduced labored breathing, conventional chest physiotherapy is used in which many breathing techniques can be employed along with or without mechanical devices and inspiratory muscle training, coughing support and positioning to improve the respiratory functions but there is no consensus on which breathing technique is better. Many researches have shown the inconsistent results of energy conservation techniques along with breathing exercises among variety of cardiopulmonary disorders such as in asthma, chronic obstructive pulmonary disease (COPD) patients but no results were seen among patients of bronchiectasis. This study will be conducted to determine the combined effects of energy conservation techniques with pursed lip breathing on functional independence and quality of life in patients of bronchiectasis. It will be a randomized clinical trial. Age of selected subjects will be between 40 to 60 years and data will be collected from pulmonary wards of selected hospitals. Sample size will be 46 keeping the attrition rate 10%. There will be 2 groups i.e. group A will receive energy conservation techniques along with pursed lip breathing technique and group B will receive only pursed lip breathing technique. St. George's Respiratory Questionnaire (SGRQ) will be used to evaluate the quality of life of patients and 6 mint walk test is used to determine functional independence of bronchiectasis patients. After data collection, data will be analyzed using SPSS version 26.

• Study Type: Interventional
• Enrollment (Estimated): 46
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Imran Amjad, PhD; Phone Number: 03324390125; Email: imran.amjad@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Sargodha, Punjab, Pakistan, 40100
      • Sadiq hospital Sargodha, DHQ Sargodha
      • Contact: Arjumand Bano, MS-CPPT; Phone Number: 03059551883; Email: arjumand.bano@riphah.edu.pk
      • Principal Investigator: Faria Iftikhar, MS-CPPT

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Both genders, aged between 40 to 60 years Bronchiectasis

Exclusion Criteria:

• Prior history of open-heart surgery

  • Prior severe pulmonary/hepatic or renal disease
  • Life-threatening arrhythmias (ventricular fibrillation, ventricular tachycardia, atrial fibrillation)
  • Pulmonary complications (atelectasis, acute respiratory distress syndrome (ARDS), diaphragmatic injury)
  • Congestive heart failure
  • Deep venous thrombosis (DVT)
  • Any known psychological disease

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: energy conservation techniques along with pursed lip breathing technique; Group A will receive energy conservation techniques with pursed lip breathing with 1 session a day for total 5 days in a week. 1 session will consist of 3 cycles of pursed lip breathing for duration of 10 minutes with a break of 20 minutes in between. ECTs will be trained for 2 weeks. A detailed manual will be developed to ensure the consistency of the training for all subjects. Examples of interventions are training to use ergonomic principles along with pursed lip breathing. The subjects were trained to place their equipment at chest height; they were trained to work at paced speed and in some cases instructed to use technical aids.	Other: energy conservation techniques with pursed lip breathing; Group A will receive energy conservation techniques with pursed lip breathing with 1 session a day for total 5 days in a week. 1 session will consist of 3 cycles of pursed lip breathing for duration of 10 minutes with a break of 20 minutes in between. ECTs will be trained for 2 weeks. A detailed manual will be developed to ensure the consistency of the training for all subjects. Examples of interventions are training to use ergonomic principles along with pursed lip breathing. The subjects were trained to place their equipment at chest height; they were trained to work at paced speed and in some cases instructed to use technical aids.
Experimental: pursed lip breathing technique; Group B will receive pursed lip breathing	Other: pursed lip breathing; pursed lip breathing

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
St. George's Respiratory Questionnaire (SGRQ)	Patients completed on paper the SGRQ, it includes dimensions for SGRQ activity, SGRQ impact, SGRQ symptoms, and SGRQ total. The scale ranges from 0 (excellent quality of life) to 100 (worst quality of life) for all four dimensions	2 weeks
6 Minutes walk test	The patient is asked to walk as far as possible along a 30-m minimally trafficked corridor for a period of 6 min with the primary outcome measure being the 6-min walk distance (6MWD) measured in meters	2 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Arjumand Bano, MS-CPPT, Riphah International University

Study record dates

Study Major Dates

• Study Start (Estimated): May 28, 2025
• Primary Completion (Estimated): September 28, 2025
• Study Completion (Estimated): October 10, 2025

Study Registration Dates

• First Submitted: May 21, 2025
• First Submitted That Met QC Criteria: May 29, 2025
• First Posted (Actual): May 30, 2025

Study Record Updates

• Last Update Posted (Actual): May 30, 2025
• Last Update Submitted That Met QC Criteria: May 29, 2025
• Last Verified: May 1, 2025

More Information

Terms related to this study

• Keywords: Bronchiectasis, breathing exercises , Dyspnea
• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Bronchial Diseases; Bronchiectasis
• Other Study ID Numbers: REC/RCR & AHS/24/0358

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