Effects of Energy Conservation Exercises Versus Circuit Training in Asthmatic Patients

Effects of Energy Conservation Exercises Versus Circuit Training on Dyspnea, Functional Capacity and Quality of Life in Asthmatic Patients

The aim of this study was to evaluate the Effects of energy conservation exercises versus circuit training on dyspnea, functional capacity and quality of life in asthmatic patients.

Study Overview

• Status: Recruiting
• Conditions: Asthma
• Intervention / Treatment: Other: Energy Conservation Technique; Other: Circuit Training

Detailed Description

Asthma is a chronic lung disease characterized by airway inflammation and constriction, presents ongoing challenges despite advancements in treatment.The aim of this study is to found out the comparative effects of energy conservation techniques versus circuit training on dyspnea, functional capacity and quality of life in asthmatic patients. Method: This study will be conducted at "Doctors Hospital" Jhang, it is randomized clinical trial (RCT) which will divided into two groups: Group A include energy conservation techniques with the baseline exercise which is diaphragmatic exercise and Group B include circuit training along with baseline exercise. Total 32 subjects will be recruited according inclusion and exclusions criteria by convenient sampling technique. Data collection procedure will follow standardized procedures like pre-assessment and post-assessment which will be after 4 weeks with 6MWT, dyspnea borg scale, and STGeorge questionnaire. Hypothesis postulated that the one intervention will be more affected than the other. However, null hypothesis will suggest that there is no significant difference between the two interventions.

• Study Type: Interventional
• Enrollment (Estimated): 32
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Dr Imran Amjad, PhD; Phone Number: (+92) 03324390125; Email: imran.amjad@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab Province
    • Jhang, Punjab Province, Pakistan, 35200
      • Recruiting
      • Doctor's hospital
      • Contact: Qurat ul Ain; Phone Number: +92 3207374003; Email: qurat.ain@riphah.edu.pk
      • Principal Investigator: Malaika Ashraf, CPPT

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

- Subjects with asthma diagnosis grade according to FEV 60%-80%

Exclusion Criteria:

• Pregnancy
• Previous breathing exercise training
• Severe comorbidity
• Patients with short life expectancy
• subjects with Severe physical impairments
• Subjects with Mental 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 Technique; Using energy conservation techniques to asthmatic patients in addition to standard treatment	Other: Energy Conservation Technique; Energy conservation technique is used to focus on reducing physical fatigue and improving daily functioning through pacing, planning, prioritizing, and simplifying tasks. 1. After breathing exercise as a baseline 2. Dictate some activities like that on first patient use more energy expenditure than less it might be his ADL's
Experimental: Circuit Training; Using circuit Training to asthmatic patients in addition to standard treatment	Other: Circuit Training; Circuit training is a series of exercises that involve little or no rest between repetitions. it is a resistance training for asthmatic patients at their pace. After warm up patient move to next station which consumed higher H.R After that move to resting period like using or working on low H.R

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
6MWT	Changes from baseline, is a safe, reliable, and valid tool for assessing functional exercise capacity in asthma patients, including those with severe, uncontrolled, or difficult-to-treat asthma.	through study completion, approximately 4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Modified Borg Dyspnea Scale	Changes from baseline, a 0-10 category ratio scale used to subjectively quantify the intensity of breathlessness or shortness of breath, particularly during physical activity or rehabilitation	through study completion, approximately 4 weeks
ST George questionnaire	Changes from baseline, to measure health-related quality of life, specifically in patients with chronic airflow obstruction diseases.	through study completion, approximately 4 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Qurat ul Ain, Riphah International University

Publications and helpful links

General Publications

• Hammad H, Lambrecht BN. The basic immunology of asthma. Cell. 2021;184(6):1469-85.
• Wu W, Bang S, Bleecker ER, Castro M, Denlinger L, Erzurum SC, et al. Multiview cluster analysis identifies variable corticosteroid response phenotypes in severe asthma. American journal of respiratory and critical care medicine. 2019;199(11):1358-67.
• Thomas D, McDonald VM, Pavord ID, Gibson PG. Asthma remission: what is it and how can it be achieved? European Respiratory Journal. 2022;60(5).
• Young TW. Fatal bronchial asthma with bilateral lung collapse. The American Journal of Forensic Medicine and Pathology. 2010;31(4):373-5.
• Shahid S, Rafique S, Shakoor AA, Sheraz M, Aamir R, Safder M, et al. A systematic review of prescription patterns and cost of treatment in Asthma management in Asian countries. Medical Science. 2024;28:e33ms3328.
• Wingårdh ASL, Göransson C, Larsson S, Slinde F, Vanfleteren LE. Effectiveness of energy conservation techniques in patients with COPD. Respiration. 2020;99(5):409-16.
• Prieur G, Combret Y, Medrinal C, Arnol N, Bonnevie T, Gravier F-E, et al. Energy conservation technique improves dyspnoea when patients with severe COPD climb stairs: a randomised crossover study. Thorax. 2020;75(6):510-2.
• Kozu R, Shingai K, Hanada M, Oikawa M, Nagura H, Ito H, et al. Respiratory impairment, limited activity, and pulmonary rehabilitation in patients with interstitial lung disease. Physical Therapy Research. 2021;24(1):9-16.
• Cazorla S, Busegnies Y, D'Ans P, Héritier M, Poncin W, editors. Breathing control exercises delivered in a group setting for patients with chronic obstructive pulmonary disease: a randomized controlled trial. Healthcare; 2023: MDPI.
• Mazzarin CM, Silveira BR, Lamezon AC, Cavon Luna B, Valderramas S. Effectiveness and Safety of Multicomponent Physical Training in Patients With Chronic Obstructive Pulmonary Disease: Protocol for a Randomized Clinical Trial. Health Services Insights. 2023;16:11786329231169255.
• Klimczak MK, Krzepkowski HA, Piotrowski WJ, Białas AJ. The Short-Term Efficacy of a Three Week Pulmonary Rehabilitation Program among Patients with Obstructive Lung Diseases. Journal of Clinical Medicine. 2024;13(9):2576.
• Solanke AV, Lajwanti L. Incorporating RC-Cornet PLUS and POWERbreathe Medic Plus Device Along With Pulmonary Rehabilitation on Functional Capacity and Quality of Life in Bronchiectasis: A Case Report. Cureus. 2025;17(2).
• Bruton A, Lee A, Yardley L, Raftery J, Arden-Close E, Kirby S, et al. Physiotherapy breathing retraining for asthma: a randomised controlled trial. The Lancet Respiratory Medicine. 2018;6(1):19 28.
• Sosa-Pedreschi A, Donadio MVF, Iturriaga-Ramírez T, Yvert T, Pérez-Salazar F, Santiago-Dorrego C, et al. Effects of a remotely supervised resistance training program on muscle strength and body composition in adults with cystic fibrosis: Randomized controlled trial. Scandinavian Journal of Medicine & Science in Sports. 2024;34(1):e14564.
• Yasar Kucukardali M. Effects of Neuromuscular Electrical Stimulation on Muscle Strength, Functional Capacity, and Quality of Life Among Older Patients With Asthma. Alternative Therapies in Health and Medicine. 2024;30(6):6-15.
• Andreasson KH, Skou ST, Ulrik CS, Madsen H, Sidenius K, Assing KD, et al. Breathing exercises for patients with asthma in specialist care: a multicenter randomized clinical trial. Annals of the American Thoracic Society. 2022;19(9):1498-506.
• Yu-Lin AB. The benefits of early pulmonary rehabilitation with incentive spirometer among chronic obstructive pulmonary disease patients with exacerbation of chronic obstructive pulmonary disease. Med J Malaysia. 2024;79(5):561.
• Reychler G, Beaumont M, Latiers A-C, Pieters T, Fremault A. Dyspnea could be accurately assessed by a caregiver in hospitalized patients with respiratory diseases: Interrater reliability and agreement study. Brazilian journal of physical therapy. 2021;25(6):735-40.
• Ferrer M, Villasante C, Alonso J, Sobradillo V, Gabriel R, Vilagut G, et al. Interpretation of quality of life scores from the St George's Respiratory Questionnaire. European Respiratory Journal. 2002;19(3):405-13.
• Carson KV, Chandratilleke MG, Picot J, Brinn MP, Esterman AJ, Smith BJ. Physical training for asthma. Cochrane Database of Systematic Reviews. 2013(9).
• Klika B, Jordan C. High-intensity circuit training using body weight: Maximum results with minimal investment. ACSM's Health & Fitness Journal. 2013;17(3):8-13.

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2026
• Primary Completion (Estimated): April 1, 2026
• Study Completion (Estimated): May 1, 2026

Study Registration Dates

• First Submitted: March 27, 2026
• First Submitted That Met QC Criteria: March 27, 2026
• First Posted (Actual): April 2, 2026

Study Record Updates

• Last Update Posted (Actual): April 2, 2026
• Last Update Submitted That Met QC Criteria: March 27, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Keywords: Asthma; Functional Capacity; Diaphragmatic breathing; Circuit Training; Energy Conservation
• Additional Relevant MeSH Terms: Immune System Diseases; Respiratory Tract Diseases; Lung Diseases; Bronchial Diseases; Lung Diseases, Obstructive; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Asthma; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Physical Conditioning, Human; Exercise; Circuit-Based Exercise
• Other Study ID Numbers: REC/RCRS&AHS/24/0352 Malaika; 9399 (Other Identifier: Riphah International University)

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