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IRCT20220111053693N1 IRCT 2022-01-21 Riphah International University , Lahore, Pakistan Comparison Of Autogenic Drainage & Active Cycle Of Breathing Techniques In Patients With Pneumonia nil Comparison Of Autogenic Drainage & Active Cycle Of Breathing Techniques In Patients With Pneumonia 2021-06-05 anticipated 16 Complete https://irct.ir/trial/61368 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: nil, Randomization description: This study was conducted at Gulab Devi Chest Hospital Lahore, Pakistan. This study was randomized clinical trial. Total twenty subjects were assigned randomly by using Convenient sampling technique into two groups. we will randomly choose the patients who will visit the hospital, having pneumonia and those who will meet our inclusion criteria. These patients will be allocated in 2 groups according to our convivence. N/A Pneumonia is inflammation of the lungs and fluid collection in the alveoli. The two most common organisms responsible for pneumonia in low‐income countries are Streptococcus pneumoniae and Haemophilus influenzae . Children with pneumonia are treated with antibiotics, with hospitalisation and oxygen supplementation required in some cases, depending on disease severity. Accumulation of secretions in the airways due to respiratory infection contributes to the worsening of clinical symptoms and leads to an increase in airway resistance with each breath Signs and symptoms that are useful in diagnosing pneumonia are fever, tachypnoea, nasal flaring, cough, breathlessness, lower chest wall indrawing, and reduced oxygen saturation The gold standard for diagnosing pneumonia according to clinical guidelines is the presence of lung infiltrates indicated by chest radiography.. Intervention 1: In this study the sample size is 16, and is divided into 2 groups. Intervention group 1 and interventional group 2. Each group contain 8 individuals. Interventional group 1 will receive autogenic drainage along with percussion. The autogenic drainage technique tends to be practiced in sitting, and consists of 3 phases:1. Un-sticking – this mobilizes secretions in the small airways at the bottom of the lungs. Technique: big breath out, small breath in2. Collecting – this gathers the secretions and pushes them up the lungs into the main airways. Technique: middle sized breaths in and out3. Evacuating – this gets the secretions right to the back of the throat where they can be coughed out easily. Coughing before this phase is discouraged. Technique: take in as much air as possible then slowly sigh out. Gentle active huffs then used to remove the secretions from the body through the mouth. Intervention 2: Intervention group 2 will be given active cycle breathing technique along with percussion. Active cycle breathing technique consists of 4 stages:1. Breathing control – This is gentle breathing to allow you to relax and concentrate. With your hands gently resting on your tummy, concentrate on feeling your tummy rise and fall with each gentle breath in and out. Your breath out should be slow, almost like a sigh.2. Thoracic expansion (deep breaths) – This gets the air right down to the bottom of the lungs where it can loosen the phlegm. The breath in through your nose should be nice and slow, you should be able to feel your lungs filling up, when you feel like you have as much air in as is possible I want you to hold it there just for a few seconds, then gently breathe out through your mouth nice and slowly.3. Forced expiration (huff) – This helps force the phlegm up and out of your lungs. To carry out the technique effectively you need to pretend you have a mirror in front of you; take a normal breath in then huff the air out as if you are steaming up the mirror. This sometimes causes an acute onset of coughing.4. Cough – This allows you to get the phlegm up and out of your mouth, coughs are tiring and so should only be completed when you feel like the phlegm is just in the back of your throat. If the technique is used following surgery, a towel can be held over the scar site to ease the pressure on the wound and reduce pain whilst coughing. No - There is not a plan to make this available Justification or reason for not sharing IPD is nil
public Azed Ahsaan
Ward no 14 near ubl bank jampur district Rajanpur
Jampur Pakistan 33500 +92 335 6055553 azedahsaan786@gmail.com Riphah international university lahore scientific Azed Ahsaan
Ward no 14 near ubl bank jampur district Rajanpur
Jampur Pakistan 33500 +92 335 6055553 azedahsaan786@gmail.com Riphah international university lahore Pakistan Patients aged 35- 60 years. PNEUMONIA SEVERITY INDEX (PORT SCORE) CLASS I TO III Moderate to severe Grades for Severity of a Pulmonary Function Test Abnormality 35 years 60 years Both Patients with secondary pneumonia-that is, as a complication of dysfunction of respiratory muscles, Chronic bronchitis, Emphysema, Asthma Patients with known pulmonary tuberculosis or lung cancer. Intellectually impaired Rehabilitation Rehabilitation In this study the sample size is 16, and is divided into 2 groups. Intervention group 1 and interventional group 2. Each group contain 8 individuals. Interventional group 1 will receive autogenic drainage along with percussion. The autogenic drainage technique tends to be practiced in sitting, and consists of 3 phases:1. Un-sticking – this mobilizes secretions in the small airways at the bottom of the lungs. Technique: big breath out, small breath in2. Collecting – this gathers the secretions and pushes them up the lungs into the main airways. Technique: middle sized breaths in and out3. Evacuating – this gets the secretions right to the back of the throat where they can be coughed out easily. Coughing before this phase is discouraged. Technique: take in as much air as possible then slowly sigh out. Gentle active huffs then used to remove the secretions from the body through the mouth. Intervention group 2 will be given active cycle breathing technique along with percussion. Active cycle breathing technique consists of 4 stages:1. Breathing control – This is gentle breathing to allow you to relax and concentrate. With your hands gently resting on your tummy, concentrate on feeling your tummy rise and fall with each gentle breath in and out. Your breath out should be slow, almost like a sigh.2. Thoracic expansion (deep breaths) – This gets the air right down to the bottom of the lungs where it can loosen the phlegm. The breath in through your nose should be nice and slow, you should be able to feel your lungs filling up, when you feel like you have as much air in as is possible I want you to hold it there just for a few seconds, then gently breathe out through your mouth nice and slowly.3. Forced expiration (huff) – This helps force the phlegm up and out of your lungs. To carry out the technique effectively you need to pretend you have a mirror in front of you; take a normal breath in then huff the air out as if you are steaming up the mirror. This sometimes causes an acute onset of coughing.4. Cough – This allows you to get the phlegm up and out of your mouth, coughs are tiring and so should only be completed when you feel like the phlegm is just in the back of your throat. If the technique is used following surgery, a towel can be held over the scar site to ease the pressure on the wound and reduce pain whilst coughing Forced Vital Capacity (FVC). Timepoint: Measurements will be repeated after 4 weeks of 1st intervention. Method of measurement: The pulmonary function variables which will be assessed would be the Forced Vital Capacity (FVC) with the use of a spirometer. A brief description about the assessment procedure including technical steps to obtain pulmonary function data and variables will be explained to each subject. After 2–3 tidal breaths, subjects will be asked to inhale deeply to total lung capacity and then immediately exhale rapidly (without any pause) through a disposable mouthpiece until as much air as possible has been expelled from the lungs. The test will be performed with each subject in in high sitting position. The assessment will be repeated 3 times after adequate rest. The average values of the forced vital capacity (FVC) will be recorded. Forced Expiratory Volume in one second (FEV1). Timepoint: Measurements will be repeated after 4 weeks of 1st intervention. Method of measurement: The pulmonary function variables which will be assessed would be the Forced Expiratory Volume in one second (FEV1) with the use of a spirometer. A brief description about the assessment procedure including technical steps to obtain pulmonary function data and variables will be explained to each subject. After 2–3 tidal breaths, subjects will be asked to inhale deeply to total lung capacity and then immediately exhale rapidly (without any pause) through a disposable mouthpiece until as much air as possible has been expelled from the lungs. The test will be performed with each subject in in high sitting position. The assessment will be repeated 3 times after adequate rest. The average values of forced expiratory volume in the first second (FEV1) will be recorded. The oxygen hemoglobin saturation (SpO2). Timepoint: Measurements will be repeated after 4 weeks of 1st intervention. Method of measurement: The oxygen hemoglobin saturation (SpO2) will be assessed using a non-invasive pulse oximeter. Riphah University Approved 2021-03-19 Riphah Ethical Committee Township Lahore Lahore Punjab Pakistan