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IRCT20110509006416N2 IRCT 2023-05-22 Karaj University of Medical Sciences Effect of breathing techniques on COPD Effects of of breathing techniques on pulmonary function and quality of life in adults with chronic obstructive pulmonary diseases (COPD) 2023-06-05 anticipated 110 Complete https://irct.ir/trial/68420 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The daily list of samples will be introduced to the intervention group by the doctor (principal researcher) after checking the conditions for entering the study and obtaining informed consent. Allocation of samples in the intervention and control groups is done with random blocks. Random blocks of 4 (28 blocks) and randomization is done using Sealed Envelope online service. Allocation of samples to two intervention and control groups is done by another person from the plan (random block) and sent to the interventionists by SMS, Blinding description: Double blinding will be used in this study. The patients in both control and intervention groups will be given an educational DVD, and training sessions will be held for both groups, but the difference between the two groups is that in the intervention group, in addition to the usual treatment, breathing exercises will also be taught, but for The control group will only receive the usual treatment. Also, for double-blinding, the recipient of the spirometry test must be unaware of the patients' history. 3 Chronic obstructive pulmonary disease. Intervention 1: Intervention group: patients with COPD who receive breathing techniques. 2 sessions of regular treatment training and breathing exercise training (including 2 diaphragmatic breathing techniques, compressed lip breathing) along with regular individual treatment by a specialist. Along with the training DVD including these 2 techniques, each person is required to do these exercises at home 3 times a day for 10 minutes each time. In addition, this group has the requirements of the control group in addition to its own requirements. Follow-up and evaluation of patients will be done at the beginning of the study and 2 months after the intervention. Patients are examined once at the beginning of the study and again after 2 months (the end of the study). Patients are contacted by phone every week to ensure that breathing exercises are performed. Intervention 2: Control group: patients with COPD who received 2 sessions of regular treatment training (including how to use drugs and short-acting sprays and other recommendations) individually by a specialist. Along with an educational DVD containing the same drug recommendations and a series of basic training. Follow-up and evaluation of patients will be done at the beginning of the study and 2 months after the intervention. Patients are examined once at the beginning of the study and again after 2 months (the end of the study). Patients are contacted by phone every week to ensure attendance at the usual treatment. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Kourosh Kabir
University of Medical Sciences campus, Faculty of Medicine, above Art University, west end of Buali, Nebubot Square, Karaj
Karaj Iran (Islamic Republic of) 3149969415 009834287359 kabir.kourosh@yahoo.com Karaj University of Medical Sciences scientific Kourosh Kabir
Faculty of Medicine, University of Medical Sciences campus, above Art University, west end of Buali, Nebubot Square, Karaj
Karaj Iran (Islamic Republic of) 3149969415 009834287359 kabir.kourosh@yahoo.com Karaj University of Medical Sciences Iran (Islamic Republic of) Patients with age over 18 years old Patients are diagnosed with moderate and severe COPD (gold=2 and gold=3) 18 years no limit Both Patients requiring hospitalization Patients with presence of pulmonary infection Patients with severe obesity (BMI equal to or above 35) Patients that need to artificial oxygen Patients have performed the respiratory physiotherapy before entering into the study Patients with mild disease (gold=1) Patients with very severe disease (gold=4) Patients who are not trainable Patients with obstructive sleep apnea disorder Patients with cancer Patients with neuromuscular weakness J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection Rehabilitation Other Intervention group: patients with COPD who receive breathing techniques. 2 sessions of regular treatment training and breathing exercise training (including 2 diaphragmatic breathing techniques, compressed lip breathing) along with regular individual treatment by a specialist. Along with the training DVD including these 2 techniques, each person is required to do these exercises at home 3 times a day for 10 minutes each time. In addition, this group has the requirements of the control group in addition to its own requirements. Follow-up and evaluation of patients will be done at the beginning of the study and 2 months after the intervention. Patients are examined once at the beginning of the study and again after 2 months (the end of the study). Patients are contacted by phone every week to ensure that breathing exercises are performed. Control group: patients with COPD who received 2 sessions of regular treatment training (including how to use drugs and short-acting sprays and other recommendations) individually by a specialist. Along with an educational DVD containing the same drug recommendations and a series of basic training. Follow-up and evaluation of patients will be done at the beginning of the study and 2 months after the intervention. Patients are examined once at the beginning of the study and again after 2 months (the end of the study). Patients are contacted by phone every week to ensure attendance at the usual treatment. Quality of life. Timepoint: The beginning of the study, two months after the start of the study. Method of measurement: Quality of life Questionnaire (Clinical COPD Questionnaire). Respiratory indicators. Timepoint: The beginning of the study, two months after the start of the study. Method of measurement: Spirometry. Karaj University of Medical Sciences Approved 2023-04-29 Research Ethics Committees of Alborz University of Medical Sciences Secretariat of the Research Ethics Committee of the University, 2nd Floor,Alborz University of Medical Sciences Research and Technology Vice-Chancellor Building, Shahid Safarian St., Golshahr forty-five meters, Karaj Karaj Alborz Iran (Islamic Republic of)