A Comparison Study of Two Respiratory Physical Therapy Methods and Standard Medical Treatment for Treating COPD Patients During Acute Exacerbation

Sheba Medical Center

Status: Unknown

Conditions: Chronic Bronchitis; Chronic Obstructive Pulmonary Disease

Treatments: Device: respiratory physical therapy technique- IPV; Procedure: respiratory physical therapy manual technique- Autogenic Drainage

Study type: Interventional

Funder types: Other

Identifiers

NCT02140892

SHEBA-13-0697-YO-CTIL

Details and patient eligibility

About

One of the main goals of the respiratory physical therapy is to help people who are suffering from accumulating of secretions in their airways and lungs.

Chronic Obstructive Pulmonary Disease (COPD) patients are often hospitalized with an Acute Exacerbation of their medical condition.

Those patients usually get only the standard medical care during the acute phase and don't get respiratory physical therapy treatment.

The study's main aim is to investigate if respiratory physical therapy treatment in addition to standard medical care during the acute phase, can improve the respiratory and medical condition and reduce hospitalization stay.

In order to do so we will compare three groups of COPD patients during acute exacerbation; two groups will get one out of two respiratory physical therapy techniques; manually or Intrapulmonary Percussive Ventilator (IPV) in addition to standard medical care and the third group will get standard medical care alone.

Enrollment: 75 estimated patients

Sex: All

Ages: 50 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• clinical diagnosis of Acute Exacerbation of COPD or Acute Exacerbation of Chronic Bronchitis
• Respiratory Rate>25
• PaCO2> 45 mmHg
• 7.35 < PH < 7.38

Exclusion criteria

• intubation
• apnea
• glasgow coma scale < 8
• pneumothorax
• FEV1 < 50% predicted
• Ischemic Hearth Disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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75 participants in 3 patient groups

respiratory physical therapy manual technique

Experimental group

Description:

respiratory physical therapy manual technique- Autogenic Drainage

Treatment:

Procedure: respiratory physical therapy manual technique- Autogenic Drainage

respiratory physical therapy technique- IPV

Experimental group

Description:

respiratory physical therapy technique- Intrapulmonary Percussive Ventilation

Treatment:

Device: respiratory physical therapy technique- IPV

standart medical care

No Intervention group

Description:

standard medical care