Breathing Exercise for Rib Fracture

Kastamonu University

Status: Enrolling

Conditions: Spirometry; Rib Fractures

Treatments: Behavioral: Respiratory physiotherapy; Drug: Conservative Treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT06222333

KastamonuU1

Details and patient eligibility

About

Respiratory physiotherapy is routinely performed after thoracic surgery operations to increase lung expansion and prevent pulmonary complications such as atelectasis and pneumonia. It is a controversial issue whether respiratory physiotherapy reduces pulmonary complications in rib fractures. In our study, patients with rib fractures will be divided into two groups. In the control group, standard treatment consisting of routine analgesic treatments will be applied. In the other group, respiratory physiotherapy will be applied with triflu for 8 hours a day. At the end of the study, pulmonary complications in both groups will be compared.

Full description

Patients between the ages of 18 and 100 who will apply to our hospital due to rib fractures between April 2024 and April 2025 will be evaluated. Patients who meet the inclusion criteria will be included in the study. Patients will be divided into two groups using randomization blocks. Patients in the control group will receive conservative treatment consisting of paracetamol and dexketoprofen. In the other group of patients, in addition to conservative treatment, triflow breathing exercise will be applied for 8 hours a day. Respiratory function test pain scores and pulmonary complications of patients in the two groups will be compared statistically.

Enrollment: 62 estimated patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Isolated thoracic injury within 24 hours
• Age between 18-100

Exclusion criteria

• Pneumothorax and hemothorax requiring intervention at admission
• Injury severity index >16
• COPD, Atshma
• Extrathoracic trauma

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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62 participants in 2 patient groups

Respiratory physiotherapy group

Experimental group

Description:

In this group of patients, in addition to routine analgesic treatment, triflow use and deep breathing training would be given by the physiotherapist. Patients in this group will do breathing exercises 8 hours a day, 10 times an hour

Treatment:

Behavioral: Respiratory physiotherapy

Routine treatment group

Active Comparator group

Description:

Patients in the control group will receive conservative treatment consisting of paracetamol and dexketoprofen.

Treatment:

Drug: Conservative Treatment