Effect of Aerobic Exercises Versus Incentive Spirometer Device on Post-covid Pulmonary Fibrosis Patients

McCarious Nahad Aziz Abdelshaheed Stephens

Status: Active, not recruiting

Conditions: Post-COVID-19 Syndrome; Lung Fibrosis Interstitial

Treatments: Other: Traditional Chest Physiotherapy; Other: Aerobic Exercises; Device: Incentive Spirometer Device

Study type: Interventional

Funder types: Other

Identifiers

NCT06191367

CairoU post-covid PF Rehab

Details and patient eligibility

About

the aim of this study will be to investigate the effect of aerobic exercises vs incentive spirometer device on post-covid patients with residual lung diseases.

Full description

To our knowledge, there have been no enough studies that investigated the effect of aerobic exercise and incentive spirometer in pulmonary rehabilitation on post-covid syndrome patients.

Therefore, this study may open up ways to other researchers to investigate and build up on this effect if present and address such an important issue.

The finding of this proposed work may help patients with post-covid syndrome and complain of lung diseases by addressing their complains of symptoms like chest pain, dyspnea, and cough and provide a possible solution to enhance their quality of life and increase their participation in daily life activities.

Patients of post-covid syndrome with residual lung problems will be recruited after approval of ethical committee of the faculty of physical therapy, Cairo university. All participants will sign a written informed consent form.

The subjects will be randomly assigned into one of three groups:

• Group I (experimental) will receive aerobic exercises program and traditional chest physiotherapy.
• Group II (experimental) will receive incentive spirometer device treatment and traditional chest physiotherapy.
• Group III (control) will receive traditional chest physiotherapy only. The measures will be taken before and after treatment program.

Enrollment: 45 estimated patients

Sex: All

Ages: 40 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hemodynamic stable (MAP not less than 60mmHg, systolic pressure >80mmHg and diastolic pressure not <60mmHg)
• Age from 40 to 85 years.
• Both sexes.
• All patients were positive covid-19 infected patients and passed at least 4 weeks after confirmation.
• All patients suffer from respiratory complications.
• All patients included are actively breathing.
• All patients included are fully aware and conscious.

Exclusion criteria

• Hemodynamic Instability.
• Severe Head Injury.
• Increased intracranial pressure.
• Anemic Hb<8.
• Active Smoking.
• Severe Bronchospasm.
• Low BP (systole <80, diastole <60).
• Subcutaneous Emphysema.
• Rip Fractures.
• Untreated Pneumothorax.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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45 participants in 3 patient groups

Group I (experimental) Aerobic Exercises and Traditional Chest Physiotherapy.

Experimental group

Description:

It was consisted of fifteen patients with positive covid-19 test from at least a month before trial. They received aerobic exercise techniques which consist of 3 levels of activity exercises and traditional program of chest physiotherapy. (Five times per week for two months).

Treatment:

Other: Traditional Chest Physiotherapy

Other: Aerobic Exercises

Group II (experimental)Incentive Spirometer Device and Traditional Chest Physiotherapy.

Experimental group

Description:

It was consisted of fifteen patients with positive covid-19 test from at least a month before trial. They received incentive spirometer training techniques and traditional program of chest physiotherapy. (Five times per week for two months).

Treatment:

Other: Traditional Chest Physiotherapy

Device: Incentive Spirometer Device

Group III (control) will receive Traditional Chest Physiotherapy only.

Active Comparator group

Description:

As a control group it was consisted of fifteen patients with positive covid-19 test from at least a month before trial. They received traditional program of chest physiotherapy only. (Five times per week for two months). for example: - Breathing Exercises. - Postural Drainage. - Percussion. - Coughing - Vibration.

Treatment:

Other: Traditional Chest Physiotherapy