Effects of Energy Conservation Techniques With Pursed Lip Breathing on Quality of Life in Bronchiectasis

Riphah International University

Status: Not yet enrolling

Conditions: Bronchiectasis

Treatments: Other: pursed lip breathing; Other: energy conservation techniques with pursed lip breathing

Study type: Interventional

Funder types: Other

Identifiers

NCT06995989

REC/RCR & AHS/24/0358

Details and patient eligibility

About

Bronchiectasis is the abnormal dilatation of the bronchi. Due to airway dilatation patient is unable to clear the mucus and risk of infection is increased. For mucus clearance used many breathing techniques employed along with or without mechanical devices. Many researches have shown the inconsistent results of energy conservation techniques along with breathing exercises among variety of cardiopulmonary disorders. This study will be conducted to determine the combined effects of energy conservation techniques with pursed lip breathing on functional independence and quality of life in patients of bronchiectasis. It will be a randomized clinical trial. Two groups will be taken under the age of 40 to 60 years and data will be collected from pulmonary wards of selected hospitals. Sample size will be 46 keeping the attrition rate 10%.

St. George's Respiratory Questionnaire (SGRQ) will be used to evaluate the quality of life of patients and 6 mint walk test is used to determine functional independence of bronchiectasis patients. After data collection, data will be analyzed using SPSS version 26.

Full description

Bronchiectasis is the abnormal dilatation of the bronchi. Due to airway dilatation patient is unable to clear the mucus and risk of infection is increased. For mucus clearance and reduced labored breathing, conventional chest physiotherapy is used in which many breathing techniques can be employed along with or without mechanical devices and inspiratory muscle training, coughing support and positioning to improve the respiratory functions but there is no consensus on which breathing technique is better. Many researches have shown the inconsistent results of energy conservation techniques along with breathing exercises among variety of cardiopulmonary disorders such as in asthma, chronic obstructive pulmonary disease (COPD) patients but no results were seen among patients of bronchiectasis. This study will be conducted to determine the combined effects of energy conservation techniques with pursed lip breathing on functional independence and quality of life in patients of bronchiectasis. It will be a randomized clinical trial. Age of selected subjects will be between 40 to 60 years and data will be collected from pulmonary wards of selected hospitals. Sample size will be 46 keeping the attrition rate 10%. There will be 2 groups i.e. group A will receive energy conservation techniques along with pursed lip breathing technique and group B will receive only pursed lip breathing technique. St. George's Respiratory Questionnaire (SGRQ) will be used to evaluate the quality of life of patients and 6 mint walk test is used to determine functional independence of bronchiectasis patients. After data collection, data will be analyzed using SPSS version 26.

Enrollment: 46 estimated patients

Sex: All

Ages: 40 to 46 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both genders, aged between 40 to 60 years Bronchiectasis

Exclusion criteria

• Prior history of open-heart surgery

  • Prior severe pulmonary/hepatic or renal disease
  • Life-threatening arrhythmias (ventricular fibrillation, ventricular tachycardia, atrial fibrillation)
  • Pulmonary complications (atelectasis, acute respiratory distress syndrome (ARDS), diaphragmatic injury)
  • Congestive heart failure
  • Deep venous thrombosis (DVT)
  • Any known psychological disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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46 participants in 2 patient groups

energy conservation techniques along with pursed lip breathing technique

Experimental group

Description:

Group A will receive energy conservation techniques with pursed lip breathing with 1 session a day for total 5 days in a week. 1 session will consist of 3 cycles of pursed lip breathing for duration of 10 minutes with a break of 20 minutes in between. ECTs will be trained for 2 weeks. A detailed manual will be developed to ensure the consistency of the training for all subjects. Examples of interventions are training to use ergonomic principles along with pursed lip breathing. The subjects were trained to place their equipment at chest height; they were trained to work at paced speed and in some cases instructed to use technical aids.

Treatment:

Other: energy conservation techniques with pursed lip breathing

pursed lip breathing technique

Experimental group

Description:

Group B will receive pursed lip breathing

Treatment:

Other: pursed lip breathing