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IRCT20220405054419N1 IRCT 2022-04-27 Riphah International University,Lahore Comparative effects of Diaphragmatic Stretch technique and Manual Release Technique on Diaphragmatic Excursion and pulmonary function testing in COPD patients. CEDSTMRTDEPFTCP Comparative effects of Diaphragmatic Stretch technique and Manual Release Technique on Diaphragmatic Excursion and pulmonary function testing in COPD patients. 2021-11-11 anticipated 38 Complete https://irct.ir/trial/62777 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Written informed consent will be taken. After enrollment into study, patient will be allocated either to group A or Group B by lottery method. No. of Chits will be equal to total sample size, odd Numbers will be allocated to Group A and even number will be allocated to Group B. Each patient will be requested to draw a chit from the box and after that patient will be recruited into either Group A or Group B. N/A Chronic obstructive pulmonary disease is described as a condition in which their is a chronic inflammation of lungs that causes obstructed airflow from the lungs. It can cause many harmful symptoms such as breathing difficulty, cough, mucus (sputum) production and wheezing. Blueness of the lips or fingernail beds (cyanosis) is also one of the major symptom.. Intervention 1: Intervention group: will be treated with Manual Diaphragm Release Technique in which the participant was asked to lie supine with relaxed limbs. Positioned at the head of the patient, the therapist made manual contact with the hypothenar region and last three fingers bilaterally to the underside of the seventh to tenth rib costal cartilages. The therapist’s forearms were aligned towards the participant’s shoulders. In the inspiratory phase, the therapist was gently pulling the points of contact with both hands in the direction of the head and slightly laterally, accompanied the elevation of the ribs. During exhalation, the therapist’s contact was deepened towards the inner costal margin, maintaining resistance. In the subsequent respiratory cycles, the therapist deepened the Contact inside the costal margin. Intervention 2: Intervention group: will be treated with Diaphragmatic Stretch Technique in which the subjects were asked to sit erect for the intervention. The therapist standing behind the subject pass their hands around the thoracic cage, introducing fingers in the subcostal margins. The subject’s trunk was rounded slightly to relax the rectus abdominis. As the subject exhaled, the therapist easing their hands caudally grasped the lower ribs at the subcostal margin. This firm, but gentle, traction was maintained as the patient inhales. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no information decided yet.
public Arooma Muzummil
House no 23, Street no 62 Sadi Road Islampura Lahore
Lahore Pakistan 54000 +92 333 1472522 arooma.bzu@gmail.com Riphah International University, Lahore scientific Arooma Muzummil
House no 23, Street no 62 Sadi Road Islampura Lahore
Lahore Pakistan 54000 +92 333 1472522 arooma.bzu@gmail.com Riphah International University, Lahore Pakistan Patients with stable COPD of both genders who are referred for Physiotherapy by a pulmonologist/Physician in general Hospitals. Patients with mild or moderate COPD according to the GOLD criteria, 2016.GOLD 1: Mild FEV1 ≥ 80% predicted, GOLD 2: Moderate 50% FEV1 < 80% Predicted. Age range 40-60 years old patients. gender both male and female. 40 years 60 years Both Patients with acute exacerbation of COPD Patients with acute exacerbation of COPD systolic and < 60mmHg for diastolic and mean arterial pressure (MAP)<80mmHg). Patients who have undergone recent cardiothoracic or abdominal surgery. Patients who have a recent history of chest wall or abdominal trauma; substantial chest wall deformity. History of psychiatric illness. J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection Treatment - Other Treatment - Other Intervention group: will be treated with Manual Diaphragm Release Technique in which the participant was asked to lie supine with relaxed limbs. Positioned at the head of the patient, the therapist made manual contact with the hypothenar region and last three fingers bilaterally to the underside of the seventh to tenth rib costal cartilages. The therapist’s forearms were aligned towards the participant’s shoulders. In the inspiratory phase, the therapist was gently pulling the points of contact with both hands in the direction of the head and slightly laterally, accompanied the elevation of the ribs. During exhalation, the therapist’s contact was deepened towards the inner costal margin, maintaining resistance. In the subsequent respiratory cycles, the therapist deepened the Contact inside the costal margin. Intervention group: will be treated with Diaphragmatic Stretch Technique in which the subjects were asked to sit erect for the intervention. The therapist standing behind the subject pass their hands around the thoracic cage, introducing fingers in the subcostal margins. The subject’s trunk was rounded slightly to relax the rectus abdominis. As the subject exhaled, the therapist easing their hands caudally grasped the lower ribs at the subcostal margin. This firm, but gentle, traction was maintained as the patient inhales. Diaphragm Strength. Timepoint: Before Treatment & After treatment (6week). Method of measurement: Cirtometry. PFTs. Timepoint: Before and After treatment (6 week). Method of measurement: Spirometer. Jinnah Hospital,Lahore Approved Approved 2021-11-24 Riphah International University 28-M Quaid e Azam Industrial Estate Kot Lakhpat,Lahore Lahore Punjab Pakistan