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IRCT20240502061629N1 IRCT 2024-05-08 Jahrom University of Medical Sciences the effect of two methods of routine breathing exercises and the simultaneous use of routine breathing and breathing-stretching exercises in patients with chronic obstructive pulmonary disease Comparison of two methods of routine breathing exercises (pursed lip breathing and diaphragmatic breathing) and the simultaneous use of routine breathing and breathing-stretching exercises on respiratory indicators (oxygen saturation percentage and carbon dioxide pressure), disease severity and exercise capacity in patients with chronic obstructive pulmonary disease 2024-06-06 anticipated 32 Complete https://irct.ir/trial/76608 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: At first, by using the available sampling method, inpatients with entry criteria are identified and based on the Global Initiative for Chronic Obstructive Lung Disease criteria, grade 2 and 3 chronic obstructive pulmonary disease patients are selected. In the next step, random allocation is done using a table of random numbers and patients are divided into two control groups (breathing exercises) and intervention (simultaneous use of breathing and breathing-stretching exercises), Blinding description: After the necessary information regarding conducting the research is provided to the patients, written informed consent is obtained from the patients; And after random allocation, patients are divided into two control groups (breathing exercises) and intervention (simultaneous use of breathing and breathing-stretching exercises). Participants will be informed of their presence in the intervention or control group only after the intervention is completed. N/A Condition 1: chronic obstructive pulmonary disease. Condition 2: chronic obstructive pulmonary disease. Intervention 1: Intervention group: this group receives breathing-stretching exercises, in addition to routine breathing exercises (pursed lip and diaphragmatic breathing). Stretching exercises with breathing control will be performed for the intervention group for 5 days and twice a day (at 10 am and 6 pm). Stretching exercises are done by controlling deep breathing exercises, inhaling through the nose and exhaling through the mouth. The stretching time will be with the inhaling and the tension releasing time will be with the exhaling. On the first day, the patient stretches his hands, wrists and ankles with breathing control while lying on the bed. On the second day, he repeats the exercises of the first session while sitting on the bed and with his legs extended. On the third day, while sitting on the bed, he performs the exercises of the first day along with neck stretching exercises. On the fourth day, the patient gets out of bed and walks and performs arm and shoulder stretching exercises while walking. On the fifth day, the patient tries to walk by raising the knee as much as possible and repeats the stretches of the fourth day. Intervention 2: Control group: The control group only receives routine breathing exercises (pursed lip and diaphragmatic breathing). Yes - There is a plan to make this available What will be shared: .All data is potentially shareable after individuals become incognito. When: The beginning of the access period is 6 months after the results are published. To whom: The data will be available for students, professors and researchers working in academic and scientific institutions. Conditions: Sending a request through the researcher's email is to access data or documents. The use of data is subject to strict compliance with literary rights and confidentiality. Where to obtain: Send a request through the following email to receive data/documents. fateme.zare@jums.ac.ir Fatemeh Zareh, nursing master of science student How to obtain: After the request for data/document via the researcher's email, your email will be answered within 7 days at most. Comments:
public Fatemeh Zare
No. 2, Sadr Shirazi St., Forsat Shirazi Blvd
Shiraz Iran (Islamic Republic of) 7157664667 +98 71 3722 7476 fateme.zare@jums.ac.ir Jahrom University of Medical Sciences scientific Fatemeh Zare
No. 2, Sadr Shirazi St., Forsat Shirazi Blvd
Shiraz Iran (Islamic Republic of) 7157664667 +98 71 3722 7476 fateme.zare@jums.ac.ir Jahrom University of Medical Sciences Iran (Islamic Republic of) patient will to participate in the study Not suffering from a known mental disorder (such as psychotic and depressive disorders that do not cooperate) Absence of acute and chronic diseases affecting the respiratory system (such as colds and flu) The ability to talk in Persian Not suffering from other chronic diseases that interfere with the rehabilitation program (such as skeletal-motor disorders) patients with stage 2 and 3 of the disease based on Global Initiative for Chronic Obstructive Lung Disease classification Obtaining lung fellowship approval no limit no limit Both Non-cooperation or unwillingness of the patient to continue participating in the study Occurrence of any complication or exacerbation of the disease (patients whose disease worsens due to causes such as pneumonia, pneumothorax or heart failure or patients who need to be hospitalized) that requires intervention J43 J44 Emphysema Other chronic obstructive pulmonary disease Rehabilitation Rehabilitation Intervention group: this group receives breathing-stretching exercises, in addition to routine breathing exercises (pursed lip and diaphragmatic breathing). Stretching exercises with breathing control will be performed for the intervention group for 5 days and twice a day (at 10 am and 6 pm). Stretching exercises are done by controlling deep breathing exercises, inhaling through the nose and exhaling through the mouth. The stretching time will be with the inhaling and the tension releasing time will be with the exhaling. On the first day, the patient stretches his hands, wrists and ankles with breathing control while lying on the bed. On the second day, he repeats the exercises of the first session while sitting on the bed and with his legs extended. On the third day, while sitting on the bed, he performs the exercises of the first day along with neck stretching exercises. On the fourth day, the patient gets out of bed and walks and performs arm and shoulder stretching exercises while walking. On the fifth day, the patient tries to walk by raising the knee as much as possible and repeats the stretches of the fourth day. Control group: The control group only receives routine breathing exercises (pursed lip and diaphragmatic breathing). Oxygen saturation percentage. Timepoint: before the start of the intervention and 5 days after the start of the intervention. Method of measurement: Pulse oximetr. Carbon dioxide pressure. Timepoint: before the start of the intervention and 5 days after the start of the intervention. Method of measurement: Venous blood gases. The score that people will get from the chronic obstructive pulmonary disease assessment test. Timepoint: before the start of the intervention and 5 days after the start of the intervention. Method of measurement: chronic obstructive pulmonary disease assessment test. The distance that people travel in 6 minutes. Timepoint: before the start of the intervention and 5 days after the start of the intervention. Method of measurement: 6-Minute walk test. Jahrom University of Medical Sciences Approved 2024-04-29 Ethics Committee of Jahrom University of Medical Sciences Jahrom University of Medical Sciences, after Nursing College, Ostad Motahari Street, Jahrom Jahrom Fars Iran (Islamic Republic of)