The primary objective of the study was to investigate the immediate effects of PIR technique on chest expansion and pulmonary functions in cigarette smokers.This quasi-experimental pre-test post-test study will be conducted. Participants of interest would be approached and explained about the research. Informed written consent will be taken. Recruited participants will receive PIR technique on assessory respiratory muscles and chest expansion and pulmonary function tests will be obtained before and after the treatment. Data collection tools for this study are spirometer and measuring tape.
Tobacco use, particularly cigarette smoking, is a major cause of disease and death globally. In Pakistan, the prevalence of tobacco use has increased significantly, with men being more likely to smoke than women. Chronic smoking is strongly associated with cardiovascular and respiratory diseases, as well as various forms of cancer. Smoking negatively affects lung function, leading to reduced pulmonary capacity and chronic obstructive pulmonary disease. Additionally, long-term smoking may lead to the loss of respiratory capacity and systemic muscle mass, affecting the performance and work of breathing. The primary objective of the study was to investigate the effects of PIR technique on chest expansion and pulmonary functions in cigarette smokers. This quasi-experimental pre-test post-test study will be conducted over one year at FFH, FUSH and among the general public. A sample will be calculated through pilot study. Participants between the ages of 18-60 will be recruited using convenience sampling. Inclusion criteria included individuals with min of 2 pack-years of tobacco smoking, while exclusion criteria included patients with certain cardiopulmonary medical conditions and those who underwent surgery or physiotherapy within past few months. Data collection tools for this study are spirometer and measuring tape. There is little to no literature on the effects of PIR technique on chest expansion and pulmonary functions in cigarette smokers. The immediate effects of PIR technique demonstrated in this study will provide physical therapists with valuable insight into its use as a treatment option for smokers to improve their pulmonary function. Moreover, this study adds to the existing literature on manual therapy and its effects on smokers. The findings of this study will provide a basis for future research in the field of musculoskeletal rehabilitation and will encourage future researchers to explore this area further.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Post isometric relaxation technique: It is defined as a manual procedure which involves the precisely controlled and specifically directed active contraction of a muscle at varying levels of intensity against a counterforce applied by the therapist. PIR will be applied to following muscles 1. scalene (anterior, middle and posterior) 2. sternocleidomastoid
Foundation University College of Physical Therapy
Rawalpindi, Punjab Province, Pakistan
RECRUITINGChest expansion
Measuring tape will be used to measure chest expansion at axillary level.
Time frame: Immediate after treatment
Forced Vital Capacity(FVC)
the maximum amount of air you can forcibly exhale from your lungs after fully inhaling measured using hand held spirometer
Time frame: Immediate after treatment
Forced Expiratory Volume in 1 second (FEV1)
The volume of air (in liters) exhaled in the first second during forced exhalation after maximal inspiration measured using hand held spirometer.
Time frame: Immediate after treatment
Peak Expiratory Flow (PEF)
the volume of air forcefully expelled from the lungs in one quick exhalation measured using hand held spirometer
Time frame: Immediate after treatment
FEV1/ FVC
The ratio of the forced expiratory volume in the first one second to the forced vital capacity of the lung measured using hand held spirometer
Time frame: Immediate after treatment
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