Effects Of of Pursed Lip Breathing and Coordinated Breathing in Adult Patients With COPD

Riphah International University54 enrolled

Overview

COPD is the chronic lung condition characterized by the damage and enlargement of the air sacs in the lungs, leading to breathing difficulties. A blockage may develop, which traps air inside your lungs. The patient shows clinical manifestation of cough, wheezing, chest tightness, shortness of breath. This research of randomized clinical trial will check the combined effects of pursed lip breathing and coordinated breathing techniques to improve aerobic capacity and dyspnea in patients with COPD by taking sample of 54 patients through convenience sampling and randomly allocating them to two groups A and B out of which A will receive pursed lip breathing with aerobic exercise for 4 times per week for 4 week and duration will be 45-60 min, B will receive coordinated breathing with aerobic exercise for 4 times per week for 4 weeks. And duration will be 45-60 min.Pre and post training outcomes of aerobic capacity and dyspnea will be measured through Six minute walk test and dyspnea Borg scale, and Saint George respiratory questionnaire. The data will be analyzed through SPSS 21.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Chronic Obstructive Pulmonary Disease

Interventions

pursed lip breathing techniquesOTHER

Relax your neck and shoulder muscles. For the use of PLB exercise, the intervention will be given every day till the patient discharged from hospital. Patient will perform 5 sets. In each set, 10 times will be included. Then, instruct the patient to take deep breath through nose for two counts, and keep mouth closed. Inhale for 2 seconds. Now, ask the patient to purse the lips as if the patient was going to gently flicker the flame of candle. Now the patient will breathe out gently while counting for 4 seconds.

Eligibility

Sex: ALLMin age: 25 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Age range 25 -45 years(5) * Adult patient diagnosed with (chronic obstructive pulmonary disease) based on clinical and diagnostic criteria. * Patient willing and able to participate in an pursed lip breathing and coordinated breathing exercise program * Gender both male and female Exclusion Criteria: * Those who cognitive impairment that might affect their ability to comprehend and follow instructions * Any contraindication to the use of pursed lip breathing or coordinated breathing exercise as determined by the health care provider. * Individual with severe musculoskeletal limitations or other physical condition that may hinder the ability to perform exercise * Individual who have experienced the recent exacerbation of COPD symptoms within past three month

Outcomes

Primary Outcomes

Six minute walk test

Patients were instructed to walk back and forth at their own pace in a 35 m corridor. A physiotherapist supervised the test through the course, telling the patient the remaining exercise time every 2 min

Time frame: baseline and fourth week

Borg dyspnea scale

Dyspnea during the test was evaluated with the modified Borg dyspnea score. Pulmonary function test, inspiratory capacity, and dyspnea score, together with the walking distance were recorded before and after walking. Modified Borg scale is valid patient self-report scale for measuring breathlessness after exercise with the scaling from 0 to 10.