Effect of Glossopharyngeal Versus Diaphragmatic Breathing Exercise on Pulmonary Function After Decortication Surgery

Cairo University60 enrolled

Overview

This study will be conducted to compare between the effect of glossopharyngeal and diaphragmatic breathing exercises on pulmonary functions after decortication surgery

Lung decortication is a well-known procedure for the treatment of empyema. Persistent lung collapse and non-expansion of the lung parenchyma are frequently noticed in the postoperative period after decortications, chest physiotherapy plays a crucial role in the re-expansion of underlying parenchyma. There is an increased flow of patients after decortication surgery to hospitals who suffer from decreased lung volumes so the hospitalization period for them increases which puts an economical burden on health insurance services with a decreased level of quality of life that is the most concern to improve patient status and relieve this burden. So this study aims to improve patient's lung volumes and arterial blood gas parameters which improves patient status through two various forms of breathing exercises.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Pulmonary Disease

Interventions

traditional chest techniquesOTHER

patients will receive traditional chest techniques in the form of percussion and vibration, 2 times per day, 3 sets 5 repetitions per each set for 20 minutes, 3 times per week for 2 weeks

Glossopharyngeal breathing exerciseOTHER

patients will receive Glossopharyngeal breathing exercise, 2 times per day, 3 sets 5 repetitions per each set for 20 minutes, 3 times per week for 2 weeks.

Diaphragmatic breathing exerciseOTHER

patients will receive diaphragmatic breathing exercise, 2 times per day, 3 sets 5 repetitions per each set for 20 minutes, 3 times per week for 2 weeks.

Eligibility

Sex: FEMALEMin age: 40 YearsMax age: 50 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * The participant's body mass index (BMI) will be ranged from 25- 29.9 kg/m2 * The patient will receive treatment after 24 hours after decortication * The study will be in the intensive care unit (ICU). * The patients have unilateral lung decortication * Their vital capacity is 70% or less. Exclusion Criteria: * Cancerous patient. * Inability to comprehend and follow instructions as in dementia * paralytic involvement of thorax muscle * Abdominal diseases that affect diaphragmatic function * Diaphragmatic paralysis

Locations (1)

Mai Gamal El-Din Mostafa

Cairo, Egypt

Outcomes

Primary Outcomes

Tidal volume

The spirometer device (Meditech, made in China) will be used to measure tidal volume for all participants in all groups before and after the treatment program. It is the amount of air that moves in or out of the lungs with each respiratory cycle. It measures about 400 ml in a healthy female.

Time frame: within 2 weeks

Inspiratory reserve volume (IRV)

The spirometer device (Meditech, made in China) will be used to measure inspiratory reserve volume (IRV) for all participants in all groups before and after the treatment program. \- IRV: It is the amount of air that can be forcibly inhaled after normal tidal volume. The normal adult value is 1900-3300 ml.

Time frame: within 2 weeks

Expiratory reserve volume (ERV)

The spirometer device (Meditech, made in China) will be used to measure expiratory reserve volume (ERV) for all participants in all groups before and after the treatment program. ERV: It is the amount of extra air above normal breath-exhaled during forceful breath out, its average is about 800ml in females.

Time frame: within 2 weeks

Measurement of the potential of hydrogen (PH)

Blood gas analyzer will be used to measure the potential of hydrogen (PH) for all participants in all groups before and after the treatment program. The blood sample was taken from the radial or brachial or femoral artery or from arterial catheter and put in the device. The normative value of pH is7.35-7.45

Time frame: within 2 weeks

Measurement of the partial arterial pressure of carbon dioxide(PaCO2)

Blood gas analyzer will be used to measure the partial arterial pressure of carbon dioxide(PaCO2) for all participants in all groups before and after the treatment program. The blood sample was taken from the radial or brachial or femoral artery or from arterial catheter and put in the device. the normative value of PaCO2 is 4.7-6 KPa.

Time frame: within 2 weeks

Data from ClinicalTrials.gov

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