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CTRI Number  CTRI/2025/07/091448 [Registered on: 22/07/2025] Trial Registered Prospectively
Last Modified On: 18/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Effect of Stacked Breathing vs Conventional Chest Physiotherapy on Lung Function in COPD Patients 
Scientific Title of Study   EFFECTIVENESS OF STACKED BREATHING VERSUS CONVENTIONAL CHEST PHYSIOTHERAPY ON PULMONARY FUNCTION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) - AN EXPERIMENTAL STUDY 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Yash Bhandari 
Designation  PG Scholar 
Affiliation  Drs. Kiran & Pallavi Patel Global University 
Address  Krishna School of Physiotherapy & Rehabilitation, Krishna Edu Campus, Varnama, Vadodara – 391240
Krishna School of Physiotherapy & Rehabilitation, Krishna Edu Campus, Varnama, Vadodara – 391240
Vadodara
GUJARAT
391240
India 
Phone  6359063338  
Fax    
Email  yashbhandari0007@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Yash Bhandari 
Designation  PG Scholar 
Affiliation  Krishna School of Physiotherapy & Rehabilitation, KPGU 
Address  Krishna School of Physiotherapy & Rehabilitation, Krishna Edu Campus, Varnama
Cardiorespiratory lab Physiotherapy Department, 2nd floor
Vadodara
GUJARAT
391240
India 
Phone  6359063338  
Fax    
Email  yashbhandari0007@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Yash Bhandari 
Designation  PG Scholar 
Affiliation  Drs. Kiran & Pallavi Patel Global University 
Address  Krishna School of Physiotherapy & Rehabilitation, Krishna Edu Campus, Varnama, Vadodara – 391240
Krishna School of Physiotherapy & Rehabilitation, Krishna Edu Campus, Varnama, Vadodara – 391240
Vadodara
GUJARAT
391240
India 
Phone  6359063338  
Fax    
Email  yashbhandari0007@gmail.com  
 
Source of Monetary or Material Support  
Dr Yash Bhandari 
 
Primary Sponsor  
Name  Dr Yash Bhandari 
Address  41 2 Ajran falia Kachigam Nani Daman Daman 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Yash Bhandari   Pranayam Lung and Heart Institute   Department of Physiotherapy Pranayam Lung and Heart Institute New VIP Road Vadodara 390019
Vadodara
GUJARAT 
6359063338

yashbhandari0007@gmai.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee for Biomedical and Health Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J449||Chronic obstructive pulmonary disease, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Chest Physiotherapy  Patients will receive Diaphragmatic Breathing Exercise and Active Cycle of Breathing Technique (ACBT) without stacked breathing. Therapy will be provided twice daily, 4 days/week for 3 weeks. Outcomes measured will include PFT and CAT score. 
Intervention  Stacked Breathing Exercise with Conventional Chest Physiotherapy  Patients will receive Diaphragmatic Breathing Exercise, Active Cycle of Breathing Technique (ACBT), and Stacked Breathing Exercise. Stacked breathing will be done in a sitting position, 5 repetitions per session, twice daily, 4 days/week for 3 weeks. Pulmonary Function Test and CAT score will be measured before and after intervention. 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients diagnosed with Chronic Obstructive Pulmonary Disease (COPD) based on GOLD classification
Both male and female participants aged between 40 and 70 years 
 
ExclusionCriteria 
Details  Patients with any other cardiorespiratory conditions
Patients with neuromuscular disorders
Presence of tumors
Acute exacerbation of COPD
Recent thoracoabdominal surgeries 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1 Forced Expiratory Volume in one second
2 Peak Expiratory Flow Rate 
Baseline and after 3 weeks of intervention 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   12/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="0"
Days="21" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
This experimental study aims to compare the effectiveness of Stacked Breathing Exercise versus Conventional Chest Physiotherapy on pulmonary function in patients with Chronic Obstructive Pulmonary Disease (COPD). A total of 30 patients aged 40 to 70 years, diagnosed with COPD, will be recruited and randomly allocated into two groups. Group A will receive Stacked Breathing Exercise along with Conventional Chest Physiotherapy, and Group B will receive only Conventional Chest Physiotherapy. Both groups will be treated for 3 weeks, 4 days per week, with outcome measures including Pulmonary Function Test (FEV1 and PEFR) and COPD Assessment Test (CAT) Score. The intervention aims to improve lung function and quality of life in COPD patients

 
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