| CTRI Number |
CTRI/2026/02/103439 [Registered on: 09/02/2026] Trial Registered Prospectively |
| Last Modified On: |
07/02/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Comparison of Pilates Breathing and Papworth Breathing on lung function in Chronic Obstructive Pulmonary Disease |
|
Scientific Title of Study
|
Effect of Pilates Breathing and Papworth Breathing on Respiratory Function in Chronic Obstructive Pulmonary Disease: A Randomized Clinical Trial |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Akanksha kumari |
| Designation |
Postgraduate Student, Cardiovascular and Pulmonary Physiotherapy |
| Affiliation |
KAHER Institute Of Physiotherapy |
| Address |
KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Cardiovascular and Pulmonary Physiotherapy Department Room No. 6, Nehru Nagar, Belagavi, Karnataka-590010
Belgaum
KARNATAKA
590010
India |
| Phone |
7004718527 |
| Fax |
|
| Email |
akankshaindu2010@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Ganesh BR |
| Designation |
Professor and HOD, Department of Cardiovascular and Pulmonary Physiotherapy |
| Affiliation |
KAHER Institute Of Physiotherapy |
| Address |
KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Cardiovascular and Pulmonary Physiotherapy Department Room No. 6, Nehru Nagar, Belagavi, Karnataka-590010
Belgaum
KARNATAKA
590010
India |
| Phone |
9844857581 |
| Fax |
|
| Email |
drganeshnssofficer@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Akanksha kumari |
| Designation |
Postgraduate Student, Cardiovascular and Pulmonary Physiotherapy |
| Affiliation |
KAHER Institute of Physiotherapy |
| Address |
KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Cardiovascular and Pulmonary Physiotherapy Department Room No. 6, Nehru Nagar, Belagavi, Karnataka-590010
Belgaum
KARNATAKA
590010
India |
| Phone |
7004718527 |
| Fax |
|
| Email |
akankshaindu2010@gmail.com |
|
|
Source of Monetary or Material Support
|
| KLES Dr. Prabhakar Kore Hospital and MRC, Advance Physiotherapy Centre Cardiovascular and Pulmonary Physiotherapy Department Room No. 6, Nehru Nagar, Belagavi, Karnataka-590010 |
|
|
Primary Sponsor
|
| Name |
Akanksha Kumari |
| Address |
KAHER Institute of Physiotherapy, Nehru Nagar, Belagavi, Karnataka-590010 |
| Type of Sponsor |
Other [Self-Sponsored] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Ganesh BR |
KLES Dr. Prabhakar Kore Hospital and MRC Nehru Nagar, Belagavi, 590010 |
KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Cardiovascular and Pulmonary Physiotherapy Department Room No. 6, Nehru Nagar, Belagavi, Karnataka-590010
Belgaum
KARNATAKA |
9844857581
drganeshnssofficer@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Research and Ethics Committee KAHER Institute of Physiotherapy |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: J984||Other disorders of lung, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Group A: Pilates Breathing |
The subject will be positioned in supine, breathing freely without holding the breath. Hands will be placed over the lower posterolateral rib cage to guide breathing. The subject inhales through the nose and exhales through pursed lips while actively contracting the transverse abdominis and pelvic floor muscles. Transverse abdominis activation will be ensured by abdominal tightening and pelvic floor contraction, verified by palpation near the anterior iliac spine. Pilates breathing will be performed twice daily for one week, for 10 minutes per session. total duration of intervention is 7 days. Conventional exercise will be given. Diaphragmatic breathing-The patients will be placed in the semi fowler position and will be instructed to remain relaxed. Hand placement-One hand will be placed on chest and other on stomach. Upper Limb mobility- Upper limb mobility of shoulder, elbow and wrist will be given to patient. Each exercise will be given 10 reps for 5 times a week for 7 days. Lower limb mobility - Lower limb mobility of hip, knee and ankle will be given to patient. Each exercise will be given 10 reps for 5 times a week. Total duration of intervention is 7 days.
|
| Comparator Agent |
Group B: Papworth Breathing |
The subject is positioned lying down or sitting comfortably with good posture and eyes closed in a relaxed state. One hand is placed on the upper chest and the other on the upper abdomen to monitor breathing. The subject is instructed to relax the upper chest and allow the abdomen to expand during inhalation and gently fall during exhalation. Breathing is performed slowly through the nose, focusing on abdominal movement with minimal chest motion. A brief breath hold is introduced before slow, relaxed exhalation through the mouth. Attention is directed toward releasing bodily tension with each exhalation. The subject focuses on long, slow, deep breaths and maintains awareness of the breathing pattern. Distractions are acknowledged without judgment, and attention is returned to breathing. Papworth breathing is practiced twice daily for one week, with each session lasting 10 minutes. Total duration of intervention is 7 days. Conventional exercise will be given. Diaphragmatic breathing-The patients will be placed in the semi fowler position and will be instructed to remain relaxed. Hand placement-One hand will be placed on chest and other on stomach. Upper Limb mobility- Upper limb mobility of shoulder, elbow and wrist will be given to patient. Each exercise will be given 10 reps for 5 times a week for 7 days. Lower limb mobility - Lower limb mobility of hip, knee and ankle will be given to patient. Each exercise will be given 10 reps for 5 times a week. Total duration of intervention is 7 days. |
|
|
Inclusion Criteria
|
| Age From |
45.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
Both male and female Patients diagnosed with moderate to severe COPD as per GOLD criteria. Age Group- 45 to 65 years. Who are willing to participate.
|
|
| ExclusionCriteria |
| Details |
Subjects with other organ failure, malignancy or unable to comply. Patients who are unable to follow commands. Severe Neuro-musculoskeletal abnormalities. Any other medical condition or disability restricting patient participation |
|
|
Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Spirometry |
Day 1 and Day 7 |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| 6- minute walk test, Peripheral oxygen saturation, Breathlessness Cough and Sputum Scale |
Day 1 and Day 7 |
|
|
Target Sample Size
|
Total Sample Size="32"
Sample Size from India="32"
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)
|
20/02/2026 |
| 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="1"
Months="0"
Days="0" |
|
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 study will be conducted as a randomized clinical trial to evaluate and compares the effect of Pilates breathing and Papworth breathing in patient with moderate to severe Chronic Obstructive Pulmonary Disease. Eligible participants aged 45-65 years will be randomly allocated in two groups. Group A will receive Pilates Breathing exercise and Group B will receive Papworth breathing exercise along with conventional exercise for both groups. The intervention will be twice daily for one week. Pulmonary function will be assessed using spirometry. Functional capacity will be measured using the 6-Minute Walk Test. Oxygen Saturation will be evaluated using pulse oximetry. Respiratory symptoms will be assessed using Breathlessness, Cough and Sputum Scale. |