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CTRI Number  CTRI/2026/02/103359 [Registered on: 09/02/2026] Trial Registered Prospectively
Last Modified On: 07/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Breathing Exercise to Improve Lung Function, Diaphragm Movement, and Pain After Abdominal Surgery 
Scientific Title of Study   Effect of Acapella versus Incentive Spirometry on Diaphragmatic Excursion, Pulmonary Function Parameter and Pain Intensity in Patients Undergoing Abdominal Surgery:A Randomized Control 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  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 Center 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
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 Center 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  Tejashwini Birajdar Birajdar 
Designation  Postgraduate student,Cardiovascular and Pulmonary Physiotherapy 
Affiliation  KAHER Institute Of Physiotherapy 
Address  KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Center Cardiovascular and Pulmonary Physiotherapy Department Room No.6, Nehru Nagar, Belagavi,Karnataka-590010

Belgaum
KARNATAKA
590010
India 
Phone  09686151072  
Fax    
Email  tejashwini.b.13@gmail.com  
 
Source of Monetary or Material Support  
Tejashwini Birajdar KLES Dr Prabhakar Kore Hospital and MRC,Advanced Physiotherapy Center Cardiovascular and Pulmonary Physiotherapy Department Room No. 6, Nehru Nagar, Belgavi, Karnataka- 590010 
 
Primary Sponsor  
Name  Tejashwini Birajdar 
Address  KAHER Institute of Physiotherapy, Nehru Nagra, Belagavi,Karnataka-590010 
Type of Sponsor  Other [Self-Sponsored] 
 
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 
Dr Ganesh BR  KLES Dr. Prabhakar Kore Hospital and MRC   KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Center 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  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K911||Postgastric surgery syndromes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group A: Acapella  Patients will be trained to perform 10-15 breaths/sessions, 2 sets/day using Acapella. Expiration will be done through the device with moderate resistance to produce oscillatory positive expiratory pressure. 
Comparator Agent  Group B: Incentive Spirometer   Patients will perform 10 sustained maximal inspiration/session, 2 sets/day using the IS device, with breath-hold of 3-5 seconds at full inspiration 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects of both gender between the age of 30 to 60 years under going elective abdominal surgery  
 
ExclusionCriteria 
Details  Pre-existing respiratory condition. Prolonged mechanical ventilation. Emergency abdominal surgeries. Patients with active respiratory infection. Neuromuscular disorders. Cardiac instability 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Diaphragmatic Excursion  Day1 and Day 5 
 
Secondary Outcome  
Outcome  TimePoints 
Peak Expiratory Flow Rate,Oxygen Saturation,and Pain Intensity  Day1 and Day 5 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
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="0"
Months="6"
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 randomized control trial study comparesthe effect of acapella versus incentive spirometry in patients under going abdominal surgery . The aims to evaluate their impact on diaphramatic excursion,pulmonary function parameter, and pain intensityin 56 subjects aged between 30 to 60 years will be randomly allocated into 2 groups. Intervention will be given along with conventional post operative physiotherapy for 5 days. Outcome measureswill be measured by using USG, Spo2,VAS scale .  The study seeks to provide evidence based guidance for improving postoperative pulmonary recovery  
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