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CTRI Number  CTRI/2021/03/031625 [Registered on: 01/03/2021] Trial Registered Prospectively
Last Modified On: 05/05/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA)
Process of Care Changes 
Study Design  Single Arm Study 
Public Title of Study   Balloon blowing exercise for children with bronchitis. 
Scientific Title of Study   Effectiveness of breathing exercise as a play way method after nubulization versus conventional nebulization on respiratory parameter among children with lower respiratory tract infections in selected hospitals at Mangaluru. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ankitha kharvi 
Designation  4th bsc nursing student 
Affiliation  laxmi memorial college of nursing 
Address  AJ Towers, Balmatta, Mangaluru

Dakshina Kannada
KARNATAKA
575002
India 
Phone  9164341450  
Fax    
Email  sanjeevkharvi374@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ankitha kharvi 
Designation  4th bsc nursing student 
Affiliation  laxmi memorial college of nursing 
Address  AJ Towers, Balmatta, Mangaluru

Dakshina Kannada
KARNATAKA
575002
India 
Phone  9164341450  
Fax    
Email  sanjeevkharvi374@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ankitha kharvi 
Designation  4th bsc nursing student 
Affiliation  laxmi memorial college of nursing 
Address  AJ Towers, Balmatta, Mangaluru

Dakshina Kannada
KARNATAKA
575002
India 
Phone  9164341450  
Fax    
Email  sanjeevkharvi374@gmail.com  
 
Source of Monetary or Material Support  
Rajiv Gandhi university of health sciences for shot term research grant.  
 
Primary Sponsor  
Name  Rajiv Gandhi University of health sciences for short term research grants 
Address  4th T Block, Jayanagar, Bengaluru-560 041 
Type of Sponsor  Other [Rajiv Gandhi University of health sciences for short-term research grants] 
 
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 
shanthi S  AJ Hospital and Research centre,   pediatic ward, 7th floor,National highway 66,kuntikana, mangaluru. karnataka 575 004
Dakshina Kannada
KARNATAKA 
9164341450

shantjoe82@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee ,AJ Institute of Medical sciences and research Centre,  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J205||Acute bronchitis due to respiratory syncytial virus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  balloon blowing breathing exercise after asthalin nebulization for experimental group/only asthalin nebulization without baloon blowing exercise for control group   balloon will be given to the child to blow maximum of 10 times for 15 minutes after asthalin nubulization for 2 consecutive days for the experimentall group/ control group only asthalin nebulization without balloon blowing breathing exercise. 
Comparator Agent  Not applicable  Not applicable 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Age between 6 to 12 years
diagnosed with lower respiratory tract infection like bronchitis, bronchiolitis, pneumonia.
receiving medicated nebulization as per the prescription of doctor. 
 
ExclusionCriteria 
Details  dyspnoea scale score above 4.
who are critically ill
who are confined to bed
who are diagnosed with asthma
with any congenital defects in mouth and nose
whose parents are not willing to participate in the study.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
playway method of breathing exercise after nebulization help to remove retained secretions.incraesed saturation level, reduction in respiratory rate , and normal breath sound.   after 2 days. of intervention  
 
Secondary Outcome  
Outcome  TimePoints 
child is comfortable, no dyspnoea , association of resiratory parameter with birth weight.  after 2days of intervention. 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "20"
Final Enrollment numbers achieved (India)="20" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/03/2021 
Date of Study Completion (India) 05/04/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
study published in the journal of Clinical and Diagnostic Research. Year : 2021 | Month : November | Volume : 15 | Issue : 11 | Page : LC01 - LC04  
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

Young children experience an average of 6-8 respiratory illnesses per year in urban setup and slightly lower in rural areas. Retained airway secretion is linked to a wide range of respiratory illnesses. Breathing exercise plays a remarkable role in airway clearance and parenchyma expansion.

Quasi-experimental pretest and post test design was used to select 20 children admitted to the pediatric ward with a diagnosis of bronchitis, bronchiolitis and pneumonia. The level of dyspnoea was assessed before nebulization using a Pediatric Dyspnoea Scale (PDS). Respiratory rate per minute, oxygen saturation in percentage, chest expansion in centimeter and respiratory sounds were assessed after nebulization. Interventional group was advised to blow the balloon after nebulization for 15 minutes once a day for 2days consecutively.

Results: The mean age of children in the intervention group was 9.1± 2.71 while that in the control group was 8.75± 2.75.  Independent‘t’ test shows that there was a statistical difference in the post test findings for oxygen saturation and chest expansion.

Conclusion: The study concluded that regular practice of balloon blowing exercise improves oxygen saturation and chest expansion to a great extent in children with lower respiratory tract infection.


 
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