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CTRI Number  CTRI/2023/04/051427 [Registered on: 10/04/2023] Trial Registered Prospectively
Last Modified On: 06/04/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   "Immediate effect of respiratory muscle stretch and pursed lip breathing exercise on thoracic expansion and pulmonary function on mild to moderate COPD subjects-a comparative study" 
Scientific Title of Study   "IMMEDIATE EFFECT OF INTERCOSTAL STRETCH AND PURSED LIP BREATHING EXERCISE ON THORACIC EXPANSION AND PULMONARY FUNCTION ON MILD TO MODERATE COPD SUBJECTS -A COMPARATIVE STUDY" 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dhruvikaben Rathod 
Designation  MPT SCHOLER  
Affiliation  Parul institute of physiotherapy  
Address  Parul University,p.o.limda,Ta.waghodia, vadodara
Parul University,Po.limda,Ta. Waghodia,Dist. Vadodara 391760
Vadodara
GUJARAT
391760
India 
Phone  07434868650  
Fax  91-2668-260201  
Email  dhruvikarathod28699@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrDidhiti Desai 
Designation  Assistant professor  
Affiliation  Parul institute of physiotherapy  
Address  Parul University,parul institute of physiotherapy,Po. Limda,Ta.waghodia,Dist. Vadodara

Vadodara
GUJARAT
390022
India 
Phone  8866458302  
Fax  91-2668-260201  
Email  Didhiti.desai@paruluniversity.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dhruvikaben Rathod 
Designation  MPT SCHOLER  
Affiliation  Parul institute of physiotherapy  
Address  Parul University,parul institute of physiotherapy,po.limda,Ta.waghodia,Dist.vadodara

Vadodara
GUJARAT
390022
India 
Phone  07434868650  
Fax  91-2668-260201  
Email  dhruvikarathod28699@gmail.com  
 
Source of Monetary or Material Support  
Respiratory medicine,room no-12,ground floor, parul sevashram hospital 
 
Primary Sponsor  
Name  Parul sevashram hospital  
Address  P.o. limda,Ta.waghodia,Dist.vadodara  
Type of Sponsor  Private hospital/clinic 
 
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 
Dhruvikaben Rathod   Parul sevashram hospital , Respiratory medicine department,room no:12  P.O.Limda,Tal: waghodia,Dist: vadodara
Vadodara
GUJARAT 
07434868650
91-2668-260201
dhruvikarathod28699@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Parul University institutional ethics committee for Human Research (PU-IECHR)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J988||Other specified respiratory disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Intercostal stretch, pursued lip breathing, Thoracic expasion exercise   Immediate effect of intercostal stretch and thoracic expasion exercise on mild to moderate COPD subject. Immediate effect of pursed lip breathing and thoracic expasion exercise on mild to moderate COPD subject. 
Intervention  Pursed lip breathing, intercostal stretch, thoracic expansion exercises   Thoracic expasion exercise (15 minutes breathing exercises with 5 minutes of rest after 2 minutes of bretah) Intercostal stretch ( 10 breaths with 1 minutes rest for 10 repetitions) Pursed lip breathing ( 10 repetitions with 5 min rest for 3 set)  
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Both males and females of age is between 40 to 60.
Patient with mild, moderate airway obstruction based on gold criteria: gold 1-(mild: fev1 /fvc < 0.70, FEV1> 80% of predicted) gold 2 -(moderate: FEV1 /FVC < 0.70, 50% < FEV1< 80% of predicted).
Medically diagnosed COPD patient.
Willing to participate.
smokers or ex-smokers of more than 10 pack-years, and symptoms suggestive of COPD.
 
 
ExclusionCriteria 
Details  Hemodynamically unstable subjects.
Patients with severe orthopedic problems related to spine, fracture of rib, sternum fracture, neurological deficits, affecting the respiratory muscles, unstable cardiac condition, recent myocardial infarction, intercostal muscles strain.
Previous lung – volume reduction surgery, lung transplantation or pneumonectomy
Patient is having history of core pulmonale
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
•pre(pulmonary function (FEV1, FVC, FEV1/FVC)
•Chest expansion (tape method)
Post after the intervention
 
45 minutes  
 
Secondary Outcome  
Outcome  TimePoints 
none 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   Phase 2 
Date of First Enrollment (India)   17/04/2023 
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="2"
Days="15" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None Yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

IMMEDIATE EFFECT OF INTERCOSTAL STRETCH AND PURSED LIP BREATHING EXERCISE ON THORACIC EXPANSION AND PULMONARY FUNCTION ON MILD TO MODERATE COPD SUBJECTS – A COMPARATIVE STUDY.

AIMTo compare the immediate effect of intercostal stretch along with thoracic expansion exercise and pursed lip breathing along with thoracic expansion exercise on pulmonary function and thoracic expansion on mild to moderate COPD subjects.

 OBJECTIVES:

·       To determine the immediate effect of intercostal stretch along with thoracic expansion exercise on FEV1, FVC, FEV1/FVC on mild to moderate COPD subjects.

  • To determine the immediate effect of intercostal stretch along with thoracic expansion exercise on thoracic expansion on mild to moderate COPD subjects.
  • To determine the immediate effect of pursed lip breathing along with thoracic expansion exercise on FEV1, FVC, FEV1/FVC on mild to moderate COPD subjects.
  • To determine the immediate effect of pursed lip breathing along with thoracic expansion exercise on thoracic expansion on mild to moderate COPD subjects.
  • To compare the immediate effect of inter costal stretch along with thoracic expansion exercise and pursed lip breathing along with thoracic expansion exercise on thoracic expansion on mild to moderate COPD subjects.
  • To compare the immediate effect of inter costal stretch along with thoracic expansion exercise and pursed lip breathing along with thoracic expansion exercise on FEV1, FVC, FEV1/FVC on mild to moderate COPD subjects.


 
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