]>
IRCT20191117045462N14 IRCT 2024-07-18 Riphah International University Combined effects of pelvic floor Hold relax and Buteyko technique on urinary incontinence, pulmonary functions and exercise tolerance in COPD patients Combined effects of pelvic floor Hold relax and Buteyko technique on urinary incontinence, pulmonary functions and exercise tolerance in COPD patients 2023-09-29 anticipated 40 Complete https://irct.ir/trial/74000 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Taking into account the aforementioned inclusion and exclusion criteria patients will be divided into two groups by convenient sampling and allocated to 2 groups by simple randomization process by sealed opaque envelope method and labeled as 0 for group A and 1 for group B, Blinding description: Investigator will be blind. Assessment will done by 2nd therapist who will not be involved in treatment and data analysis. N/A COPD Patients. Intervention 1: Intervention group: Behavioral Therapy along with Pelvic floor hold relax and Buteyko technique.Patients asked to do Pelvic floor hold relax like 3 sets of 8–12 maximum VPFMC and to hold the contraction for more than three seconds followed by relaxation. Begin by bladder emptying, patients squeeze the muscles around the urethra as if trying to stop the flow of urine.Buteyko technique given to patients like 8-10 repetitions of 3 sets Patient will be asked to maintain upright posture. In the 1st phase they will do normal breathing for few minutes. Use index finger and thumb to plug nose. After exhalation hold breath as they can, then again inhale and start breathing normally for 10 seconds. In 2nd phase patients will hold breath twice the timing of 1st phase. Patients were also instructed to do exercises for twice a week for 16 weeks.Educational session given to patients about Behavioral Therapy. It includes proper fluid intake schedule that is drink more fluids in the morning and afternoon, not at night. Stop drinking a few hours before bedtime, reducing alcohol, caffeine, spicy foods, voiding interval of 2-3 hours starting from 5 minutes, stop smoking, avoid lifting. Intervention 2: Control group: Behavioral Therapy.Educational session given to patients about Behavioral Therapy. It includes proper fluid intake schedule that is drink more fluids in the morning and afternoon, not at night. Stop drinking a few hours before bedtime, reducing alcohol, caffeine, spicy foods, voiding interval of 2-3 hours starting from 5 minutes, stop smoking, avoid lifting. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Fazelat Nasir
13-14-C-civic center, township near hamdard chowk, lahore.
Lahore Pakistan 54000 +92 42 35126110 wajeeha_z@yahoo.com Riphah International University scientific Wajeeha
13-14-C-civic center, township near Hamdard chowk, Lahore
Lahore Pakistan 54000 +92 42 35126110 wajeeha_z@yahoo.com Riphah International University Pakistan Patients complaining incontinence link with cough and exercise Age criteria 25-45 years Patients having ability to perform voluntary pelvic floor muscle contraction and cooperative Self-reported urinary incontinence Stable COPD 25 years 45 years Both Subjects having unstable COPD Subjects with >4 hospital admissions due to COPD during last 1 year Patient ‘s having Neurological conditions and non-cooperative Subjects having spinal cord injuries Patients having history of Hysterectomy and other gynecological surgeries Patients having Malignancy J44.9 Chronic obstructive pulmonary disease, unspecified Rehabilitation Rehabilitation Intervention group: Behavioral Therapy along with Pelvic floor hold relax and Buteyko technique.Patients asked to do Pelvic floor hold relax like 3 sets of 8–12 maximum VPFMC and to hold the contraction for more than three seconds followed by relaxation. Begin by bladder emptying, patients squeeze the muscles around the urethra as if trying to stop the flow of urine.Buteyko technique given to patients like 8-10 repetitions of 3 sets Patient will be asked to maintain upright posture. In the 1st phase they will do normal breathing for few minutes. Use index finger and thumb to plug nose. After exhalation hold breath as they can, then again inhale and start breathing normally for 10 seconds. In 2nd phase patients will hold breath twice the timing of 1st phase. Patients were also instructed to do exercises for twice a week for 16 weeks.Educational session given to patients about Behavioral Therapy. It includes proper fluid intake schedule that is drink more fluids in the morning and afternoon, not at night. Stop drinking a few hours before bedtime, reducing alcohol, caffeine, spicy foods, voiding interval of 2-3 hours starting from 5 minutes, stop smoking, avoid lifting. Control group: Behavioral Therapy.Educational session given to patients about Behavioral Therapy. It includes proper fluid intake schedule that is drink more fluids in the morning and afternoon, not at night. Stop drinking a few hours before bedtime, reducing alcohol, caffeine, spicy foods, voiding interval of 2-3 hours starting from 5 minutes, stop smoking, avoid lifting. Urinary incontinence and Pulmonary functions. Timepoint: Pre-Post Treatment. Method of measurement: International consultation on Incontinence Questionnaire (ICIQ-UI-SF) and for pulmonary functions Master Screen PFT system. Exercise tolerance. Timepoint: Pre-Post Treatment. Method of measurement: 6 Minute walk test. Riphah International University Approved 2023-11-23 Riphah college of rehabilitation and Allied Health Sciences 13-14-C-civic center, township near Hamdard Chowk Lahore. Lahore Punjab Pakistan