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IRCT20191117045462N19 IRCT 2024-07-23 Riphah international university combined effects of diaphragmatic breathing and Thoracic Kinesio Taping on Pulmonary functions, dyspnea,thoracoabdominal mobility and quality of life in Chronic Obstructive Pulmonary Disease combined effects of diaphragmatic breathing and thoracic kinesio taping on pulmonary functions, dyspnea, thoracoabdominal mobility and quality of life in Chronic obstructive Pulmonary Disease 2024-08-15 anticipated 74 Complete https://irct.ir/trial/78021 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.Assesment will be done by 2nd therapist who will not be involved in treatment and data analysis. N/A Mild to moderate COPD patients. Intervention 1: Experimental group will receive thoracic kinesio taping and diaphragmatic breathing exercises.Diaphragmatic breathing exercises will be performed by assuming flat position. Be sure to flex your knees and support your head.• Put one hand over your breastbone in the center of your chest, and the other just below your rib.Take a calm, deep breath in through your nose.• Squeeze out with your lips pursed and tense the muscles directly beneath your ribs.• Advice: Tighten your muscles while using the hand you placed below your ribs to gently push in and up. • Participant will be scheduled to attend 20 treatment sessions (5 sessions every week for 4 weeks,35 minutes each session)Assessment will be done on 0 weeks, 2nd week, and 4th week• Thoracic Kinesio Taping will be performed by this process :The material to be used for thoracic KT application will be 100% cotton, latex-free, 5-cm wide, elastic tape. Patients will be instructed to sit upright on an armless chair with no back support, with knees flexed to 90 degrees, feet on the floor and arms relaxed. Kinesio tape will be applied anteriorly and posteriorly to facilitate respiratory muscles (primarily diaphragm) along the subcostal area. Anteriorly, the base point of an “I” shaped kinesio tape will be applied on xiphoid process with 50-75% tension only on the linea alba and the tails of the tape will be applied towards subcostal curvature with no tension. Posteriorly, a second “I” shaped kinesio tape will be applied from the back. The base point of the tape will be applied on the projection of 12th Thoracic vertebra with 50-75% tension and the tails will be applied toward the ribs without any tension. Additionally, two more kinesio tapes will be applied to upper trapezius area which lies between neck and acromion at both sides (left and right).• Patient will be taped for about 48 hours• Participant will be scheduled to attend 12 treatment sessions (3 sessions every week for 4 weeks, 35mints each session)• Assessment will be done on 0-week, 2nd week, and 4th week. Treatment evaluation will be done by measuring severity of dyspnea by dyspnea-12 scale,quality of life will be measured by st. george questionnaire and pulmonary function by spirometry. Intervention 2: Control group: will receive diaphragmatic breathing exercises.Diaphragmatic breathing exercises will be performed by assuming flat position. Be sure to flex your knees and support your head.• Put one hand over your breastbone in the center of your chest, and the other just below your rib.Take a calm, deep breath in through your nose.• Squeeze out with your lips pursed and tense the muscles directly beneath your ribs.• Advice: Tighten your muscles while using the hand you placed below your ribs to gently push in and up. • Participant will be scheduled to attend 20 treatment sessions (5 sessions every week for 4 weeks,35 minutes each session)Assessment will be done on 0 weeks, 2nd week, and 4th week• Treatment evaluation will be done by measuring severity of dyspnea by dyspnea-12 scale,quality of life will be measured by st. george questionnaire and pulmonary function by spirometry. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Arfa Amin
25 Raza Saeed Rd, Bhabra Block M Gulberg III, Lahore, Punjab
Lahore Pakistan 54000 803000720844 wajeeha_z@yahoo.com Riphah international university scientific Wajeeha
25 Raza Saeed Rd, Bhabra Block M Gulberg III, Lahore, Punjab
Lahore Pakistan 54000 +92 42 35126102 wajeeha_z@yahoo.com Riphah international university Pakistan Pakistan Mild to moderate level COPD patients Both male and female gender Age between 40-60 years Vitally stable patient Individuals with no prior experience with thoracic Kinesio taping 40 years 60 years Both Participants with unstable medical conditions (e.g., cardiovascular instability) Individuals with cognitive impairments Pregnant women Participants with known allergies to tape Participants with known respiratory conditions other than COPD Diabetic patients J44.9 Chronic obstructive pulmonary disease, unspecified Rehabilitation Rehabilitation Experimental group will receive thoracic kinesio taping and diaphragmatic breathing exercises.Diaphragmatic breathing exercises will be performed by assuming flat position. Be sure to flex your knees and support your head.• Put one hand over your breastbone in the center of your chest, and the other just below your rib.Take a calm, deep breath in through your nose.• Squeeze out with your lips pursed and tense the muscles directly beneath your ribs.• Advice: Tighten your muscles while using the hand you placed below your ribs to gently push in and up. • Participant will be scheduled to attend 20 treatment sessions (5 sessions every week for 4 weeks,35 minutes each session)Assessment will be done on 0 weeks, 2nd week, and 4th week• Thoracic Kinesio Taping will be performed by this process :The material to be used for thoracic KT application will be 100% cotton, latex-free, 5-cm wide, elastic tape. Patients will be instructed to sit upright on an armless chair with no back support, with knees flexed to 90 degrees, feet on the floor and arms relaxed. Kinesio tape will be applied anteriorly and posteriorly to facilitate respiratory muscles (primarily diaphragm) along the subcostal area. Anteriorly, the base point of an “I” shaped kinesio tape will be applied on xiphoid process with 50-75% tension only on the linea alba and the tails of the tape will be applied towards subcostal curvature with no tension. Posteriorly, a second “I” shaped kinesio tape will be applied from the back. The base point of the tape will be applied on the projection of 12th Thoracic vertebra with 50-75% tension and the tails will be applied toward the ribs without any tension. Additionally, two more kinesio tapes will be applied to upper trapezius area which lies between neck and acromion at both sides (left and right).• Patient will be taped for about 48 hours• Participant will be scheduled to attend 12 treatment sessions (3 sessions every week for 4 weeks, 35mints each session)• Assessment will be done on 0-week, 2nd week, and 4th week. Treatment evaluation will be done by measuring severity of dyspnea by dyspnea-12 scale,quality of life will be measured by st. george questionnaire and pulmonary function by spirometry. Control group: will receive diaphragmatic breathing exercises.Diaphragmatic breathing exercises will be performed by assuming flat position. Be sure to flex your knees and support your head.• Put one hand over your breastbone in the center of your chest, and the other just below your rib.Take a calm, deep breath in through your nose.• Squeeze out with your lips pursed and tense the muscles directly beneath your ribs.• Advice: Tighten your muscles while using the hand you placed below your ribs to gently push in and up. • Participant will be scheduled to attend 20 treatment sessions (5 sessions every week for 4 weeks,35 minutes each session)Assessment will be done on 0 weeks, 2nd week, and 4th week• Treatment evaluation will be done by measuring severity of dyspnea by dyspnea-12 scale,quality of life will be measured by st. george questionnaire and pulmonary function by spirometry. Dyspnea. Timepoint: Pre post treatment. Method of measurement: Dyspnea 12 Questionnaire. Pulmonary functions. Timepoint: Pre post treatment. Method of measurement: Digital Spirometer. Riphah international university Approved 2024-01-15 Riphah College of rehabilitation & Allied health sciences 25 Raza Saeed Rd, Bhabra Block M Gulberg III, Lahore, Punjab Lahore Punjab Pakistan