]>
IRCT20250210064698N1 IRCT 2025-04-18 Kerman University of Medical Sciences The effect of chest physiotherapy on respiratory function after chest trauma The Effect of Incentive Spirometry and Respiratory Physiotherapy on Improving Respiratory Function in Patients Following Chest Injuries 2023-04-30 anticipated 64 Complete https://irct.ir/trial/81956 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Randomization description: In this study, a restricted randomization method of block randomization with a ratio of 1:1 and a block size of four was used. Random allocation software version 2.0 was used to randomize the samples. In addition to simple randomization, this software was able to generate a random sequence using the block method, and as a result, this software was used for randomization simultaneously with blocking the samples. In order to maintain homogeneity of sample distribution and the frequency of chest injuries (penetrating and non-penetrating), the control and intervention groups included 18 patients with non-penetrating injuries and 14 patients with penetrating injuries to the chest, Blinding description: In order to blind the study, a statistician independent of the study was responsible for the random assignment of participants to each of the two groups and the final analysis of the data. As a result, one-way blinding was utilized in this study. N/A Condition 1: lung contusion. Condition 2: rib fracture. Condition 3: pneumothorax. Condition 4: hemothorax. Intervention 1: Intervention group: The correct method of incentive spirometry involves placing the patient in a semi-sitting position and maintaining a deep breath for a maximum of 2 to 3 seconds and then exhaling. This process was performed daily for at least one hour for three consecutive days, 10 times a day in the intervention group. Respiratory physiotherapy exercises along with deep breathing were performed based on a fixed schedule and under the supervision of two trained nurses in both groups. Intervention 2: Control group: Respiratory physiotherapy exercises along with deep breathing were performed based on a fixed schedule and under the supervision of two trained nurses. Yes - There is a plan to make this available What will be shared: All data from the study, study protocol, statistical analysis map, statistical analysis form, patient consent form, clinical study report, and codes used in data analysis were used in the student thesis of Dr. Lotf Mohammadi and the published article at the end of the study, and will be visible on the website of the Department of General Surgery of Kerman University of Medical Sciences in the student theses section after 6 months from the publication of the article. When: The data access period begins 6 months after the results are published. To whom: The data will be accessible to the public after obtaining permission from the Vice Chancellor for Research and the Ethics Committee of Kerman University of Medical Sciences. Conditions: The data will be available for use by other researchers for statistical analysis and use in other research after obtaining permission from the Vice President for Research and the Ethics Committee of Kerman University of Medical Sciences. Where to obtain: To receive the data, an electronic letter should be sent to the Vice Chancellor for Research of the university, and after approval by the Vice Chancellor and the Ethics Committee, to the person in charge of the above research, Dr. Firoozeh Abolhasani, at the email address firoozeh1981@gmail.com, and the data request should be emailed along with the relevant permissions for the data request. People outside the country can contact the university's Vice President for Research by email. How to obtain: To receive the data, an electronic letter should be sent to the Vice Chancellor for Research of the university, and after approval by the Vice Chancellor and the Ethics Committee, to the person in charge of the above research, Dr. Firoozeh Abolhasani, at the email address firoozeh1981@gmail.com, and the data request should be emailed along with the relevant permissions for the data request. People outside the country can contact the university's Vice President for Research by email. Comments:
public Firoozeh Abolhasanizadeh
Qarni Street - Shahid Bahonar Hospital
Kerman Iran (Islamic Republic of) 7613747181 0098 34 7613747181 firoozeh1981@gmail.com Kerman University of Medical Sciences scientific Firoozeh Abolhasanizadeh
Qarni Street - Shahid Bahonar Hospital
kerman Iran (Islamic Republic of) 7613747181 +98 34 3223 5011 firoozeh1981@gmail.com Kerman University of Medical Sciences Iran (Islamic Republic of) Patients admitted to Shahid Bahonar Hospital in Kerman with chest injuries and requiring chest intubation during the study period in 1402 Age range between 18 and 65 years Be alert with GCS 15 The maximum injury severity score is 11. Non-penetrating injury with fracture of more than one rib 18 years 65 years Both Unwillingness to participate in the study Decreased alertness Chronic obstructive pulmonary disease and asthma History of heart disease Venous obstruction Coagulation problems after abdominal and thoracic or brain and eye surgery S27.32 S22.4 S27.0 S27.1 Contusion of lung Multiple fractures of ribs Traumatic pneumothorax Traumatic hemothorax Rehabilitation Rehabilitation Intervention group: The correct method of incentive spirometry involves placing the patient in a semi-sitting position and maintaining a deep breath for a maximum of 2 to 3 seconds and then exhaling. This process was performed daily for at least one hour for three consecutive days, 10 times a day in the intervention group. Respiratory physiotherapy exercises along with deep breathing were performed based on a fixed schedule and under the supervision of two trained nurses in both groups. Control group: Respiratory physiotherapy exercises along with deep breathing were performed based on a fixed schedule and under the supervision of two trained nurses. Blood oxygen saturation. Timepoint: Before and after the three-day intervention (days one and three). Method of measurement: ABG laboratory test. Hemothorax; pneumothorax; atelectasis; pneumonia. Timepoint: Third day after the intervention. Method of measurement: Spiral Chest CT-Scan. Arterial pressure of O2 (PaO2). Timepoint: Before and after the three-day intervention (days one and three). Method of measurement: ABG laboratory test. Arterial pressure of CO2 (PaCO2). Timepoint: Before and after the three-day intervention (days one and three). Method of measurement: ABG laboratory test. Arterial blood pH. Timepoint: Before and after the three-day intervention (days one and three). Method of measurement: ABG laboratory test. FVC. Timepoint: Before and after the three-day intervention (days one and three). Method of measurement: Pulmonary function test. FEV1. Timepoint: Before and after the three-day intervention (days one and three). Method of measurement: Pulmonary function test. FEV1/FVC. Timepoint: Before and after the three-day intervention (days one and three). Method of measurement: Pulmonary function test. Kerman University of Medical Sciences Approved 2023-04-26 Ethics committee of Kerman University of Medical Sciences Shadid Bahonar Hospital kerman Kerman Iran (Islamic Republic of)