Status:

RECRUITING

Comparing the Effects of Manual Hyperinflation and Diaphragmatic Proprioceptive Neuromuscular Facilitation on Pulmonary Functions in Patients on Mechanical Ventilation

Lead Sponsor:

omar hasham mohamed

Conditions:

COPD Exacerbation Acute

Eligibility:

MALE

50-60 years

Phase:

NA

Brief Summary

the goal of this clinical trial is to compare between to important physiotherapy modalities applied on mechanically ventilated COPD patients the the main question the study aim to answer is which one ...

Detailed Description

In this study, the effects of diaphragmatic proprioceptive neuromuscular facilitation and manual hyperinflation on pulmonary functions in patients on mechanical ventilation will be compared. The foll...

Eligibility Criteria

Inclusion

  • Patients will be included in the study if they have the following criteria:
  • Sixty male mechanically ventilated patients. They will be ventilated on pressure support (PS) mode of MV with this setting (Positive end-expiratory pressure \[PEEP\]) less than 8 cm H2O, FiO2 0.4 or less, SpO2 higher than 90) due to AECOPD.
  • Their Glasgow Coma Scale score will be ranged from 13 to 15.
  • Their age between 50 and 60 years old.
  • Their BMI will be ranged from 25 to 34.9 kg/m2.
  • Moderate (GOLD 2) and severe (GOLD 3) stages of COPD according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) grading system for the severity of COPD.

Exclusion

  • The patients will be excluded from this study if they have one of the following criteria:
  • Fever above 38.3 °C. Unstable hemodynamics. Thoracic or abdominal surgery that preclude the use of PNF exercises. Chest trauma such as rib fracture, flail chest and thoracic vertebra fracture or chest burns.
  • Peripheral and central nervous system diseases. Active lung infection like tuberculosis. Active bleeding as alveolar hemorrhage, hemoptysis. Spinal cord injuries involved the phrenic nerve. Severe cardiac complications due to COPD.

Key Trial Info

Start Date :

August 30 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 1 2024

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT06221033

Start Date

August 30 2023

End Date

April 1 2024

Last Update

January 24 2024

Active Locations (1)

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1

Gamal Abdelnasser Hospital

Alexandria, Alexandria Governorate, Egypt, 4027