RecruitingNot ApplicableNCT06660537

Effects of Balloon-blowing Exercises in 90/90 Bridge Position With a Ball on Pulmonary Function Among Asthmatic Patients


Sponsor

Foundation University Islamabad

Enrollment

41 participants

Start Date

Aug 15, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

In asthma, the airways in the respiratory system can experience inflammation and constriction, causing increased difficulty in expelling air during exhalation. This results in disruptions to respiratory parameters, exercise intolerance, and a diminished overall quality of life.Engaging in balloon-blowing exercises while in a 90/90 bridge position with the use of a ball will lead to enhanced pulmonary function and quality of life in individuals with asthma.


Eligibility

Min Age: 18 YearsMax Age: 59 Years

Inclusion Criteria4

  • Adults: aged (18-59 years)
  • Gender: Both male and females
  • Grade1- Grade 4 on Modified MRC dyspnea scale
  • Asthma severity ( level 1 mild intermediate, levell 2 mild persistent)

Exclusion Criteria9

  • Level 3 and above asthmatics or status asthmatics.
  • Any congenital deformities of chest wall/ Heart/ Lungs.
  • Demonstrated neuromuscular or neurological deficit/ chest wall deformity.
  • Cardiopulmonary diseases including coronary artery disease(CAD), Pulmonary HTN, ------Aortic Stenosis, regurgitation, etc.
  • Any Autoimmune disease with manifestations of Chest wall/ heart/ Lungs.
  • Any recent cardiothoracic or abdominal surgery or sternotomy.
  • Recent history of the blunt chest wall or abdominal trauma.
  • Unstable hemodynamic parameters (arterial pressure \>140mmhg systolic and \>90mmhg for diastolic).
  • Pregnancy

Interventions

PROCEDUREBalloon-blowing exercises in 90/90 bridge position with a ball.

In this group patients will undergo balloon-blowing exercises in the 90/90 bridge position with a ball. In this intervention, patients lie on back with feet against a wall and knee bent at 90 degrees, holding a ball between their knees. While extending one arm overhead and holding a balloon in the other hand, perform a pelvic tilt without lifting their back off the mat. Inhale through the nose, exhale into the balloon for four breaths, then remove the balloon and repeat the sequence four times. The 4-week protocol includes three supervised sessions per week, each supervised by a physiotherapist. Progress will be monitored regularly to evaluate improvements throughout the intervention.

PROCEDUREButeyko breathing exercises management

In this group, patients will receive Buteyko breathing exercises, which consist of two main exercises; the control pause and the maximum pause. For control pause, patients exhale, plug the nose, and hold their breath until they feel the urge to breathe, then inhale and breathe normally for 10 seconds. In Maximum pause, patients exhale, plug their nose, and hold their breath as long as possible, aiming for double the control pause time, then inhale and breath normally for 10 seconds. This is a 4-week protocol with three sessions per week. Pre- and post-intervention values will be recorded to assess progress.


Locations(1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, Pakistan

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NCT06660537


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