RecruitingNot ApplicableNCT07079553

Combined Effects of Transcutaneous Electrical Diaphragmatic Stimulation With ACBT'S in Copd

Combined Effects of Transcutaneous Electrical Diaphragmatic Stimulation With ACBT's in COPD


Sponsor

Riphah International University

Enrollment

50 participants

Start Date

May 28, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The combined effects of transcutaneous electrical diaphragmatic stimulation (TEDS) and active cycle of breathing techniques (ACBTs) in patients with chronic obstructive pulmonary disease (COPD) conducted as a randomized controlled trial at Gulab Devi Hospital, the study involved 50 participants aged 40 to 60 with mild to moderate COPD. Participants were divided into two groups, one receiving both TEDS and ACBT, and the other receiving only ACBT. Over 12 weeks, improvements in lung function, oxygen saturation, exercise capacity, and quality of life were measured using spirometry, pulse oximetry, the 6-minute walk test, and the St. George's Respiratory Questionnaire. Both groups showed significant improvement, but the group receiving ACBT alone showed a slightly higher mean rank in some outcomes. The study concludes that while both interventions are beneficial, ACBT alone may offer more consistent improvements. It recommends including respiratory muscle assessments and combining interventions with education and exercise in future research.


Eligibility

Min Age: 40 YearsMax Age: 60 Years

Inclusion Criteria4

  • COPD (Mild to Moderate)
  • Age: 40-60 years of both genders
  • Productive cough for more than 2 months
  • Oxygen saturation without Oxygen supply \> 88%

Exclusion Criteria3

  • Uncontrolled hypertension
  • Cardiac diseases
  • Active smokers

Interventions

DEVICETranscutaneous Electrical Diaphragmatic Stimulation (TEDS)

TEDS was applied using surface electrodes placed over the diaphragm region. The stimulation protocol was set at 50 Hz frequency, 300 μs pulse width, with 6 seconds of stimulation followed by 5 seconds of rest, daily for 12 weeks. It was combined with ACBT sessions.

BEHAVIORALActive Cycle of Breathing Techniques (ACBT)

ACBT sessions included breathing control, thoracic expansion exercises, and forced expiration techniques (huffing). Sessions were performed daily for 12 weeks to aid in secretion clearance and improve lung function.


Locations(1)

Arjumand

Lahore, Punjab Province, Pakistan

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NCT07079553


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