Asthma Clinical Trial
Official title:
The Effect of Physiotherapy on Dysfunctional Breathing in Children and Adolescents With and Without Asthma.
The purpose of the study is to investigate the effect of physiotherapeutical instructions on dysfunctional breathing in children and adolescents with or without asthma. Children and adolescents with dysfunctional breathing, are invited to participate in the intervention study. Participants are stratified by asthma diagnose status and randomized to physiotherapy or standard care. Participants are followed a year after the intervention, to compare the development in asthma control ( if asthma) and quality of life.
Status | Recruiting |
Enrollment | 140 |
Est. completion date | December 2024 |
Est. primary completion date | December 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 10 Years to 17 Years |
Eligibility | Inclusion Criteria: Asthma group: - Asthma diagnosed by lung function tests and/or typical symptoms. - Treatment with inhaled corticosteroids in minimum 3 months. - ACQ5 >= 1.5. - NQ >= 23. NonAsthma group - Asthma denied after lung function tests ( exercise challenge or mannitol challenge) - NQ >= 23. Exclusion Criteria: - Other significant cardiopulmonary or muscoluskeletal conditions. - Complex functional conditions involving other organ systems. - patients who already had the physotherapeutical intervention before study start. |
Country | Name | City | State |
---|---|---|---|
Denmark | Signe Vahlkvist | Kolding |
Lead Sponsor | Collaborator |
---|---|
Kolding Sygehus | Odense Patient Data Explorative Network |
Denmark,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change from baseline in Asthma Control Questionnaire ( ACQ5) at 6 months. | ACQ5 contains 5 questions regarding asthma symptoms. Each question is scored between 0-6 points, where 0 represents very good asthma control and 6 represents poor asthma control. Total ACQ score is calculates as an average of points. ACQ5 is taken by participants with asthma, at visits in the outpatient clinic. | ACQ is taken at baseline and 6 months after intervention as primary outcome. | |
Primary | Change from baseline in Pediatric Quality of Life Inventory ( PedsQl) at 6 months | PedsQl consists of 23 questions in 4 segments ( physical functioning, emotions, social interaction, and school activities). Each question is scored from 0 (best) to 4 (worst). The PedsQl questionnairre exists in formats for young children ( not used here), children aged 8-12 years and Teenagers aged 13-18 years. Children and adolescents are answering the age relevant questionnairre at visits in the out patient clinic. The PedsQl score is transformed to a 0-100 scale as follows: 0 =100, 1=75, 2=50, 3=25, 4=0. Health related Quality of life is calculated as a mean of scores. Psychosocial Health summary score is calculated as a mean of scores in the emotional, social and school functioning scales. Physical Health summary score is calculated as physical functioning scale score mean. | PedsQL is taken at baseline and 6 months after intervention as primary outcome. | |
Secondary | Change from baseline in Nijmegen Questionnaire ( NQ) | NQ consists of 16 questions regarding dysfunctional breathing. Each question is scored between 0-4 points, where 0 is best and 4 is worst. | NQ is taken at baseline and 6 weeks, 6 months and 12 months after intervention. | |
Secondary | Change from baseline in Brompton breathing Pattern Assesment Tool ( BBPAT) | BBPAT is a breathing scoring equipment where an observer is scoring the quality of breathing from seven parameters including respiratory rate, respiratory movements, in and expiratory sounds etc. Each parameter is scored from 0 ( best) to 2 ( worst). Total score is calculated between 0-14 point | BBPAT is taken at baseline and 6 weeks, 6 months and 12 months after intervention. | |
Secondary | Number of contacts to the hospital during one year from baseline | Number of total contacts includes planned visits, extra visits and hospitalisations | from baseline to 12 months after intervention. | |
Secondary | Change from baseline in Asthma Control Questionnaire ( ACQ5) at 6 weeks and one year. Change from 6 months in ACQ at 12 months. | ACQ5 contains 5 questions regarding asthma symptoms. Each question is scored between 0-6 points, where 0 represents very good asthma control and 6 represents poor asthma control. Total ACQ score is calculates as an average of points. ACQ5 is taken by participants with asthma in the outpatient clinic at baseline and after 6 weeks, 6 months and 12 months. | ACQ5 is taken at 6 weeks and 12 months after intervention as secondary outcomes. | |
Secondary | Change from baseline in Pediatric Quality of Life Inventory ( PedsQl) at at 6 weeks and one year. Change from 6 months in PedsQl at 12 months. | PedsQl consists of 23 questions in 4 segments ( physical functioning, emotions, social interaction, and school activities). Each question is scored from 0 (best) to 4 (worst). The PedsQl questionnairre exists in formats for young children ( not used here), children aged 10-13 years and Teenagers aged 13-18 years. Children and adolescents are answering the age relevant questionnairre at visits in the out patient clinic. The PedsQl score is transformed to a 0-100 scale as follows. 0 =100, 1=75, 2=50, 3=25, 4=0. Health related Quality of life is calculated as mean of scores. Psychosocial Health summary score is calculated as mean of scores in the emotional, social and school functioning scales. Physical Health summary score is calculated physical functioning scale score mean. | PedsQl is taken at 6 weeks and 12 months after intervention as secondary outcomes. | |
Secondary | The reported use of rescue Beta2 agonist in puffs per week | The reported use of short acting beta 2 agonist in puffs per week the last week. | at baseline and 6 weeks, 6 months and 12 months after intervention. |
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