Effect of Coherent Breathing on Elderly Quality of Life

Hypertension Clinical Trial

Official title:

Effect of Coherent Breathing on Different Outcome Measures in Elderly

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05767372
• Other study ID #: Dr Sherif Elabd
• Status: Completed
• Phase: N/A
• Start date: March 1, 2023
• Est. completion date: June 30, 2023

Study information

• Verified date: September 2023
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will be carried out on sixty elderlies of both gender with ages ranges from 60 to 70 years old. The participants will receive Inspiratory muscle trainer and/or Coherent breathing exercise three times per week for 12 weeks.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: June 30, 2023
• Est. primary completion date: June 15, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 60 Years to 70 Years

Eligibility

Inclusion Criteria:

1. Elderly subject of both gender with age ranged from 60 to 70 years old.

2. BMI will be ranged from 25 to 29.9.

3. Clinically and medically stable.

4. Able to understand the requirements of the study.

5. Conscious patient and respond to verbal command.

Exclusion Criteria:

1. Neurological conditions (e.g., stroke history, Parkinson's disease).

2. Presence of an acute illness.

3. Metabolically unstable chronic illness.

4. Pre-existent untreated metabolic or renal disease.

5. Patient undergoes chemotherapy.

6. Recent surgery.

7. Uncontrolled diabetes or hypertension.

Related Conditions & MeSH terms

• Diabetes Mellitus, Type 2
• Geriatrics
• Hypertension

Intervention

Other:
• Coherent Breathing Exercise
Step 1: Focus on your natural breathing and count the time of your inhale and exhale. Step 2: Sit in a comfortable position to practice the coherent breathing technique. Gently place one hand on your stomach. Step 3: Inhale for four seconds and then exhale for four seconds. Repeat this for one minute. Step 4: Repeat the above step but lengthen your inhales and exhale for five seconds. Step 5: Repeat the above step but extend the breaths to six seconds. Once you're able to do this for five minutes, gradually work your way up to 20 minutes. During this breathing exercise, keep your hand on your stomach. Using diaphragmatic breathing can help you feel your breaths.

Device:
• Inspiratory muscle training
The patient was in the comfortable sitting position and then put the nose clip on the patient's nose After setting the maximum training; the user recognized the load at which they could effectively execute ten breaths at greatest resistance relying upon the patient's pace of apparent effort. Training was begun with a load at low intensity 20-30% of the patient maximum 10 repetition method using inspiratory muscle training (IMT) device. Progress slowly and monitor carefully. As the inspiratory muscle became stronger the inspiratory load was progressed to 50% of maximum effort over 3 weeks as tolerated. Patient took full breath in (maximal and deep inspiration) then longer and slow expiration. Continue this breathing pattern for 10-20 breath. Repeated step (5), 4-6 times or about 10-15minutes with rest in between 30 seconds. The session was repeated three times per week for 12 weeks.

Locations

Country	Name	City	State
Egypt	Faculty of physical therapy outpatient clinic	Cairo	Giza

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Tinetti Performance Oriented Mobility Assessment (POMA)	Evaluating tests of balance and gait; Description: The Tinetti assessment tool is an easily administered task-oriented test that measures an older adult's Scoring: A three-point ordinal scale, ranging from 0-2. "0" indicates the highest level of impairment and "2" the individuals independence. Total Balance Score = 16 Total Gait Score = 12 Total Test Score = 28 Interpretation: 25-28 = low fall risk 19-24 = medium fall risk < 19 = high fall risk	12 weeks
Primary	The five Times Sit to Stand Test	Evaluating fall risk	12 weeks
Primary	The muscle quality index (MQI)	Evaluating age-related alterations in muscle function	12 weeks
Primary	The Geriatric Depression Scale (GDS)	Evaluating psychological aspect Of the 15 items, 10 indicated the presence of depression when answered positively, while the rest (question numbers 1, 5, 7, 11, 13) indicated depression when answered negatively. Scores of 0-4 are considered normal, depending on age, education, and complaints; 5-8 indicate mild depression; 9-11 indicate moderate depression; and 12-15 indicate severe depression.	12 weeks
Primary	The 6 minutes' walk test (6MWT)	Evaluating aerobic fitness	12 weeks
Primary	Short form Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)	Evaluating cognitive decline; Minimum score: 16; Maximum score: 80; High score means worse outcome.	12 weeks
Primary	Evaluation of oxygen saturation (SPO2) and heart rate (HR)	By using the pulse oximeter.	12 weeks
Secondary	Modified Borg Dyspnoea Scale	Evaluating level of exertion during exercise It starts at number 0 where your breathing is causing you no difficulty at all and progresses through to number 10 where your breathing difficulty is maximal	12 weeks
Secondary	Evaluation of forced expiratory volume at one second (FEV1) and maximum voluntary ventilation (MVV)	By using spirometry	12 weeks