Breathing Exercise for Rib Fracture

Rib Fractures Clinical Trial

Official title:

Can Breathing Exercise Reduce Pulmonary Complications in Rib Fractures: Randomized Prospective Study

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06222333
• Other study ID #: KastamonuU1
• Status: Not yet recruiting
• Phase: N/A
• Start date: April 1, 2024
• Est. completion date: April 1, 2026

Study information

• Verified date: January 2024
• Source: Kastamonu University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Respiratory physiotherapy is routinely performed after thoracic surgery operations to increase lung expansion and prevent pulmonary complications such as atelectasis and pneumonia. It is a controversial issue whether respiratory physiotherapy reduces pulmonary complications in rib fractures. In our study, patients with rib fractures will be divided into two groups. In the control group, standard treatment consisting of routine analgesic treatments will be applied. In the other group, respiratory physiotherapy will be applied with triflu for 8 hours a day. At the end of the study, pulmonary complications in both groups will be compared.

Description:

Patients between the ages of 18 and 100 who will apply to our hospital due to rib fractures between April 2024 and April 2025 will be evaluated. Patients who meet the inclusion criteria will be included in the study. Patients will be divided into two groups using randomization blocks. Patients in the control group will receive conservative treatment consisting of paracetamol and dexketoprofen. In the other group of patients, in addition to conservative treatment, triflow breathing exercise will be applied for 8 hours a day. Respiratory function test pain scores and pulmonary complications of patients in the two groups will be compared statistically.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 62
• Est. completion date: April 1, 2026
• Est. primary completion date: April 1, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 100 Years

Eligibility

Inclusion Criteria:

• Isolated thoracic injury within 24 hours

• Age between 18-100

Exclusion Criteria:

• Pneumothorax and hemothorax requiring intervention at admission

• Injury severity index >16

• COPD, Atshma

• Extrathoracic trauma

Related Conditions & MeSH terms

• Fractures, Bone
• Rib Fractures
• Spirometry

Intervention

Behavioral:
• Respiratory physiotherapy
In this group of patients, in addition to routine analgesic treatment, triflow use and deep breathing training would be given by the physiotherapist. Patients in this group will do breathing exercises 8 hours a day, 10 times an hour.

Drug:
• Conservative Treatment
Patients in the control group will receive conservative treatment consisting of paracetamol and dexketoprofen.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Kastamonu University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	FEV1, FVC, FEV1/FVC results on day 7	FEV1, FVC, FEV1/FVC	7 days
Secondary	Number of Participants with Pneumonia	Clinical and radiological diagnosis of pneumonia	7 days
Secondary	FEV1, FVC, FEV1/FVC results on day 2	FEV1, FVC, FEV1/FVC	2 days