Effects of Post-isometric Relaxation Technique on Chest Expansion and Pulmonary Function Tests in Smokers

Tobacco Smoking Clinical Trial

Official title:

Effects of Post-isometric Relaxation Technique on Chest Expansion and Pulmonary Function Tests in Smokers

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06444971
• Other study ID #: FUI/CTR/2024/8
• Status: Recruiting
• Phase: N/A
• Start date: March 7, 2023
• Est. completion date: June 27, 2024

Study information

• Verified date: June 2024
• Source: Foundation University Islamabad
• Contact: Huma Masood, MS-MSKPT*
• Phone: 03485289948
• Email: humakhalid603[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The primary objective of the study was to investigate the immediate effects of PIR technique on chest expansion and pulmonary functions in cigarette smokers.This quasi-experimental pre-test post-test study will be conducted. Participants of interest would be approached and explained about the research. Informed written consent will be taken. Recruited participants will receive PIR technique on assessory respiratory muscles and chest expansion and pulmonary function tests will be obtained before and after the treatment. Data collection tools for this study are spirometer and measuring tape.

Description:

Tobacco use, particularly cigarette smoking, is a major cause of disease and death globally. In Pakistan, the prevalence of tobacco use has increased significantly, with men being more likely to smoke than women. Chronic smoking is strongly associated with cardiovascular and respiratory diseases, as well as various forms of cancer. Smoking negatively affects lung function, leading to reduced pulmonary capacity and chronic obstructive pulmonary disease. Additionally, long-term smoking may lead to the loss of respiratory capacity and systemic muscle mass, affecting the performance and work of breathing. The primary objective of the study was to investigate the effects of PIR technique on chest expansion and pulmonary functions in cigarette smokers. This quasi-experimental pre-test post-test study will be conducted over one year at FFH, FUSH and among the general public. A sample will be calculated through pilot study. Participants between the ages of 18-60 will be recruited using convenience sampling. Inclusion criteria included individuals with min of 2 pack-years of tobacco smoking, while exclusion criteria included patients with certain cardiopulmonary medical conditions and those who underwent surgery or physiotherapy within past few months. Data collection tools for this study are spirometer and measuring tape. There is little to no literature on the effects of PIR technique on chest expansion and pulmonary functions in cigarette smokers. The immediate effects of PIR technique demonstrated in this study will provide physical therapists with valuable insight into its use as a treatment option for smokers to improve their pulmonary function. Moreover, this study adds to the existing literature on manual therapy and its effects on smokers. The findings of this study will provide a basis for future research in the field of musculoskeletal rehabilitation and will encourage future researchers to explore this area further.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: June 27, 2024
• Est. primary completion date: June 25, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Individuals between the ages of 18-60
• Only tobacco cigarette smokers
• Cigarette smokers (with min 2 pack years )
• Both males and females

Exclusion Criteria:

• Patients undergoing any surgery
• Symptomatic patients of cystic fibrosis, asthma, exercise induced asthma, unstable angina, bronchitis , bronchiectasis, chest deformities, congenital cardiopulmonary disorders , disc herniation, current rib or vertebral fracture
• Patients with a positive history of trauma, fracture or surgery of the cervical and thoracic spine in the last 12 months

Related Conditions & MeSH terms

• Tobacco Smoking

Intervention

Procedure:
• Post isometric Relaxation
Post isometric relaxation technique: It is defined as a manual procedure which involves the precisely controlled and specifically directed active contraction of a muscle at varying levels of intensity against a counterforce applied by the therapist. PIR will be applied to following muscles scalene (anterior, middle and posterior) sternocleidomastoid

Locations

Country	Name	City	State
Pakistan	Foundation University College of Physical Therapy	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Foundation University Islamabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Chest expansion	Measuring tape will be used to measure chest expansion at axillary level.	Immediate after treatment
Primary	Forced Vital Capacity(FVC)	the maximum amount of air you can forcibly exhale from your lungs after fully inhaling measured using hand held spirometer	Immediate after treatment
Primary	Forced Expiratory Volume in 1 second (FEV1)	The volume of air (in liters) exhaled in the first second during forced exhalation after maximal inspiration measured using hand held spirometer.	Immediate after treatment
Primary	Peak Expiratory Flow (PEF)	the volume of air forcefully expelled from the lungs in one quick exhalation measured using hand held spirometer	Immediate after treatment
Primary	FEV1/ FVC	The ratio of the forced expiratory volume in the first one second to the forced vital capacity of the lung measured using hand held spirometer	Immediate after treatment