Effect of Selected Types of Breathing Exercises on Different Outcome Measures in Covid-19 Patients

COVID-19 Clinical Trial

Official title:

Effect of Selected Types of Breathing Exercises on Different Outcome Measures in Covid-19 Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05753293
• Other study ID #: P.T.REC/012/004298
• Status: Completed
• Phase: N/A
• Start date: May 1, 2022
• Est. completion date: September 25, 2022

Study information

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

Clinical Trial Summary

Coronavirus disease 2019 (COVID-19) infection leads to significant respiratory that have negative impact on function and quality of life (QoL). Breathing exercises are effective and important in patients with COVID-19.

Description:

Coronavirus disease 2019 (COVID-19) infection leads to significant respiratory symptoms that have negative impact on function and quality of life (QoL). Breathing exercises are effective and important in patients with COVID-19.

This study aimed to evaluate the effect of Buteyko breathing versus Bhastrika Pranayama on different outcome measures in COVID-19 Patients.

Sixty patients of both genders with age range from 40-50 years old were recruited from El Khankah Centeral Hospital with positive nasopharyngeal swab samples and presence of ground-glass opacification in their chest computed tomography scan (CT-scan). Patients were assigned randomly into two groups A & B and took their medications. Group A received traditional physical therapy program (mobility exercises and Postural drainage) with Bhastrika Pranayama breathing exercise. Group B received traditional physical therapy program with Buteyko breathing exercise. Patients were assessed by Modified Borg Dyspnea Scale (MBS), blood samples (levels of CRP and d-dimer), six-minute walk test (6MWT), Pittsburgh Sleep Quality Index (PSQI), 36-Item Short-Form Health Survey (SF-36) Questionnaire.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: September 25, 2022
• Est. primary completion date: July 22, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 50 Years

Eligibility

Inclusion criteria:

• Their age ranged from 40 to 50years old.

• with confirmed COVID-19 by positive nasopharyngeal swab samples and presence of ground-glass opacification in their chest computed tomography scan (CT-scan).

• Moderate hospitalized covid-19 patient.

• full consciousness and oriented.

• BMI 20-25 kg/m2.

Exclusion criteria:

• presence of any type of musculoskeletal disorder prohibits the patient from participating in the study

• history of chronic diseases as (diabetes, hypertension and heart diseases)

• Any type of obvious clinically mental or cognitive impairment.

• History of previous other respiratory disease.

Related Conditions & MeSH terms

• COVID-19

Intervention

Other:
• breathing exercise
Buteyko breathing technique developed to control hyperventilation and anxiety which leads to shortness of breath. It uses series of exercises to teach patients to breathe less deeply and less rapidly /Bhastrika "Bellow Breathing" is diaphragmatic breathing - deep breathing involving the diaphragm rather than the accessory muscles. Regulated pranayama exercises require inhalation, maintaining isometric contraction of respiratory muscles and forceful expiration. These techniques will strengthen respiratory muscles

Locations

Country	Name	City	State
Egypt	Faculty of Physical Therapy Cairo University	Giza

Sponsors (1)

Lead Sponsor	Collaborator
Basma Mosaad Abd-elrahman Abushady

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Modified Borg Scale to Measure dyspnea:	is a 0 to 10 rated numerical score used to measure dyspnea as reported by the patient with higher score indicates breathing problem.	week
Primary	Blood Samples:	The blood samples will be collected before starting and at the end of the study to measure levels of CRP, d-dimer and CBC to test.	week
Primary	The Six-minute walk test:	The six-minute walk test (6MWT) will be done pre & post exercise program.	week
Primary	Pittsburgh Sleep Quality Index (PSQI)	The PSQI questionnaire was used to measure sleep quality using an 18-item scale containing seven items that included sleep quality, sleep duration, sleep latency, habitual sleep efficiency, sleep disturbance, use of sleeping medications, and daytime dysfunction. Each dimension scored between 0-3, with a total score ranging from 0-21, and a higher score indicating lower sleep quality	week
Primary	The 36-Item Short-Form Health Survey (SF-36) Questionnaire	The SF-36 is a 36-item scale, which measures eight domains of health status: physical functioning (10 items); physical role limitations (four items); bodily pain (two items); general health perceptions (five items); energy/vitality (four items); social functioning (two items); emotional role limitations (three items) and mental health (five items) the scores are weighted sums of the questions in each section. Scores range from 0 - 100 Lower scores = more disability, higher scores = less disability	week