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CompletedNCT05936801Updated Jun 13, 2024

Comparison of Anterior Chest Compression Assist and Abdominal Thrust Assist Technique COPD

An interventional study of Anterior Chest Compression technique and Abdominal Thrust Technique in COPD, sponsored by Riphah International University. Completed at 1 site in Pakistan. Per ClinicalTrials.gov, last updated 2024-06-13.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
34
Allocation
Randomized
Sex
All
01

Study summary

A total 34 patients will be taken. 2 groups will be created to apply intervention. After signing consent form, 17 patients in group A will be given abdominal thrust assist technique and 17 patients in group B will be given anterior chest compression technique.

Read the detailed description

Patient is instructed to take in a deep breath and hold it. Then, just as the patient is instructed to cough, the therapist applies a quick push up and in under the diaphragm with the heel of the hand. In Anterior chest compression: the therapist places one arm across the patient's pectorals and the other parallel to it. After the patient takes a maximal breath, the therapist pushes down to help the patient cough. The greatest force is applied through the lower chest during expulsion. A total 34 patients will be taken. 2 groups will be created to apply intervention. After signing consent form, 17 patients in group A will be given abdominal thrust assist technique and 17 patients in group B will be given anterior chest compression technique. Baseline treatment given to both groups will include percussion and tapping. The data collected will then be analyzed using IBM SPSS version 25.

02

Conditions studied

  • COPD
03

In context

Lead sponsor

Riphah International University is the lead sponsor of 2,133 studies on the registry; 633 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • uncontrolled Tachycardia
  • Unconscious patients
  • In neuro-compromised patients with Cognitive dysfunction
  • Recent esophageal surgery
  • Acute abdominal distension -Recent Broncho-pleural fistula - Pulmonary embolism, pneumothorax hemothorax
  • Unstable head and neck fracture

Exclusion criteria

Exclusion Criteria:

  • Breathlessness, Cough and sputum scale (BCSS)
  • Modified Borg Dyspnea scale
  • Peak Flow Meter
  • Pulse Oximeter
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
34 participants (actual)

Study arms

  • Experimental
    Anterior Chest Compression technique

    Baseline treatment given is percussion and vibration in side lying position. The therapist puts one arm across the patient's pectoral region to stabilize or compress the upper chest while the other arm is placed either parallel on the lower chest or abdomen below the xiphoid process. Inspiration is facilitated by the pressure on anterior chest, followed by a "hold." Just as the patient is instructed to cough, the therapist applies a quick force with both arms: down and back on the upper chest and up and back on the lower chest or abdomen. 3 sessions in a wk would be given on alternate days

    Other: Anterior Chest Compression technique

  • Experimental
    Abdominal Thrust Technique

    Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

    Other: Abdominal Thrust Technique

Interventions

  • OtherAnterior Chest Compression technique

    Baseline treatment given is percussion and vibration in side lying position. The therapist puts one arm across the patient's pectoral region to stabilize or compress the upper chest while the other arm is placed either parallel on the lower chest or abdomen below the xiphoid process. Inspiration is facilitated by the pressure on anterior chest, followed by a "hold." Just as the patient is instructed to cough, the therapist applies a quick force with both arms: down and back on the upper chest and up and back on the lower chest or abdomen. 3 sessions in a wk would be given on alternate days Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

    Also known as: Abdominal Thrust Technique

  • OtherAbdominal Thrust Technique

    Baseline treatment given is percussion and vibration in side lying position. It Can be used in both the supine and side lying positions. With the patient in the supine position, the therapist places the heel of one hand inferior to the patient's xiphoid process and below the patient's lower ribs.

06

What researchers measure

Primary outcomes

  1. sputum diary

    sputum of each patient will be recorded.

    Time frame: 4 weeks

  2. Oxygen saturation

    oxygen saturation will be measure with pulse oximeter.

    Time frame: 4 weeks

  3. expiratory flow rate

    Expiratory flow rate will be measured through peak expiratory flow meter

    Time frame: 4 weeks

07

Study locations

1 site
  • Sheikh Zayed Hospital, Rahim Yar Khan.
    Rahim yar khan, Punjab, Pakistan
08

References and documents

Publications

  • Petty TL. The history of COPD. Int J Chron Obstruct Pulmon Dis. 2006;1(1):3-14. doi: 10.2147/copd.2006.1.1.3. PubMed 18046898 ↗
  • Lopez-Campos JL, Calero C, Quintana-Gallego E. Symptom variability in COPD: a narrative review. Int J Chron Obstruct Pulmon Dis. 2013;8:231-8. doi: 10.2147/COPD.S42866. Epub 2013 May 7. PubMed 23687444 ↗
  • Ramos FL, Krahnke JS, Kim V. Clinical issues of mucus accumulation in COPD. Int J Chron Obstruct Pulmon Dis. 2014 Jan 24;9:139-50. doi: 10.2147/COPD.S38938. eCollection 2014. PubMed 24493923 ↗
  • Liao LY, Chen KM, Chung WS, Chien JY. Efficacy of a respiratory rehabilitation exercise training package in hospitalized elderly patients with acute exacerbation of COPD: a randomized control trial. Int J Chron Obstruct Pulmon Dis. 2015 Aug 27;10:1703-9. doi: 10.2147/COPD.S90673. eCollection 2015. PubMed 26345529 ↗
  • Andersen TM, Hov B, Halvorsen T, Roksund OD, Vollsaeter M. Upper Airway Assessment and Responses During Mechanically Assisted Cough. Respir Care. 2021 Jul;66(7):1196-1213. doi: 10.4187/respcare.08960. Epub 2021 Feb 12. PubMed 33579747 ↗
  • Hughes R, Rapsomaniki E, Janson C, Keen C, Make BJ, Burgel PR, Tomaszewski EL, Mullerova H, Reddel HK; NOVELTY study investigators. Frequent productive cough: Symptom burden and future exacerbation risk among patients with asthma and/or COPD in the NOVELTY study. Respir Med. 2022 Aug-Sep;200:106921. doi: 10.1016/j.rmed.2022.106921. Epub 2022 Jun 20. PubMed 35820227 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 13, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05936801
Lead sponsor
Riphah International University
Responsible party
Sponsor
First posted
Jul 10, 2023
Start date
Jul 15, 2023
Primary completion
Oct 10, 2023
Completion
Dec 20, 2023
Last update
Jun 13, 2024

Study contacts

Sidra Faisal, MS.CPPT
principal investigator · Riphah International University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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