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Not yet recruitingNCT07062939Updated Jul 14, 2025

Comparative Effects of Mechanical and Manual Airway Clearance Techniques in Cystic Fibrosis

An interventional study of postural drainage with ACBT and flutter with ACBT in Cystic Fibrosis, sponsored by Riphah International University. Not yet recruiting at 1 site in Pakistan. Open to participants aged 16 Years to 40 Years. Per ClinicalTrials.gov, last updated 2025-07-14.

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

From the registry’s dates

  • Primary completion was expected by Nov 2025, 10 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
16 Years to 40 Years
Sex
All
01

Study summary

This study will help to establish evidence-based physiotherapy on postural drainage and ACBT against flutter with ACBT is better to improve sleep quality, adherence, dyspnea in patients with cystic fibrosis and which method can improve respiratory function, reduce the risk of complications after illness and additionally advancements in respiratory therapy can lead to improve sleep quality, individual preference and adherence and dyspnea.

Read the detailed description

Cystic fibrosis (CF) is a genetic disorder that leads to the accumulation of thick mucus in the lungs and other organs, resulting in recurrent infections and progressive lung damage. This condition is due to mutations in the cystic fibrosis transmembrane conductance regulator CFTR gene, which governs the transport of chloride and other ions across cell membranes. CF affects a significant number of people worldwide, with certain genetic mutations leading to more severe manifestations of the disease. The management of CF is centered on clearing the airways of mucus to prevent infections and slow the progression of lung damage. Various studies have yielded inconsistent results regarding the comparative effectiveness of manual versus mechanical airway clearance techniques in improving pulmonary function tests (PFTs) in CF patients.

Despite the existing literature on postural drainage with ACBT in patient with cystic fibrosis, there is a significant research gap regarding the flutter and ACBT on the bases of outcomes in cystic fibrosis. Most studies have not adequately addressed the distinct needs and responses of flutter with ACBT on the basis of outcomes, leaving a void in understanding how these two intervention effect on sleep, adherence and dyspnea in the context of patients with cystic fibrosis. Closing this gap is essential for developing evidence-based and pulmonary rehabilitation techniques for this specific patient group.

02

Conditions studied

  • Cystic Fibrosis

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Keywords

  • postural drainage
  • flutter
  • pulmonary rehabilitation
03

In context

Cystic Fibrosis

1,581 studies on the registry are indexed under Cystic Fibrosis; 190 are open to participants now.

This study's planned enrollment of 52 is above the median of 36 across 1,034 interventional studies indexed under Cystic Fibrosis.

Browse Cystic Fibrosis studies →

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
16 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patient having clinically diagnose Cystic fibrosis.
  • Age 16-40 year.
  • Both male and female.
  • Subjects who are conscious and cooperative .

Exclusion criteria

Exclusion Criteria:

  • Rib fracture
  • History of cardiac surgery.
  • Subject with any Physical or Mental Disability
  • Age less than 16 years
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
52 participants (estimated)

Study arms

  • Experimental
    postural drainage with ACBT

    postural drainage and active cycle breathing technique for 2 times a day for 30 min for 4 weeks

    Other: postural drainage with ACBT

  • Active comparator
    flutter with ACBT

    active cycle breathing technique with flutter for 30 min for 4 week and 2 times a day

    Other: flutter with ACBT

Interventions

  • Otherpostural drainage with ACBT

    postural drainage and ACBT for 2 times a day for 30 min for 4 weeks.

  • Otherflutter with ACBT

    flutter with active cycle breathing technique for 30 min. for 4 week and 2 times a day.

06

What researchers measure

Primary outcomes

  1. The Pittsburgh Sleep Quality Index (PSQI)

    This is a self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval, show the sleep quality duration and efficacy. Many of the aforementioned research employed the PSQI, the most commonly utilized sleep quality index. the validity and reliability of the PSQI in healthcare professionals, or even in high-pressure shift employees. The PSQI's validity and reliability in regularly planned, low-pressure groups, such as adults in good health who live in the vicinity, differed greatly from front-line COVID-19 healthcare personnel. The conventional test theory (CTT) serves as the primary foundation for the reliability and validity research on PSQI. While there is little to no link between the PSQI and problems including anger, nausea,stiffness, and urinary disorder, it does have a strong correlation with the Insomnia Severity Index, polysomnography, and other sleep quality indicators

    Time frame: 4 weeks

  2. The Shwachman-Kulczycki score

    This is the first scoring system used in cystic fibrosis to assess disease severity and show the adherence to treatment. In the present study, the total Shwachman-Kulczycki score correlated positively with the scores for each of its four domains, and physical activity was the aspect that most influenced total score.

    Time frame: 4 weeks

  3. Borg dyspnea scale

    The instruments provide a standard method for patients to select ratings of dyspnea on a scale based on descriptors that correspond to specific numbers

    Time frame: 4 weeks

Secondary outcomes

  1. The Breathlessness, Cough and Sputum Scale (BCSS)

    This scale is used to predict patient exacerbations by evaluating common symptoms, Results suggest BCSS scores are valid indicators of the severity of cough and sputum in patients with COPD. Scores for both items were correlated with sputum volume.

    Time frame: 4 weeks

07

Study locations

1 site
  • DHQ Hospital
    Sheikhupura, Punjab Province 39350, Pakistan
    • Iram Nawaz, mphill · Contact · iram_029@yahoo.com · 03324645227
    • Fibha sherwani, MSCPPT · Principal investigator
08

References and documents

Publications

  • Zisi D, Chryssanthopoulos C, Nanas S, Philippou A. The effectiveness of the active cycle of breathing technique in patients with chronic respiratory diseases: A systematic review. Heart Lung. 2022 May-Jun;53:89-98. doi: 10.1016/j.hrtlng.2022.02.006. Epub 2022 Feb 27. PubMed 35235877 ↗
  • Chen Q, Shen Y, Zheng J. A review of cystic fibrosis: Basic and clinical aspects. Animal Model Exp Med. 2021 Sep 16;4(3):220-232. doi: 10.1002/ame2.12180. eCollection 2021 Sep. PubMed 34557648 ↗
  • Elborn JS, Ramsey BW, Boyle MP, Konstan MW, Huang X, Marigowda G, Waltz D, Wainwright CE; VX-809 TRAFFIC and TRANSPORT study groups. Efficacy and safety of lumacaftor/ivacaftor combination therapy in patients with cystic fibrosis homozygous for Phe508del CFTR by pulmonary function subgroup: a pooled analysis. Lancet Respir Med. 2016 Aug;4(8):617-626. doi: 10.1016/S2213-2600(16)30121-7. Epub 2016 Jun 10. PubMed 27298017 ↗
  • Wilson LM, Saldanha IJ, Robinson KA. Active cycle of breathing technique for cystic fibrosis. Cochrane Database Syst Rev. 2023 Feb 2;2(2):CD007862. doi: 10.1002/14651858.CD007862.pub5. PubMed 36727723 ↗
  • Rowbotham NJ, Smith SJ, Davies G, Daniels T, Elliott ZC, Gathercole K, Rayner OC, Smyth AR. Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals. J Cyst Fibros. 2020 Jul;19(4):e19-e24. doi: 10.1016/j.jcf.2019.10.026. Epub 2019 Nov 15. PubMed 31740105 ↗
  • Zhao M, Cheng L, Fu W, Ma X, Chen X. Measuring parents' perceptions of inclusive school quality in China: the development of the PISQ scale. Int J Dev Disabil. 2021 Mar 10;68(6):824-837. doi: 10.1080/20473869.2021.1895696. eCollection 2022. PubMed 36568612 ↗

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 Jul 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07062939
Lead sponsor
Riphah International University
Responsible party
Sponsor
First posted
Jul 14, 2025
Start date
Jul 6, 2025 (estimated)
Primary completion
Nov 30, 2025 (estimated)
Completion
Dec 30, 2025 (estimated)
Last update
Jul 14, 2025

Study contacts

imran amjad, phD
Contact
imran.amjad@riphah.du.pk
03324390125
iram nawaz, mphill
principal investigator · Riphah International University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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