Brief Title
The Effect of Proprioceptive Neuromuscular Facilitation (PNF) Technique for Children With Chronic Pulmonary Diseases.
Official Title
The Effect of Proprioceptive Neuromuscular Facilitation Technique on Respiratory Functions, Functional Capacity, Muscle Force, Posture, Activity of Daily Living, Quality of Life for Children With Chronic Pulmonary Diseases.
Brief Summary
Cystic fibrosis and bronchiectasis are the most seen problems in children with chronic
pulmonary diseases. İt is a genetic, chronic system disease that reduces life expectancy, and
life quality as well. Chronic lung disease , malnutrition, and reduced activity, caused by
disease lead to postural disorders. Muscle force, endurance, activity of Daily living are
adversely affected. İn the treatment pulmonary rehabilitation are using. Airway clearance
technique, pulmonary exercises, upper extremity ergometer, dumbbells, elastic bands,
proprioceptive neuromuscular facilitation technique are applying. Resistance training using
elastic bands has become an increasingly common intervention aiming to improve function by
increasing muscular strength. İn one study indicated that muscle strength can be improved
through three dimensional spiral large scale resistive exercises using proprioceptive
neuromuscular facilitation. İn the literature there isn't any research , uses elastic bands
with proprioceptive neuromuscular facilitation for the upper extremity and evaluating
pulmonary functions, posture, quality of life, muscle force.
The aim of this study is giving exercises programme with proprioceptive neuromuscular
facilitation and elastic bands and to evaluate pulmonary muscle force, pulmonary functions,
posture, activity of daily living, quality of life, functional capacity. And to evaluate the
effect of treatment programme on these parameters.
The subjects were divided in two groups. An experimental group three times a week for 12
weeks will perform proprioceptive neuromuscular facilitation exercises with elastic bands,
and pulmonary exercises. The control group will apply only pulmonary exercises at home
programme.
Detailed Description
Participants: All participants with chronic respiratory disease were recruited from a
Istanbul University Medical Faculty, Allergy Department. All treatments were performed in the
same hospital.
Sample Size: Sample size was calculated with power analysis. Pass 11 Home programme was used.
α=0,05, β=0,6, 1- β=0,94 was determined. İf Sample size was defined 20 experimental and 20
control group the power obtained %95. Using two-sided two sample t-test with alpha 0,05
standard deviations were 5,0 and 4,0.
Procedure: Forty chronic respiratory disease patient were assessed between the age of 10-18
years old. The patients were found to be suitable for inclusion criteria of the
study.Randomisation was performed by using randomisation function of Microsoft Office Excel
programme by another researcher (ARO). Random number generator of Microsoft Office Excel
Software gave a random number between 0 and 1 to the each treatment columns which were
created by ARO. Sorting the random number row from the largest to the smallest number was
performed by the sort and filter menu.After the randomisation,assessments at baseline and the
patients were divided two groups. The experimental group was treated one by one with one
physical therapist three times a week during a session for 30-45 minutes.
Study Type
Interventional
Primary Outcome
Pulmonary function test
Secondary Outcome
Posture Analysis
Condition
Chronic Respiratory Disease
Intervention
Group applying PNF technique
Study Arms / Comparison Groups
Group applying PNF technique
Description: The experimental goup who are applying PNF technique with elastic bands for the upper extremities. Before the group will perform stretching and resisted exercises at the warming up period, after they will do PNF exercises with elastic bands on two PNF pattern for the upper extremities and finally they will do some stretching exercises for the cool down period. The programme will continue for 30-45 minutes, three times a week, for 12 weeks. They will work one by one with a physical therapist.
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Recruitment Status
Behavioral
Estimated Enrollment
40
Start Date
December 1, 2016
Completion Date
December 1, 2020
Primary Completion Date
November 1, 2020
Eligibility Criteria
Inclusion Criteria:
1. Patients between the ages of 10-18 years
2. Walking alone
3. The children with chronic pulmonary diseases who can cooperate
4. Children who can accommodate to the programme
5. The family who gave informed consent
6. The children who are didn't at the acute exacerbation attack.
Exclusion Criteria:
1. The children can't walk alone
2. The children with chronic pulmonary diseases who can't cooperate
3. The family who didn't gave informed consent
4. The children who are at the acute exacerbation attack.
Gender
All
Ages
10 Years - 18 Years
Accepts Healthy Volunteers
No
Contacts
Zerrin Dr Yigit, Prof, ,
Location Countries
Turkey
Location Countries
Turkey
Administrative Informations
NCT ID
NCT03420209
Organization ID
1493
Responsible Party
Principal Investigator
Study Sponsor
Istanbul University
Study Sponsor
Zerrin Dr Yigit, Prof, Study Director, Istanbul University, Cardiology Institute, Cardiology Department
Verification Date
February 2020