The Effect of Proprioceptive Neuromuscular Facilitation (PNF) Technique for Children With Chronic Pulmonary Diseases.

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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