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Study of Individualized Physiotherapy for Airway Clearance in Cystic Fibrosis.

Primary Purpose

Cystic Fibrosis

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Physiotherapy
Sponsored by
Oslo University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis focused on measuring Adults

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis: CF
  • Age >18 years
  • Amount of sputum >5 ml/60 min
  • Wet inhalation of saline/DNase/both
  • Informed consent

Exclusion Criteria:

  • Respiratory failure
  • Hemoptysis
  • Bacteriology (burkholderia cephacia, multi-resistent pseudomonas aeruginosa, atypical mycobacteria, MRSA).
  • Ongoing intravenous medication
  • Pregnancy

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Physiotherapy techniques

    Arm Description

    Cough Technique vs Forced Expiration Technique

    Outcomes

    Primary Outcome Measures

    Expectorated sputum (gram)
    Total amount of expectorated sputum (g) will be collected and weighed wet after each intervention for eight weeks, using a Mettler TOLEDO Weighing Balance (EL 202, accuracy: 0.01 g). N of 1 trial design. Each trial consist of eight pairs (8 weeks) of treatment periods with two interventions each week (one with Cough Technique and one with Forced Expiration technique), 16 treatments for each participant. Outcome measure after each treatment.

    Secondary Outcome Measures

    Patient's experience, i.e. perceived utility value and preference of technique.
    Utility value: Measured by self-reported questionnaire after completion of each intervention in week 8. Preference: Measured by three self-reported questions after both interventions in week 8.

    Full Information

    First Posted
    September 6, 2010
    Last Updated
    January 10, 2013
    Sponsor
    Oslo University Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01266473
    Brief Title
    Study of Individualized Physiotherapy for Airway Clearance in Cystic Fibrosis.
    Official Title
    Efficacy Study of Physiotherapy for Airway Clearance in Cystic Fibrosis. Randomized Controlled Trials in Single Subjects (N of 1 RCT's).
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    August 2010 (undefined)
    Primary Completion Date
    April 2011 (Actual)
    Study Completion Date
    April 2011 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Oslo University Hospital

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to investigate individual efficacy in Physiotherapy for Airway Clearance, and to investigate user experience, i.e.utility value and preference.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Cystic Fibrosis
    Keywords
    Adults

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Crossover Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    6 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Physiotherapy techniques
    Arm Type
    Experimental
    Arm Description
    Cough Technique vs Forced Expiration Technique
    Intervention Type
    Other
    Intervention Name(s)
    Physiotherapy
    Intervention Description
    Physiotherapy for Airway Clearance
    Primary Outcome Measure Information:
    Title
    Expectorated sputum (gram)
    Description
    Total amount of expectorated sputum (g) will be collected and weighed wet after each intervention for eight weeks, using a Mettler TOLEDO Weighing Balance (EL 202, accuracy: 0.01 g). N of 1 trial design. Each trial consist of eight pairs (8 weeks) of treatment periods with two interventions each week (one with Cough Technique and one with Forced Expiration technique), 16 treatments for each participant. Outcome measure after each treatment.
    Time Frame
    8 weeks
    Secondary Outcome Measure Information:
    Title
    Patient's experience, i.e. perceived utility value and preference of technique.
    Description
    Utility value: Measured by self-reported questionnaire after completion of each intervention in week 8. Preference: Measured by three self-reported questions after both interventions in week 8.
    Time Frame
    8 weeks
    Other Pre-specified Outcome Measures:
    Title
    Physiological measurements
    Description
    Oxygen saturation and heart rate measurements in the beginning and at the end of each intervention. Pulmonary function tests (week 2): measurements before and after each intervention with spirometry.
    Time Frame
    8 weeks
    Title
    Health related quality of life (HRQOL)
    Description
    HRQOL measured by the Cystic Fibrosis Questionnaire Revised (CFQR-R), i.e. respiratory symptoms, in the beginning and at completion of the study.
    Time Frame
    8 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Diagnosis: CF Age >18 years Amount of sputum >5 ml/60 min Wet inhalation of saline/DNase/both Informed consent Exclusion Criteria: Respiratory failure Hemoptysis Bacteriology (burkholderia cephacia, multi-resistent pseudomonas aeruginosa, atypical mycobacteria, MRSA). Ongoing intravenous medication Pregnancy
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Sandra Gursli, PT, MSc
    Organizational Affiliation
    Oslo University Hospital, National Centre for cystic fibrosis
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    36256673
    Citation
    Gursli S, Quittner A, Jahnsen RB, Skrede B, Stuge B, Bakkeheim E. Airway clearance physiotherapy and health-related quality of life in cystic fibrosis. PLoS One. 2022 Oct 18;17(10):e0276310. doi: 10.1371/journal.pone.0276310. eCollection 2022.
    Results Reference
    derived

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    Study of Individualized Physiotherapy for Airway Clearance in Cystic Fibrosis.

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