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Trial registered on ANZCTR
Registration number
ACTRN12621001108808
Ethics application status
Approved
Date submitted
6/08/2021
Date registered
20/08/2021
Date last updated
28/10/2021
Date data sharing statement initially provided
20/08/2021
Date results provided
28/10/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects of Respiratory Rehabilitation on the Patients with COVID-19 infection.
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Scientific title
Effects of Pulmonary Rehabilitation on the Patients with COVID-19 infection.
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Secondary ID [1]
304981
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NIL
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Universal Trial Number (UTN)
NA
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Trial acronym
PRPC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breathing difficulty
323136
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COVID-19
323137
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Other respiratory tract infection
323169
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Condition category
Condition code
Respiratory
320754
320754
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Pulmonary rehabilitation: Pulmonary rehabilitation will be provided as intervention along with standard treatment, and it will be given by the same Physiotherapist under direct supervision of a Physiatrist properly. Pulmonary rehabilitation will be delivered daily for 4 weeks, each session is anticipated to take 15 minutes to complete. And a Bangla written pulmonary rehabilitation procedure document (which is designed for this study only) will be provided to the patients who will be treated at home & they will be supervised virtually over video calls. Pulmonary rehabilitation is as follows: 1. Prone positioning, 2. Chest Physical therapy: Positioning>cupping>vibration>suction and
Ventilator muscle strength training and 3.Breathing exercises. These are the intervention for one group along with standard treatment and other group will be treated with standard treatment only as per WHO guideline.
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Intervention code [1]
321400
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Treatment: Other
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Comparator / control treatment
Control group will be provided standard treatment for COVID-19 as per WHO guideline according to the severity of the disease. Standard treatment will be given according to the symptoms of the patients which include oxygen therapy, paracetamol, antihistamine, heparin, steroid, antibiotic as necessary according to the need of the patients and as prescribed by the concerned physicians.
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Control group
Active
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Outcomes
Primary outcome [1]
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Breathing difficulty will be assessed by using Modified Medical Research Council (MMRC) scale.
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Assessment method [1]
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Timepoint [1]
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At week one with week 2, 3 and 4 (post-enrolment)
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Primary outcome [2]
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Modified Borg Scale (MBS) to determine the breathing difficulty after exercise
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Assessment method [2]
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Timepoint [2]
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Weekly for four weeks post-enrolment
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Secondary outcome [1]
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Respiratory rate per minute: It will be estimated by counting the inspiration and expiration per minute
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Assessment method [1]
399403
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Timepoint [1]
399403
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At weeks 1, 2, 3 and at the end of follow up period i.e. at 4th week.( post -treatment)
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Eligibility
Key inclusion criteria
• Nasopharyngeal swab samples (tested by RT-PCR) positive for the novel coronavirus.
• Subjects Aged 15 years or more of all genders.
• Oxygen saturation as measured by pulse oximetry (SpO2) greater than 90 % in room air.
• Patients having symptoms mild to moderate in nature
• A resting respiratory rate 30/m or less than 30/m.
• Able to understand the content of questionnaires and who will provide informed consent.
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Minimum age
15
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Subjects aged more than 70 years of all genders.
• Subjects having severe form of COVID-19
• Subjects having severe COPD, bronchial asthma and severe ischemic heart disease.
• Pregnant woman will be excluded from the study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomization will be done by the way of lottery. There will some cards denoting group and by drawing the card lottery will be done.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
All data will be expressed as frequency, percentage and mean ± standard deviation (SD). Both student’s ‘t’ test and Chi-square test ( as required) will be used to compare differences between different variables. P value < 0.05 will be considered significant.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/07/2020
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Date of last participant enrolment
Anticipated
30/08/2021
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Actual
31/08/2021
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Date of last data collection
Anticipated
31/08/2021
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Actual
31/08/2021
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Sample size
Target
155
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Accrual to date
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Final
155
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Recruitment outside Australia
Country [1]
24032
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Bangladesh
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State/province [1]
24032
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Funding & Sponsors
Funding source category [1]
309368
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Government body
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Name [1]
309368
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Bangladesh Medical Research Council
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Address [1]
309368
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BANGLADESH MEDICAL RESEARCH COUNCIL
MOHAKHALI, DHAKA-1212, BANGLADESH
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Country [1]
309368
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Bangladesh
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Primary sponsor type
Government body
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Name
BANGLADESH MEDICAL RESEARCH COUNCIL
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Address
BANGLADESH MEDICAL RESEARCH COUNCIL
MOHAKHALI, DHAKA-1212, BANGLADESH
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Country
Bangladesh
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Secondary sponsor category [1]
310339
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Hospital
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Name [1]
310339
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Bangabandhu Sheikh Mujib Medical University
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Address [1]
310339
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Shabagh, Dhaka- 1000
Bangladesh
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Country [1]
310339
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Bangladesh
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Secondary sponsor category [2]
310406
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Hospital
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Name [2]
310406
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BSM Medical University
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Address [2]
310406
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Shabagh, Dhaka,
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Country [2]
310406
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Bangladesh
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
309185
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Ethics Review committee of Bangladesh Medical Research Council
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Ethics committee address [1]
309185
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BANGLADESH MEDICAL RESEARCH COUNCIL MOHAKHALI, DHAKA-1212, BANGLADESH
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Ethics committee country [1]
309185
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Bangladesh
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Date submitted for ethics approval [1]
309185
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Approval date [1]
309185
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29/06/2020
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Ethics approval number [1]
309185
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Ref: BNRC/ Revenue-Grant/2019-2020/753 (1-31)
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Summary
Brief summary
In a view to improve pulmonary functions this study will be conducted in the Fever clinic, BSMMU and Kurmitola General Hospital, Dhaka. A total of 155 patients with COVID-19 will included in this study. Study population will be confirmed by laboratory findings. Patients will be selected for the study by specific inclusion and exclusion criteria. Informed consent will be taken properly. Patients will be provided pulmonary rehabilitation treatment along with standard treatment in one group and another one group will be provided standard treatment only. Randomization of the patients into two groups will be done by the way of lottery. Pulmonary rehabilitation procedure will be given by a trained Physiotherapist under the supervision of a Physiatrist. Rehabilitation treatment will be given daily for four weeks. Follow up of the patient will be done weekly. The gathered data will be analyzed statistically. Both paired and unpaired Student’s ‘t’ test and Chi-squired test will be done as required. By this study, the respiratory capacity of the patient can be increased and ultimately lung complication may be reduced.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Md Abdus Shakoor
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Address
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Room-02, Block-B, Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka -1000
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Country
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Bangladesh
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Phone
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+8801819410080
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Fax
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Nil
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Email
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[email protected]
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Contact person for public queries
Name
113267
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Md Abdus Shakoor
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Address
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Room-02, Block-B, Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka -1000
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Country
113267
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Bangladesh
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Phone
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+880 1819410080
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Fax
113267
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Email
113267
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[email protected]
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Contact person for scientific queries
Name
113268
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Md Abdus Shakoor
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Address
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Room-02, Block-B, Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka -1000
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Country
113268
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Bangladesh
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Phone
113268
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+8801819410080
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Fax
113268
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Nil
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Email
113268
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Effects of Pulmonary Rehabilitation on the Patients with COVID-19 infection.
2023
https://dx.doi.org/10.3329/bmrcb.v49i1.62922
N.B. These documents automatically identified may not have been verified by the study sponsor.
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