NCT01578681

ELTGOL and Bronchiectasis. Respiratory Therapy

Multicenter Randomized Placebo-controlled Trial to Evaluate the Efficacy of the ELTGOL Technique in the Drainage of Secretions in Patients With Bronchiectasis

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 44 (actual)
• Sponsor: Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta · Academic / Other
• Sex: All
• Age: 18 Years – 95 Years
• Healthy volunteers: Not accepted

Summary

The ELTGOL technique improves mucociliary clearance in adult patients with bronchiectasis. Primary objective: -To evaluate the efficacy of ELTGOL in stable state patients with bronchiectasis compared to placebo. Secondary objectives: * To evaluate the level of knowledge of airway clearance techniques and adherence to them in patients with bronchiectasis. * To assess the side effects during the procedure: oxygen desaturation, increased dyspnea and hemoptysis.

Detailed description

The incidence of bronchiectasis has increased in recent years resulting in greater costs, including periods of hospitalisation and the prescription of drugs. The mucociliary clearance mechanism is impaired in these patients, and chest physiotherapy has been recommended for patients with bronchiectasis and chronic productive cough and/or evidence of mucus plugging on HRCT. However, to date, there is insufficient evidence of benefits of chest physiotherapy through randomised controlled trials. Furthermore it rests unclear the most effective technique, the frequency and optimum duration of the RP and the most suitable variables to monitor. A multicenter clinical trial into the efficacy of one chest physiotherapy technique in airway clearance will fill this important "gap" in the scientific evidence.

Conditions

• Respiratory; Complications, Therapy
• Bronchiectasis

Interventions

Type	Name	Description
PROCEDURE	Low Expiration Open glottis inferolateral (ELTGOL)	Place the affected lung in infralateral, asks the patient to make an inspiration without being forced to medium volume, and then a slow expiration with the glottis open, down to residual volume. If the therapist is present place the abdominal caudal hand at putting pressure cranial head and hand is placed over the rib cage at a pressure of closing the rib cage. Otherwise, the patient self-administered intertwining arms and abdominal rib at top exerting the same pressure. In case you have two lungs affected the art will take place on one side and then the opposite.
PROCEDURE	Stretching	Patient will be instructed to do muscle stretching of the thorax

Timeline

• Start date: 2011-09-01
• Primary completion: 2011-09-01
• Completion: 2017-03-01
• First posted: 2012-04-17
• Last updated: 2017-11-14

Locations

1 site across 1 country: Spain