[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100642898":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":35,"locations":45,"responsibleParty":67,"collaborators":26,"id":69,"slug":70,"hasResults":71,"nctId":72,"briefTitle":73,"officialTitle":74,"acronym":26,"eligibilityCriteria":75,"healthyVolunteers":71,"sex":76,"minAge":77,"maxAge":78,"enrollmentInfo":79,"targetDuration":26,"studyType":82,"phases":83,"briefSummary":85,"conditions":86,"keywords":89,"overallStatus":48,"whyStopped":26,"lastUpdateSubmitDate":94,"lastUpdatePostDateStruct":95,"startDateStruct":98,"completionDateStruct":100,"leadSponsor":102,"locationsCount":103},{"fullName":5,"class":6},"Riphah International University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Low Volume Nose Resistance Breathing Exercises (LVNRBE)","EXPERIMENTAL","Receives LVNRBE using an Acapella device plus IS for 20 minutes, three times daily, five days a week for four weeks",[13],"Device: Acapella device plus Incentive Spirometry",{"label":15,"type":16,"description":17,"interventionNames":18},"conventional respiratory physiotherapy","ACTIVE_COMPARATOR","(Control): Receives conventional respiratory physiotherapy with the same frequency and duration.",[19],"Behavioral: conventional respiratory physiotherapy",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"DEVICE","Acapella device plus Incentive Spirometry","PFTs will be performed with Spirobank, a handheld digital spirometer, to measure respiratory parameters such as forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV ). These values help assess lung volumes, airflow, and respiratory muscle strength in spinal cord injured patients. They are highly valid and accepted internationally for assessing lung function. Test-retest reliability is strong, with correlation coefficients often exceeding 0.90",[9],null,{"type":28,"name":15,"description":29,"armGroupLabels":30,"otherNames":26},"BEHAVIORAL","exercises were performed for 20 minutes three times daily, five times a week, over a period of four weeks under supervision",[15],[32],{"name":33,"affiliation":5,"role":34},"Arjumand Bano, MS","PRINCIPAL_INVESTIGATOR",[36,41],{"name":37,"role":38,"phone":39,"phoneExt":26,"email":40},"Muhammad Iqbal Tariq, Phd","CONTACT","333826752","iqbal.tariq@riphah.edu.pk",{"name":42,"role":38,"phone":43,"phoneExt":26,"email":44},"Misdaq Batool, MS PT","03496166611","misdaaqbatool@yahoo.com.ph",[46],{"facility":47,"status":48,"city":49,"state":50,"zip":51,"country":52,"countryCode":53,"cosmosGeoPoint":54,"geoPoint":59,"contacts":60},"Jinnah hoapital","RECRUITING","Lahore","Punjab Province","40100","Pakistan","PK",{"type":55,"coordinates":56},"Point",[57,58],74.35071,31.558,{"lat":58,"lon":57},[61,63],{"name":42,"role":38,"phone":62,"phoneExt":26,"email":44},"03466584498",{"name":64,"role":38,"phone":65,"phoneExt":26,"email":66},"Haney Arif, MS PT","03334572500","Haneyarif67@gmail.com",{"type":68,"investigatorFullName":26,"investigatorTitle":26,"investigatorAffiliation":26,"oldNameTitle":26,"oldOrganization":26},"SPONSOR","100642898","low-volume-nose-resistance-breathing-exercise-with-incentive-spirometer-in-patient-with-cervical-spinal-cord-injuries-100642898",false,"NCT07645027","Low Volume Nose Resistance Breathing Exercise With Incentive Spirometer in Patient With Cervical Spinal Cord Injuries","Effect of Low Volume Nose Resistance Breathing Exercise With Incentive Spirometer on Pulmonary Function Test, Dyspnea, Cough and Sputum in Patient With Cervical Spinal Cord Injuries","Inclusion Criteria:\n\n* Diagonosed cervical spine injury C4-C7\n* Age 18-38 years\n* Undergoing in-patient rehabilitation\n* No previous history of severe pulmonary disease\n* Disease duration \\\u003C1 year\n* Ability to give informed consent\n* Road Accident\n\nExclusion Criteria:\n\n* Uncontrolled hypertension\n* Other Neuromuscular disease\n* Stage 3-4 pressure wound\n* Clinical instability\n* Traumatic Brain injury","ALL","18 Years","38 Years",{"count":80,"type":81},42,"ESTIMATED","INTERVENTIONAL",[84],"NA","This randomized clinical trial aims to evaluate the effectiveness of combining Low Volume Nose Resistance Breathing Exercises (LVNRBE) with Incentive Spirometry (IS) on respiratory outcomes in patients with cervical spinal cord injury (SCI). Respiratory complications are a major concern in cervical SCI due to impaired respiratory muscle function, leading to reduced lung volumes, dyspnea, ineffective cough, and sputum retention. The study will recruit 42 inpatients aged 18-38 years with cervical SCI (C4-C7), randomly divided into two groups: Data Analysis: Statistical tests (paired and independent t-tests) will determine intra- and intergroup differences using SPSS v25, with significance set at p \\\u003C 0.05.\n\n* Group A (Intervention): Receives LVNRBE using an Acapella device plus IS for 20 minutes, three times daily, five days a week for four weeks.\n* Group B (Control): Receives conventional respiratory physiotherapy with the same frequency and duration.\n\nOutcomes will be assessed pre- and post-intervention using:\n\n* Pulmonary Function Tests (FVC, FEV1),\n* Modified Borg Dyspnea Scale,\n* Cough Frequency Scale,\n* Sputum Grading Scale.",[87,88],"Cervical Spinal Cord Injury","Cervical Cord Injuries Spinal",[90,91,92,93],"Cervical cord injury","Dyspnea","Incentive spirometer","Low volume nose resistance breathing exercise","2026-06-08",{"date":96,"type":97},"2026-06-12","ACTUAL",{"date":99,"type":97},"2026-05-01",{"date":101,"type":81},"2026-08-01",{"name":5,"class":6},1]