Comparing Bubble Positive Expiratory Pressure and Segmental Breathing with Incentive Spirometry to Improve Lung Function in Children Aged 5 to 16 With Pleural Effusion

What this Trial Is About

This research aims to compare the effects of Bubble Positive Expiratory Pressure PEP combined with Segmental Breathing against Incentive Spirometry in children aged 5 to 16 with pleural effusion. Pleural effusion involves excess fluid in the lung cavity, limiting lung expansion and causing breathing difficulties. The study is a randomized clinical trial including 40 pediatric participants to evaluate if Bubble PEP with Segmental Breathing offers a cost-effective alternative to Incentive Spirometry, especially for patients unable to afford mechanical devices. Participants will be randomly assigned to one of two groups. The experimental group will use Bubble PEP therapy and Segmental Breathing along with conventional chest physiotherapy and mobility training daily for two weeks. Bubble PEP involves exhaling through a water-filled bottle to create resistance, while Segmental Breathing focuses on localized lung expansion with therapist guidance. The control group will use Incentive Spirometry combined with chest physiotherapy and mobility training, performing specific breathing exercises and chest percussion. Both groups follow progressive exercise schedules and mobility training over the 14-day intervention. Throughout the study, lung expansion will be measured using X-rays, and breathing difficulty will be assessed with the Pediatric Dyspnea Scale before and after the treatment period. Additional monitoring includes measuring chest expansion, oxygen saturation, and respiratory rate at the start and end of the study. Researchers will analyze these outcomes to understand the effects of each intervention on lung function and breathing in children with pleural effusion. The total participation lasts for two weeks of daily therapy sessions with pre- and post-intervention assessments.

Effect of Bubble Positive Expiratory Pressure and Segmental Breathing Versus Incentive Spirometry in Pleural Effusion