Comparison of Manual therapy and Diaphragmatic Maneuver on Diaphragmatic Excursion, Thoracic Mobility and Exercise Capacity in patients with COPD: A Randomized Clinical Trial
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- Diaphragmatic Excursion
研究概览
简要总结
Patients diagnosed with COPD (mild to moderate) age groups between 18 to 75 years old will be taken.
The participants that meet the inclusion criteria will be chosen for the study. Written and oral consent from the participants will be obtained, and all procedures will be explained. Demographic data and assessment data will be taken. Baseline data, which includes diaphragmatic excursion, chest expansion, and the 6-minute walk distance of all the participants, will be taken. Patients are randomly allocated into groups (Group A & Group B). Both groups receive the intervention. Group A will given manual therapy along with conventional exercises, and Group B will given diaphragmatic maneuver technique along with conventional exercises. In manual therapy, muscle energy techniques will be applied to the thoracic cage, with three techniques for the lower thorax and two for the upper thorax, while in the diaphragmatic maneuver technique, two techniques will involve the manual diaphragmatic release technique and the diaphragmatic stretch technique. In conventional exercises, patients will perform diaphragmatic breathing combined with pursed lip breathing, and breathing exercises with upper limb movement. The session will be provided for around 30 to 40 minutes three times a week for 4 weeks. If the patient feels any type of discomfort, treatment should be stopped. After the intervention period, all the outcomes will be checked to assess the progression of all the parameters. A statistical analysis of the collected data will be conducted. A conclusion will be established based on the results of the study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 75.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Inpatients or outpatients diagnosed with stable COPD and exhibiting peripheral oxygen saturation is greater than 92% during calm breathing.
- •2.Patients with mild or moderate COPD according to the GOLD criteria.
- •3.Patient not involved in previous rehabilitation program at least 4 months prior to study.
- •4.Age 18-75 years 5.Both Male and Female.
排除标准
- •1.Patients with acute exacerbation of COPD in past month.
- •2.Patients with unstable hemodynamic parameters arterial pressure less than 100mmHg systolic and less than 60mmHg for diastolic and mean arterial pressure less than 80mmHg. 3.Patients who have undergone recent cardiothoracic or abdominal surgery.
- •4.Patients who have a recent history of chest wall or abdominal trauma and substantial chest wall deformity.
- •5.History of psychiatric illness or difficulty in comprehending commands and following instructions.
- •6.Cardiovascular problems 7.Musculoskeletal disorders 8.Acute rib fractures 9.Severe osteoporosis.
结局指标
主要结局
Diaphragmatic Excursion
时间窗: 7 mins
次要结局
- 1.Chest Expansion(2.6 minute walk test)
研究者
Dr Shraddha R Boratwar
MGM Institute of Physiotherapy