Effects of Manual Therapy and Respiratory Muscle Training on the Maximal Inspiratory Pressure in Moderate Smokers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 53
- 试验地点
- 1
- 主要终点
- Maximum Inspiratory Pressure
研究概览
简要总结
The aim of this study is to assess if an intervention of manual therapy and motor control exercises combined with an inspiratory muscle training program is more effective than an inspiratory muscle training program alone in increasing the maximum inspiratory pressure in moderate smokers. In addition, the study pretends to evaluate the changes caused by the intervention regarding possible postural changes and thoracic diameter.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy subjects aged between 18 and 60 years and a current smoking rate ≥ 5 points.
排除标准
- •Were excluded participants who presented diagnosis of cardiorespiratory disease, systemic or metabolic disease such as rheumatoid arthritis or cancer, history of thoracic surgery, vertebral fracture, spinal structured musculoskeletal disorders and thoracic region and contraindication to the treatment techniques used (osteoporosis).
研究组 & 干预措施
Inspiratory Muscle Training Group (IMT)
The IMT program consisted of supervised and domiciliary exercises.
-
- The supervised exercises was performed in the presence of physiotherapist. This consisted of 30 min 2 days for 4 weeks using the threshold device (Powerbreathe classic level 1, Gaiam Ltd; Southam, Warwickshire, UK). This program involve 5 sets of 5 repetitions with 30 seconds rest between each one. The load of the training was distributed as follow:
- First week: 30% Maximum Inspiratory Pressure (MIP)
- Second week: 40% MIP
- Third week: 50% MIP
- Fourth week: 60% MIP
-
- The domiciliary exercises consisted of Yoga Breathing Exercises (Pranayama) that combines the inspiration and expiration through one or both nostrils, and requires the activation of chest and abdomen
干预措施: Inspiratory Muscle training (Other)
IMT + Manual Therapy and Motor Control Exercises
The protocol for this group is identical to the previous group with the sole difference that is added a manual therapy (MT) and a motor control exercises (MCE). The MT protocol was performed for 15min, whereas the MCE was 10min. Below it described both protocols:
-
- MT:
- Upper cervical region mobilization in flexion
- Lower cervical postero-anterior mobilization + maintained traction
- Costovertebral joint postero-anterior mobilization
- Thoracic vertebral posteroanterior mobilization
- Thrust dorsal
-
- MCE:
- Isometric contraction of the deep neck flexors.
- Isometric contraction of the neck extensors.
- Neural self-mobilization.
- Cervical retraction with theraband.
- Sphinx.
- Scapular adduction exercises in prone.
- Scapular adduction exercises in sitting position with theraband.
干预措施: IMT + Manual Therapy and Motor Control Exercise (Other)
结局指标
主要结局
Maximum Inspiratory Pressure
时间窗: Change from Baseline in Maximum Inspiratory Pressure at 4 weeks
The maximum inspiratory pressure (MIP) was measured with a device called Kinetic KH1 Powerbreath (HAB International Ltd., England, UK). This device applies an inspiratory load which provides a resistance. The maneuver was performed in a sitting position. Measuring a minimum of 3 times was performed, recording the highest value.
次要结局
- Head posture(Change from Baseline in Head Posture at 4 weeks)
- Thoracic kyphosis(Change from Baseline in Thoracic kyphosis at 4 weeks)
- Volumes and lung capacities(Change from Baseline in Volumes and lung capacities at 4 weeks)
研究者
Ibai López-de-Uralde-Villanueva
Principal Investigator
Universidad Autonoma de Madrid