Efficacy of Different Osteopathic Manipulative Techniques Combined With Diaphragmatic Release in Patients With Chronic Obstructive Pulmonary Disease
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Diaphragmatic Excursion
研究概览
简要总结
This study will test the efficiency of rib rising technique and thoracic lymphatic pump technique combining with manual diaphragmatic release technique in patients with chronic obstructive pulmonary disease
详细描述
Chronic obstructive pulmonary disease (COPD) is a complex and constantly evolving pathology which is characterized by a progressive and constant limitation of the available air volume.
The Global Initiative for Chronic Obstructive Lung Disease (GOLD) identifies COPD as: a common, preventable and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases.
COPD could become the third leading cause of death for the population by 2030.
Exacerbation 0f COPD leads to hospital admission, high mortality and a decline in the ability to carry out daily activities' worse quality of life and increased disability.
Cigarette smoking consider the most important risk factors air pollution, occupational chemicals and dusts, and frequent lower respiratory infections during childhood and not curable.
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
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 75 Years（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •include Stable COPD patients
- •include Constant medication between the treatments.
- •include Aged from 60 TO 75 YEARS OLD
- •include moderate to severe COPD
- •include Smoker index <400
- •exclude Rib or vertebral fracture
- •exclude Skin disorder or scar in chest region or recent abdominal surgery.
- •exclude Unwilling to complete in study
- •exclude Cancer
- •exclude Cognitive impairment to understand orders
- •exclude severe osteoporosis
- •exclude Smoker index >400
排除标准
- 未提供
研究组 & 干预措施
group A
Combination between rib raising and diaphragmatic release technique
干预措施: diaphragmatic release technique (Other)
group A
Combination between rib raising and diaphragmatic release technique
干预措施: rib raising technique in group A (Other)
group B
combination between thoracic lymphatic pump and diaphragmatic release technique
干预措施: diaphragmatic release technique (Other)
group B
combination between thoracic lymphatic pump and diaphragmatic release technique
干预措施: THORACIC LYMPHATIC PUMP TECHNIGUE (Other)
group C (control group)
Diaphragmatic release technique (control group)
干预措施: diaphragmatic release technique (Other)
结局指标
主要结局
Diaphragmatic Excursion
时间窗: all assessment will be performed two times one pretreatment and will be repeated post treatment almost 2 months
ultrasonography device applied on chest and used to measure the vertical movement of diaphragm unite of measure is centimeter (cm)
Diaphragmatic thickness
时间窗: all assessment will be performed two times one pretreatment and will be repeated post treatment almost 2 months
ultrasonography device applied on chest and used to measure diaphragmatic thickness and change of flexibility of the diaphragm unite of measure is millimeter (mm)
次要结局
- Level of Dyspnea(all assessment will be performed two times one pretreatment and then will be repeated post treatment almost 2 months)
- Oxygen saturation (%)(assessment will be performed two times one pretreatment and will be repeated post treatment almost 2 months)
- Resting Heart rate(assessment will be performed two times one pretreatment and will be repeated post treatment almost 2 months)
- Pulmonary function test (spirometry)(all assessment will be performed two times one pretreatment and will be repeated post treatment almost 2 months)
- maximum heart rate(assessment will be performed two times one pretreatment and will be repeated post treatment almost 2 months)
- heart rate recovery at first and second minutes(assessment will be performed two times one pretreatment and will be repeated post treatment almost 2 months)
研究者
Shimaa Mokhtar
Physiotherapist
Beni-Suef University