Manual Diaphragm Release on Stepping Reaction Time in Chronic Obstructive Pulmonary Disease

Not Applicable

Active, not recruiting

• Conditions: Respiratory Disease
• Interventions: Other: Manual Diaphragm Release Technique; Other: Breathing Exercise

• Registration Number: NCT06455033
• Lead Sponsor: Beni-Suef University

Brief Summary

Finding the effect of diaphragm release exercises on stepping reaction time and balance in patients with chronic obstructive pulmonary disease patients.

Detailed Description

Sixty patients with Chronic Obstructive Pulmonary Disease (COPD) will be randomly assigned to the experimental (EX) group and the control group (CON). The participants' age will be 55 years and above with history of COPD. The Ex group will attend 4 sessions/week of Manual Diaphragm Release Technique Combined with Deep Breathing (10:15-min) for 8 weeks, the CON will attend 4 sessions/week of Deep Breathing (10:15-min) for 8 weeks. The stepping reaction time will be assessed by the choice stepping reaction time (CSRT). The Balance will be determined using a Time up and Go test (TUG) an d Berg balance scale (BBS). All the outcomes will be examined at baseline, and 8 weeks of the intervention.

Study Timeline

• Status Verified: 2024-06
• Study First Submitted: 2024-06-07
• Study First Submitted QC: 2024-06-07
• Study First Posted: 2024-06-12
• Study Start: 2024-08-22
• Last Update Submitted: 2024-10-11
• Last Update Posted: 2024-10-15
• Primary Completion: 2025-08-15
• Study Completion: 2025-11-15

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• All participants with a history of COPD
• Adults ranging from 55- 70 years old of both genders.
• Medically stable

Exclusion Criteria

• Obesity (BMI ≥ 30 kg/m2)
• History of Pneumonia
• Diaphragmatic hernia, clinical evidence of phrenic nerve injury, recent abdominal or thoracic surgery, or history of traumatic lesion possibly affecting diaphragm.
• History of Myocardial infarction and/or cardiothoracic surgery
• orthopedics, or neurological that may interfere the intervention.
• Visual impairments, vestibular disorders, and postural hypotension.
• Dementia that interferes with the ability to follow instructions.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Study Group	Manual Diaphragm Release Technique	30 patients with chronic obstructive pulmonary disease
Study Group	Breathing Exercise	30 patients with chronic obstructive pulmonary disease
Control group	Breathing Exercise	30 patients with chronic obstructive pulmonary disease

Primary Outcome Measures

Name	Time	Method
stepping reaction time	up to 8 weeks	stepping reaction time will be assessed by choice stepping reaction time test. The test procedure is as follows: when the stepping target is illuminated in a random order, the subject steps onto the illuminated target as quickly as possible.4 The faster the reaction, the shorter the reaction time.
Balance	up to 8 weeks	Balance Balance will be assessed by berg balance scale, the balance score ranges from 0 to 56, with lower scores indicating increased risk of balance loss and higher scores indicating improved functional mobility. Time up and go test (TUG)n Score \< 10 seconds = normal \< 20 seconds = good mobility; can walk outside alone; does not require a walking aid \< 30 seconds = walking and balance problems; cannot walk outside alone; requires walking aid.

Trial Locations

Locations (1)

Kz Hospital; 🇪🇬 Cairo, Egypt