Diaphragm Release Manual Technique Efficacy on Diaphragmatic Mobility, Respiratory Muscle Strength and Exercise Performance in COPD Patients: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- COPD
- Sponsor
- Helga Cecília Muniz de Souza
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Diaphragm mobility
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
The aims of this study are to evaluate the effects of Diaphragm Release Manual Technique on diaphragm mobility, chest wall kinematics and functional capacity of COPD patients. Methods: Randomized controlled trial (double blinded) with COPD patients, allocated in two group: intervention (IG) who will receive the Diaphragm Release manual technique on 6 non-consecutive sessions and control group (CG), who will receive a sham protocol (light touch) with the same parameters of IG. Outcomes will be evaluated as: immediate and post treatment effects (after 1 and 6 sessions respectively). The primary outcome analysed will be the diaphragm displacement (ultrasonography evaluation) and secondary outcomes will comprise abdominal and chest wall kinematics.
Investigators
Helga Cecília Muniz de Souza
MsC
Universidade Federal de Pernambuco
Eligibility Criteria
Inclusion Criteria
- •CPOD patients
- •ex-smokers
- •clinically stable patients (no exacerbation in the previous 6 weeks)
- •forced expiratory volume in one second (FEV1) \< than 80% predicted
- •FEV1/FVC ≤ 0.7, post bronchodilator
Exclusion Criteria
- •cardiopulmonary diseases
- •BMI \> 30.0 kg/m2
- •History of thoracic surgery
- •Denial to participate
Outcomes
Primary Outcomes
Diaphragm mobility
Time Frame: Diaphragm mobility at first session and after two weeks of treatment.
To evaluate diaphragmatic mobility a high-resolution ultrasound SonoaceR3 (Samsung Medison - South Korea) with a 3.5 MHz convex transducer will be used. Volunteers will remain in a supine position and receive verbal command to perform Inspiratory capacity maneuvers (IC), and the measurement of each curve referring to the diaphragmatic displacement (in mm) will be performed immediately after obtaining the images. The maneuvers will be repeated until obtaining 5 satisfactory images. The average of the three highest values not differing by more than 10% between their values should be accepted.
Secondary Outcomes
- Compartmental Chest wall volume(Compartmental Chest wall volume evaluated by Opto-electronic Plethysmograph at the first session and after two weeks of treatment)