Efficacy of Costal Mobilization Techniques and Manual Diaphragm Release Technique in Patients COPD

Not Applicable

Completed

• Conditions: Chest Disorders; Diaphragmatic Disorder; Copd
• Interventions: Other: GROUP Manual Diaphragm Release; Other: GROUP Costal mobilization & Diaphragm Release

• Registration Number: NCT03022942
• Lead Sponsor: Universidade Federal de Pernambuco

Brief Summary

To evaluate the acute and chronic effects of costal mobilization techniques and diaphragmatic release in chest cavity kinematics, diaphragmatic mobility and functional capacity in patients with chronic obstructive pulmonary disease

Detailed Description

Study will be a controlled clinical trial in which participants will be randomized into 2 groups: GROUP A (costal mobilization techniques and Manual Diaphragm Release Technique), GROUP B (Manual Diaphragm Release Technique). After the initial evaluation, participants will undergo six sessions of care according to randomization and will be reevaluated in 3 following situations: immediately after the first session, at the end of treatment and one week after the last session. The evaluation will be performed through Optoelectronic plethysmography , Pollar, Ultrasound and 6-minutes walk test.

Study Timeline

• Study First Submitted: 2016-12-22
• Study First Submitted QC: 2017-01-12
• Study First Posted: 2017-01-18
• Study Start: 2017-02-01
• Primary Completion: 2018-01-31
• Study Completion: 2018-11-30
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-24
• Last Update Posted: 2025-02-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 14

Inclusion Criteria

• Diagnosis of COPD (spirometry with FEV1 <80% and FEV1 / FVC <0.7) of both sexes, who are not undergoing another physiotherapeutic treatment, from to 21 years of age, clinically stable without exacerbation in the last 6 weeks.

Exclusion Criteria

• Patients with rheumatic or orthopedic diseases;
• Deformities / abnormalities in the spine that compromise the mechanics of the respiratory system;
• Rib fracture for less than 1 year;
• Respiratory co-morbidities;
• History of thoracic or abdominal surgery for less than 1 year;
• Osteoporosis and IMC > 30kg / m²

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Manual Diaphragm Release	GROUP Manual Diaphragm Release	Manual Diaphragm Release Technique: will be applied during two series of ten deep respiratory cycles, with one minute interval between sets.
Costal mobilization & Diaphragm Release	GROUP Costal mobilization & Diaphragm Release	Costal mobilization. Lying: two sets of ten deep respiratory cycles with one minute interval between sets. Sitting: two series with interval of one minute between them. Manual Diaphragm Release Technique: will be applied during two series of ten deep respiratory cycles, with one minute interval between sets.

Primary Outcome Measures

Name	Time	Method
Mobility of the thoracic cage	Three weeks total: Thirty minutes after the first intervention, after two weeks of intervention and after one week without treatment (follow up)	Will be measured by optoelectronic plestimography

Secondary Outcome Measures

Name	Time	Method
Diaphragma mobility	Three weeks total: Thirty minutes after the first intervention, after two weeks of intervention and after one week without treatment (follow up)	Will be measured with ultrasonography
functional capacity	Three weeks total: after two weeks of intervention and after one week without treatment (follow up)	Will be measured six minute walk test
heart rate variability	1 day: before and after the intervention	Will be measured Pollar

Trial Locations

Locations (1)

Universidade Federal de Pernambuco; 🇧🇷 Recife, Pernambuco, Brazil