Efficacy of Costal Mobilization Techniques and Diaphragm Release in Thoracoabdominal Kinematics, Diaphragm Mobility and Submaximal Functional Capacity in Patients With Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 14
- 试验地点
- 2
- 主要终点
- Mobility of the thoracic cage
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
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.
干预措施: GROUP Costal mobilization & Diaphragm Release (Other)
Manual Diaphragm Release
Manual Diaphragm Release Technique: will be applied during two series of ten deep respiratory cycles, with one minute interval between sets.
干预措施: GROUP Manual Diaphragm Release (Other)
结局指标
主要结局
Mobility of the thoracic cage
时间窗: 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
次要结局
- functional capacity(Three weeks total: after two weeks of intervention and after one week without treatment (follow up))
- Diaphragma mobility(Three weeks total: Thirty minutes after the first intervention, after two weeks of intervention and after one week without treatment (follow up))
- heart rate variability(1 day: before and after the intervention)
研究者
HELENA MEDEIROS ROCHA
Graduate
Universidade Federal de Pernambuco