Effects of Manual Therapy and Respiratory Muscle Training on the Maximal Inspiratory Pressure in Patients With Asthma
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Maximum Inspiratory Pressure
研究概览
简要总结
The aim of this study is to assess if an intervention of manual therapy and motor control exercises combined with an inspiratory muscle training program is more effective than an inspiratory muscle training program alone in increasing the maximum inspiratory pressure in patients with asthma. In addition, the study pretends to evaluate the changes caused by the intervention regarding possible postural changes and thoracic diameter.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Asthmatics subjects aged between 18 and 65 years
排除标准
- •Were excluded participants who presented neurologic, psychiatric or cognitive pathologies which difficult the cooperation, inflammatory disease of the cervical spine and/or severe orthopedic problems that difficult the daily activities, history of thoracic surgery, vertebral fracture, abnormal thorax radiography, spinal and thoracic structured musculoskeletal disorders and to present any contraindication of treatment techniques (e.g. ostheophorosis). In case of exacerbation of asthma, missing more than one treatment session and/or to appear any contraindication to continue the treatment routine during the six weeks of the study the patient also were excluded.
研究组 & 干预措施
Inspiratory Muscle training (IMT)
The IMT program consisted of supervised and domiciliary exercises:
-
- The supervised exercises was performed in the presence of physiotherapist. This consisted of 30 min 2 days for 6 weeks using the threshold device (Powerbreathe classic level 1, Gaiam Ltd; Southam, Warwickshire, UK). This program involve 5 sets of 5 repetitions with 30 seconds rest between each one. The load of the training was distributed as follow:
- First week: 30% Maximum Inspiratory Pressure (MIP)
- Second week: 40% MIP
- Third week: 50% MIP
- Fourth week: 50% MIP
- Fifth week: 60% MIP
- Sixth week: 60% MIP
-
- The domiciliary exercises consisted of Yoga Breathing Exercises (Pranayama) that combines the inspiration and expiration through one or both nostrils, and requires the activation of chest and abdomen.
干预措施: Inspiratory Muscle training (IMT) (Other)
Inspiratory Muscle training (IMT)
The IMT program consisted of supervised and domiciliary exercises:
-
- The supervised exercises was performed in the presence of physiotherapist. This consisted of 30 min 2 days for 6 weeks using the threshold device (Powerbreathe classic level 1, Gaiam Ltd; Southam, Warwickshire, UK). This program involve 5 sets of 5 repetitions with 30 seconds rest between each one. The load of the training was distributed as follow:
- First week: 30% Maximum Inspiratory Pressure (MIP)
- Second week: 40% MIP
- Third week: 50% MIP
- Fourth week: 50% MIP
- Fifth week: 60% MIP
- Sixth week: 60% MIP
-
- The domiciliary exercises consisted of Yoga Breathing Exercises (Pranayama) that combines the inspiration and expiration through one or both nostrils, and requires the activation of chest and abdomen.
干预措施: Powerbreathe (Device)
IMT + Manual Therapy and Motor Control Exercise
The protocol for this group is identical to the previous group with the sole difference that is added a manual therapy (MT) and a motor control exercises (MCE). The MT protocol was performed for 15min, whereas the MCE was 10min. Below it described both protocols:
-
- MT:
- Upper cervical region mobilization in flexion
- Lower cervical postero-anterior mobilization + maintained traction
- Costovertebral joint postero-anterior mobilization
- Thrust dorsal
- Cervical postero-anterior mobilization
-
- MCE:
- Isometric contraction of the deep neck flexors.
- Isometric contraction of the neck extensors.
- Neural self-mobilization.
- Cervical retraction with theraband.
- Sphinx.
- Scapular adduction exercises in prone.
- Scapular adduction exercises in sitting position with theraband.
干预措施: IMT + Manual Therapy and Motor Control Exercise (Other)
IMT + Manual Therapy and Motor Control Exercise
The protocol for this group is identical to the previous group with the sole difference that is added a manual therapy (MT) and a motor control exercises (MCE). The MT protocol was performed for 15min, whereas the MCE was 10min. Below it described both protocols:
-
- MT:
- Upper cervical region mobilization in flexion
- Lower cervical postero-anterior mobilization + maintained traction
- Costovertebral joint postero-anterior mobilization
- Thrust dorsal
- Cervical postero-anterior mobilization
-
- MCE:
- Isometric contraction of the deep neck flexors.
- Isometric contraction of the neck extensors.
- Neural self-mobilization.
- Cervical retraction with theraband.
- Sphinx.
- Scapular adduction exercises in prone.
- Scapular adduction exercises in sitting position with theraband.
干预措施: Powerbreathe (Device)
结局指标
主要结局
Maximum Inspiratory Pressure
时间窗: Change from Baseline in Maximum Inspiratory Pressure at 6 weeks
The maximum inspiratory pressure (MIP) was measured with a device called Kinetic KH1 Powerbreath in cmH2O. This device applies an inspiratory load which provides a resistance. The maneuver was performed in a sitting position. Measuring a minimum of 3 times was performed, recording the highest value
次要结局
- Forced Vital Capacity (FVC)(Change from Baseline in Volumes and lung capacities at 6 weeks)
- Forced Expiratory Volume at the First second (FEV1)(Change from Baseline in Volumes and lung capacities at 6 weeks)
- Peak Expiratory Flow (PEF)(Change from Baseline in Volumes and lung capacities at 6 weeks)
- Head posture(Change from Baseline in Head Posture at 6 weeks)
- Thoracic kyphosis(Change from Baseline in Thoracic kyphosis at 6 weeks)
研究者
Pablo Candelas Fernández
Physiotherapist
Universidad Autonoma de Madrid