Chest Wall Muscle Stretching and Acute Effects on Volume Variation of Thoracoabdominal Wall and Electromyographic Activity in Chronic Obstructive Pulmonary Disease
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 28
- 试验地点
- 1
- 主要终点
- Distribution of volume variation of thoracoabdominal wall and electromyographic activity of respiratory muscles
研究概览
简要总结
The study hypothesis is chest wall muscle stretching increase distribution of volume variation of thoracoabdominal wall and reduce electromyographic activity of respiratory muscles in patients with Chronic Obstructive Pulmonary Disease.
详细描述
Randomized controlled trial involving patients with Chronic Obstructive Pulmonary Disease evaluated before and immediately after a program of stretching muscles of the rib cage or after resting with time similar to the intervention, as volume variation of thoracoabdominal wall by optoelectronic plethysmography and on the electromyographic activity of accessory muscles of respiration.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •clinical and functional diagnosis of Chronic obstructive pulmonary disease according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD, 2009),
- •forced expiratory volume in one second (FEV1) less than 80% predicted post-bronchodilator;
- •clinical stability during the study,
- •both sexes,
- •age above 40 years,
- •body mass index (BMI) between 18.5 and 29.9 kg / m²;
- •smoking history,
- •symptoms of cough,
- •dyspnea or hypersecretion,
- •ex-smokers for at least three months.
排除标准
- •Disease exacerbation for at least eight weeks,
- •patients with other respiratory diseases,
- •cardiovascular or osteoarticular and
- •participants in pulmonary rehabilitation programs.
研究组 & 干预措施
Stretching
The respiratory muscle stretching were developed bilaterally as follows:
- Upper trapezius: head lateral flexion with a hand therapist supports the the occipital region and his shoulder, promotes the stretching;
- Sternocleidomastoid: was stretched with flexion lateral and rotation of the head to the side which hands on the occipital region and in the sternal region;
- Scalene: with one hand on the occipital region and the other in the sternum, the two points was stretched;
- Pectoralis major: the arm was abducted, flexed the forearm and hand was in the occipital region the therapist hands in the arm and in the side of the upper chest, which was stretched craniocaudal direction;
- Intercostal: therapist performs with both hands to mobilize and stretch the ribs in cranial-caudal directions.
干预措施: Stretching (Procedure)
Rest
COPD patients were not submitted to any intervention, remaining at rest in the same place, position and time period to the treatment group.
结局指标
主要结局
Distribution of volume variation of thoracoabdominal wall and electromyographic activity of respiratory muscles
时间窗: 1 hour
次要结局
- Respiratory rate, minute volume, expiratory time, inspiratory time, relation inspiratory time/ total time(1 hour)
研究者
Rafaela Barros de Sa
Principal Investigator
Universidade Federal de Pernambuco