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

NCT ID: NCT03022942

Last Updated: 2025-02-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 14 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-02-01
• Study Completion Date: 2018-11-30

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.

Conditions

Copd; Chest Disorders; Diaphragmatic Disorder

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: DOUBLE

Study Groups

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.

Group Type: EXPERIMENTAL

GROUP Costal mobilization & Diaphragm Release

Intervention Type: OTHER

Costal mobilization technique (Rib raising): The patient will be lying. The Therapist supports the last four pulps of both hands at the rib angles, gently traverses the rib angles in the posterior-anterior direction, using the stretcher as a lever to facilitate the elevation of the costal angles. Siting: The Therapist hugs the patient by supporting the ribs of the fingers at the rib angles, gently traverses the rib angles bilaterally in the anterior-lateral direction. Manual Diaphragm Release Technique: The therapist makes manual contact with the underside of the costal border of the common cartilage of the last rib. In the inspiratory phase, the therapist draws the points of contact with both hands in a cephalad direction and slightly Accompanying the movement of the rib cage.

Manual Diaphragm Release

Manual Diaphragm Release Technique: will be applied during two series of ten deep respiratory cycles, with one minute interval between sets.

Group Type: ACTIVE_COMPARATOR

GROUP Manual Diaphragm Release

Intervention Type: OTHER

The therapist makes manual contact with the underside of the costal border of the common cartilage of the last rib. In the inspiratory phase, the therapist draws the points of contact with both hands in a cephalad direction and slightly Accompanying the movement of the rib cage.

Interventions

GROUP Costal mobilization & Diaphragm Release

Costal mobilization technique (Rib raising): The patient will be lying. The Therapist supports the last four pulps of both hands at the rib angles, gently traverses the rib angles in the posterior-anterior direction, using the stretcher as a lever to facilitate the elevation of the costal angles. Siting: The Therapist hugs the patient by supporting the ribs of the fingers at the rib angles, gently traverses the rib angles bilaterally in the anterior-lateral direction. Manual Diaphragm Release Technique: The therapist makes manual contact with the underside of the costal border of the common cartilage of the last rib. In the inspiratory phase, the therapist draws the points of contact with both hands in a cephalad direction and slightly Accompanying the movement of the rib cage.

Intervention Type: OTHER

GROUP Manual Diaphragm Release

The therapist makes manual contact with the underside of the costal border of the common cartilage of the last rib. In the inspiratory phase, the therapist draws the points of contact with both hands in a cephalad direction and slightly Accompanying the movement of the rib cage.

Intervention Type: OTHER

Other Intervention Names

GROUP Rib Raising & Diaphragm Release; GROUP A; GROUP B

Eligibility Criteria

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

• Minimum Eligible Age: 21 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Universidade Federal de Pernambuco

OTHER

Sponsor Role: lead

Responsible Party

HELENA MEDEIROS ROCHA

Graduate

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

HELENA M ROCHA

Role: PRINCIPAL_INVESTIGATOR

Universidade Federal de Pernambuco

Locations

Universidade Federal de Pernambuco

Recife, Pernambuco, Brazil

Countries

Brazil

Other Identifiers

Lacap UFPE

Identifier Type: -

Identifier Source: org_study_id