Stretching of the Diaphragm and Cervical Impulse Technique and Its Possible Spirometric Changes

NCT ID: NCT03732222

Last Updated: 2018-11-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

152 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-05

Study Completion Date

2018-11-18

Brief Summary

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This study investigates the effect of two different techniques, stretching of the diaphragm and cervical level impulse technique C3-C4, in the possible spirometric changes, vital capacity (CV), maximum expiratory flow (PEF) and maximum expiratory volume (FEV). in relation to the secondary variables (age, physical activity, BMI, sex). the subjects of the study were informed and clarified doubts about it and its subsequent reading and signing of informed consent. The subjects were randomly selected to determine which intervention group they would belong to (G1: intervention group of the diaphragm muscle stretch technique, G2: intervention group of the cervical rotation rotation impulse technique C3- C4, G3: Combined technique G1 and G2, G4: control group.The evaluation technique is spirometry.The intervention protocol is as follows, first the pre-intervention spirometry is performed, then the corresponding technique (according to intervention group), then the post-intervention spirometry, the intervention technique and at 5 minutes, the intervention technique is performed.

Detailed Description

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The objectives of the study are the following: 1. To evaluate the changes in the values of the simple spirometry after the application of the study techniques: muscle stretching technique of the diaphragm (G1), rotation impulse technique of the cervical level of C3- C4 (G2) and combined technique of both (G3); 2. Determine the influence of these on measurable respiratory parameters by simple spirometry; 3. Compare the spirometric values obtained after applying the study techniques (G1, G2, G3) and the control group (G4: simulation of a previous technique); and 4. Analyze the different variables measured (age, gender, weight, height, sports practice and body mass index) in the effects of the applied treatment.

Conditions

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Respiratory Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
the masking of the evaluator has been obtained, measuring the association between the response variables at baseline and the intervention group, by means of the variance analysis (ANOVA), for each response variable separately. We have verified that there are no differences between the means of the responses at the baseline level in each assigned intervention group, so that masking at the level of the evaluator has been carried out correctly

Study Groups

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Stretching the diaphragm muscle

The interventor places his hands on the last costal cartilages and the subject makes an inspiration and keeps his hands resisted in the expiration.

Group Type EXPERIMENTAL

Stretching the diaphragm muscle

Intervention Type PROCEDURE

Place the hands on the last costal cartilages and maintain the ascent of the ribs in the expiration.

Impulse technique in rotation of cervical level 3 and 4

The thumbs position the head in a double chin and then place it with neutral flexion-extension until focusing on the level of manipulation, ipsilateral lateral flexion and contralateral rotation approximately 45 degrees.

Group Type EXPERIMENTAL

Impulse technique in rotation of cervical level 3 and 4

Intervention Type PROCEDURE

head to double chin position and then placed with neutral flexo-extension until focusing on the level of manipulation, ipsilateral lateral flexion and contralateral rotation approximately 45 degrees.

Combined technique of diaphragm muscle stretch and cervical ro

combine both previous techniques.

Group Type EXPERIMENTAL

Combined technique of diaphragm muscle stretch and cervical rotation impulse technique level 3 and 4

Intervention Type PROCEDURE

The same initial position, hand placement and technique guidelines will be used, cited in each of the techniques performed in the "intervention 1" group and the "intervention 2" group.

Interventions

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Stretching the diaphragm muscle

Place the hands on the last costal cartilages and maintain the ascent of the ribs in the expiration.

Intervention Type PROCEDURE

Impulse technique in rotation of cervical level 3 and 4

head to double chin position and then placed with neutral flexo-extension until focusing on the level of manipulation, ipsilateral lateral flexion and contralateral rotation approximately 45 degrees.

Intervention Type PROCEDURE

Combined technique of diaphragm muscle stretch and cervical rotation impulse technique level 3 and 4

The same initial position, hand placement and technique guidelines will be used, cited in each of the techniques performed in the "intervention 1" group and the "intervention 2" group.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Accept participating in the study (signature of informed consent).
* Be in an age range between 18 and 50 years.
* Have obstructive and / or restrictive respiratory problems.
* Perfect transient conditions that affect the respiratory tract, such as colds, sinusitis, influenza, respiratory allergies.
* To have a history of rib fractures.
* Congenital deformities.
* To have digestive problems.
* Paying hepatitis and / or hepatobiliary lesions.
* Suffer heart disease and / or arterial hypertension.
* Have abdominal problems.
* Provide surgical scar on the abdomen, thorax and / or neck.
* Patience cancer
* Press any type of pain at the time of conducting the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cardenal Herrera University

OTHER

Sponsor Role lead

Responsible Party

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SERGIO MONTERO NAVARRO

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rocha Ortiz

Role: PRINCIPAL_INVESTIGATOR

Cardenal Herrera University

Locations

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Universidad CEU Cardenal Herrera

Valencia, Moncada, Spain

Site Status

Countries

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Spain

References

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Kendall FP, Mac Creary EK, Provance PG. Muscles: functional tests, posture and pain. 5th ed. Madrid: Marbán; 2007 Souchard PE. RPG Principles of global postural reeducation. 1st ed. Barcelona: Paidotribo; 2005 American Thoracic Society / European Respiratory Society. ATS / ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002; 166: 518-624.

Reference Type BACKGROUND

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Related Links

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http://www.uchceu.es

The University CEU-Cardenal Herrera is the first private university in the Valencian Community. It belongs to the Foundation San Pablo- CEU and is the leading educational organization in Spain with three Universities all over Spain

Other Identifiers

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UCH CEU 208

Identifier Type: -

Identifier Source: org_study_id

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