Influence of Manual Relaxation of the Diaphragm on the Tension of the Posterior Superficial Fascia

NCT ID: NCT05197907

Last Updated: 2022-01-20

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-01

Study Completion Date

2022-07-30

Brief Summary

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The diaphragm performs many functions that are vital to the body as a whole. Some of them are not related only to ventilation. The diaphragm is part of the myofascial system in the human body. Therefore, the proper functioning of the diaphragm should be a significant element of physiotherapy, e.g. in patients reporting pain in the lumbosacral spine.

Considering the complex role of the diaphragm, it seems reasonable to investigate the influence of the mobilization of the diaphragm (aimed at reducing diaphragm tension) on the tension of the extensor muscles of the lumbar spine.

The assumption of this reserach is to investigate the correlation between the tension of the fascia in the area of the diaphragm to the tension of the muscles in the area of the lumbar spine. The fascial connections between the diaphragm and the muscles in the lumbar spine presented above suggest that the manual therapy performed within the diaphragm can effectively prevent the occurrence of pain, and might be a supportive measure in the treatment of pain in the spine.

The aim of the study is to investigate the corellation between the tension of the fascia within the diaphragm and the tension of the posterior superficial tape.

Research questions:

1. How does manual therapy in the area of the tendon attachments of the diaphragm affect the relaxation of the extensor muscles of the lumbar spine?
2. How can the therapy conducted only within the diaphragm, without interfering with the structures surrounding the spine, reduce the tension of the extensor muscles of the lumbar spine and, consequently, increase the range of its mobility in all planes?
3. How will the introduced therapy change the tidal volume of the lungs?

Detailed Description

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Conditions

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Diaphragm; Relaxation Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants

Study Groups

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Diaphragm fascial release group.

Ten minutes lasting fascial release techinques performed on diaphragm.

Group Type EXPERIMENTAL

Fascial release of diaphragm muscle.

Intervention Type PROCEDURE

The intervention consists of deep tissue massage techniques and manual mobilization of the fascia performed within the diaphragm attachments in the area of the costal arches.

Classic massage group

Ten minutes lasting classic massage performed on abdomen.

Group Type PLACEBO_COMPARATOR

Classic massage of the abdomen.

Intervention Type PROCEDURE

The intervention consists of selected classic massage techniques - mainly stroking (effleurage) - performed on the superficial layers of the abdominal region

Interventions

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Fascial release of diaphragm muscle.

The intervention consists of deep tissue massage techniques and manual mobilization of the fascia performed within the diaphragm attachments in the area of the costal arches.

Intervention Type PROCEDURE

Classic massage of the abdomen.

The intervention consists of selected classic massage techniques - mainly stroking (effleurage) - performed on the superficial layers of the abdominal region

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* age within 20-40 yrs,
* BMI within normal range (18.5-24.9)
* lack of abdominal obesity
* lack of chronic musculoskeletal conditions
* written, conscious consent

Exclusion Criteria

* former abdominal surgery
* abdominal diseases (i.e. (np. kidney stones, ulcers, irritative bowel sindrome, etc.),
* pregnancy
* fever,
* tumors,
* blood hypertension,
* former surgery of respiratory system ,
* condition after surgical procedures in the area of the spine,
* the occurrence of pain in the spine in the 3 months preceding the research experiment,
* lack of conscious consent
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Jagiellonian University

OTHER

Sponsor Role lead

Responsible Party

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Roksana Wójcik

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bartosz Trybulec, PhD

Role: STUDY_CHAIR

Jagiellonian University

Locations

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Jagiellonian University Medical College

Krakow, , Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Roksana S. Wójcik, MSc

Role: CONTACT

12 634 33 97 ext. +48

Facility Contacts

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Roksana Wójcik, MSc

Role: primary

12 6343397 ext. +48

Other Identifiers

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N43/DBS/000115

Identifier Type: -

Identifier Source: org_study_id

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