Chest Mobility Exercises Versus Proprioceptive Neuromuscular Facilitation in Patients With COPD

NCT ID: NCT06269029

Last Updated: 2024-07-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-17
• Study Completion Date: 2024-06-30

Brief Summary

Chest mobility exercise versus proprioceptive neuromuscular facilitation in patients with chronic obstructive pulmonary disease

Detailed Description

The purpose of this study is designed to compare the therapeutic effect of chest mobility exercises and proprioceptive neuromuscular facilitation stretching on improving chest expansion and functional capacity in patients with chronicobstructivepulmonarydisease?

Conditions

Chronic Obstructive Pulmonary Disease Moderate

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

patients with COPD assigned for chest mobility

This study will be carried on 30 patients with Chronic obstructivepulmonarydisease. Patients will be selected from department (3) Kaser EL-Ainy, Cairo University.

Group Type: EXPERIMENTAL

Chest mobility exercises

Intervention Type: OTHER

exercises were repeated 6 times on each side with rest of period for 30 seconds in between. The intervention will be carried out for one week with total of 7 sessions. Each Exercise will be accompanied by breathing pattern. In neutral position of exercises, subjects will be asked to exhale during flexion, turning or extension subject will be asked to do inhale.

patients with COPD assigned for PNF

This study will be carried on 30 patients with Chronicobstructivepulmonarydisease. Patients will be selected from department (3) Kaser EL-Ainy, Cairo University.

Group Type: EXPERIMENTAL

proprioceptive neuromuscular facilitation

Intervention Type: OTHER

The technique used in this study Proprioceptive neuromuscular facilitation technique of hold and relax stretching for isolated clavicular head of the pectoralis major muscle. The subjects sitting on a chair with back support to keep spine in a neutral position and both their arms are extended and hands are placed behind the occipital region. His both arms will be positioned in glenohumeral horizontal extension, and glenohumeral abduction and external rotation with elbow bent to perform stretch position of pectoral muscle. Then ask him to contract the pectoral muscles .This isometric contraction is held for 6 seconds. The patient then relaxed and passive stretch in the opposite direction . and it was repeated 6 times with rest period 30 seconds. The session will be given every day for one week

Interventions

Chest mobility exercises

exercises were repeated 6 times on each side with rest of period for 30 seconds in between. The intervention will be carried out for one week with total of 7 sessions. Each Exercise will be accompanied by breathing pattern. In neutral position of exercises, subjects will be asked to exhale during flexion, turning or extension subject will be asked to do inhale.

Intervention Type: OTHER

proprioceptive neuromuscular facilitation

The technique used in this study Proprioceptive neuromuscular facilitation technique of hold and relax stretching for isolated clavicular head of the pectoralis major muscle. The subjects sitting on a chair with back support to keep spine in a neutral position and both their arms are extended and hands are placed behind the occipital region. His both arms will be positioned in glenohumeral horizontal extension, and glenohumeral abduction and external rotation with elbow bent to perform stretch position of pectoral muscle. Then ask him to contract the pectoral muscles .This isometric contraction is held for 6 seconds. The patient then relaxed and passive stretch in the opposite direction . and it was repeated 6 times with rest period 30 seconds. The session will be given every day for one week

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

All patients will have the following criteria:

1. Age: 50-60 years old

2. All patients will be in mild to moderate of COPD. In accordance with criteria of Global Initiative for Chronic Obstructive Lung Disease (GOLD) (GOLD I-II).

3. BMI: obese class 1 (30-34.9).

4. Sex: male

5. They suffered from mild dyspnea, chronic cough and expectorations, with forced expiratory volume in one second (FEV1sec) from 50% to 80% of predicted value.

Exclusion Criteria

Patients with the following criteria will excluded from the study:

1. Severe psychiatric or cognitive impairments.

2. Progressive neuromuscular disorders.

3. Decreased level of consciousness.

4. Unstable fracture.

5. pacemaker inserted for fewer than 2 days

6. Deep-venous thrombosis (to minimize risk for pulmonary embolism from being in a prone position.

7. Mean arterial blood pressure of less than 65 mm Hg with or without vasopressors.

8. Tracheal surgery or sternotomy in the last 15 days.

9. Massive haemoptysis.

10. Intracranial pressure of more than 30 mm Hg or cerebral perfusion pressure of less than 60 mm Hg.

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: MALE
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Isaac Zakaria Zarii Yanii

Doctor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Zahra Serry

Role: STUDY_DIRECTOR

Faculty of physical therapy- internal medicine department

Locations

Cairo university- faculty of physical therapy

Cairo, Dokki, Egypt

Countries

Egypt

References

Zakaria I, Serry ZMH, Soliman YMA, Aziz MM, Mohamed MI, Guirguis SA. Chest mobility exercises versus proprioceptive neuromuscular facilitation in patients with chronic obstructive pulmonary disease: A randomized trial. J Bodyw Mov Ther. 2025 Oct;44:400-408. doi: 10.1016/j.jbmt.2025.05.057. Epub 2025 Jun 4.

Reference Type: DERIVED

PMID: 40954608 (View on PubMed)

Other Identifiers

P.T.Rec/012/004297

Identifier Type: -

Identifier Source: org_study_id