Manual Diaphragm Release on Stepping Reaction Time in Chronic Obstructive Pulmonary Disease

NCT ID: NCT06455033

Last Updated: 2024-10-15

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-08-22
• Study Completion Date: 2025-11-15

Brief Summary

Finding the effect of diaphragm release exercises on stepping reaction time and balance in patients with chronic obstructive pulmonary disease patients.

Detailed Description

Sixty patients with Chronic Obstructive Pulmonary Disease (COPD) will be randomly assigned to the experimental (EX) group and the control group (CON). The participants' age will be 55 years and above with history of COPD. The Ex group will attend 4 sessions/week of Manual Diaphragm Release Technique Combined with Deep Breathing (10:15-min) for 8 weeks, the CON will attend 4 sessions/week of Deep Breathing (10:15-min) for 8 weeks. The stepping reaction time will be assessed by the choice stepping reaction time (CSRT). The Balance will be determined using a Time up and Go test (TUG) an d Berg balance scale (BBS). All the outcomes will be examined at baseline, and 8 weeks of the intervention.

Conditions

Respiratory Disease

Study Design

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

Study Groups

Study Group

30 patients with chronic obstructive pulmonary disease

Group Type: ACTIVE_COMPARATOR

Manual Diaphragm Release Technique

Intervention Type: OTHER

The participant will assume a supine position with relaxed limbs. The therapist should position themselves at the head of the participant and make manual contact with the pisiform, hypothenar region, and the last three fingers on both sides, underneath the seventh to tenth rib costal cartilages. The therapist's forearms should be aligned towards the participant's shoulders. During the inspiratory phase, the therapist gently pulled the points of contact with both hands in the direction of the head and slightly laterally, accompanying the elevation of the ribs. During exhalation, the therapist deepens their contact towards the inner costal margin while maintaining resistance. As the respiratory cycles continues, the therapist progressively increases the depth of their contact within the costal margin.

Breathing Exercise

Intervention Type: OTHER

Sit up straight in a chair lengthen the distance between your navel and sternum. Keep your shoulders relax.

Keep the pelvis in neutral position (Sit on your sitting bones). Place your hands at either side of your lower ribs. Breath in slowly through your nose. As you inhale feel your ribs expanding outwards and upwards. During inhalation is generated expansion of the trunk in three directions front , sides and back.

Breath out from your nose. As you exhale feel your lower ribs moving inwards.

Control group

30 patients with chronic obstructive pulmonary disease

Group Type: ACTIVE_COMPARATOR

Breathing Exercise

Intervention Type: OTHER

Sit up straight in a chair lengthen the distance between your navel and sternum. Keep your shoulders relax.

Keep the pelvis in neutral position (Sit on your sitting bones). Place your hands at either side of your lower ribs. Breath in slowly through your nose. As you inhale feel your ribs expanding outwards and upwards. During inhalation is generated expansion of the trunk in three directions front , sides and back.

Breath out from your nose. As you exhale feel your lower ribs moving inwards.

Interventions

Manual Diaphragm Release Technique

The participant will assume a supine position with relaxed limbs. The therapist should position themselves at the head of the participant and make manual contact with the pisiform, hypothenar region, and the last three fingers on both sides, underneath the seventh to tenth rib costal cartilages. The therapist's forearms should be aligned towards the participant's shoulders. During the inspiratory phase, the therapist gently pulled the points of contact with both hands in the direction of the head and slightly laterally, accompanying the elevation of the ribs. During exhalation, the therapist deepens their contact towards the inner costal margin while maintaining resistance. As the respiratory cycles continues, the therapist progressively increases the depth of their contact within the costal margin.

Intervention Type: OTHER

Breathing Exercise

Sit up straight in a chair lengthen the distance between your navel and sternum. Keep your shoulders relax.

Keep the pelvis in neutral position (Sit on your sitting bones). Place your hands at either side of your lower ribs. Breath in slowly through your nose. As you inhale feel your ribs expanding outwards and upwards. During inhalation is generated expansion of the trunk in three directions front , sides and back.

Breath out from your nose. As you exhale feel your lower ribs moving inwards.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• All participants with a history of COPD
• Adults ranging from 55- 70 years old of both genders.
• Medically stable

Exclusion Criteria

• Obesity (BMI ≥ 30 kg/m2)
• History of Pneumonia
• Diaphragmatic hernia, clinical evidence of phrenic nerve injury, recent abdominal or thoracic surgery, or history of traumatic lesion possibly affecting diaphragm.
• History of Myocardial infarction and/or cardiothoracic surgery
• orthopedics, or neurological that may interfere the intervention.
• Visual impairments, vestibular disorders, and postural hypotension.
• Dementia that interferes with the ability to follow instructions.

• Minimum Eligible Age: 55 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Beni-Suef University

OTHER

Sponsor Role: lead

Responsible Party

Mohammed Youssef Elhamrawy

Lecturer of Physical therapy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mohammed S Saif, Ph.D

Role: STUDY_DIRECTOR

National institute for Gerontology

Locations

Kz Hospital

Cairo, , Egypt

Countries

Egypt

Other Identifiers

Manual Diaphragm Release

Identifier Type: -

Identifier Source: org_study_id