Manual Diaphragmatic Release on Ventilatory Functions in Elderly Diabetic Women
NCT ID: NCT06724744
Last Updated: 2024-12-09
Study Results
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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RECRUITING
NA
60 participants
INTERVENTIONAL
2024-09-15
2025-02-10
Brief Summary
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Detailed Description
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The study group includes 30 women participating in manual diaphragmatic release plus aerobic training for 12 weeks, while the control group includes 30 women participating in aerobic training only for 12 weeks. At baseline and poststudy, the following outcomes are assessed:
1. Ventilatory functions (Forced vital capacity and forced expiratory volume in the first second).
2. Functional capacity using modified Bruce treadmill incremental exercise test (Maximal oxygen consumption estimation).
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Manual diaphragmatic release group
30 elderly diabetic women participating in manual diaphragmatic release plus aerobic training
Aerobic training
For twelve weeks, the women participate in aerobic training on cycle ergometer. Each session consists of 30-45 minutes of cycling at a moderate intensity, accompanied by a workout heart rate ranging from 65% to 75% of the maximal heart rate and ranging between 12 and 14 on the Borg rating of perceived exertion 20-point scale. After ten minutes of warm-up, every session ends with a brief 3-minute period of cool-down.
Manual Diaphragm Release
The participant is asked 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. Therapist progressively increases the depth of their contact within the costal margin.
Control group
30 elderly diabetic women participating in aerobic training only
Aerobic training
For twelve weeks, the women participate in aerobic training on cycle ergometer. Each session consists of 30-45 minutes of cycling at a moderate intensity, accompanied by a workout heart rate ranging from 65% to 75% of the maximal heart rate and ranging between 12 and 14 on the Borg rating of perceived exertion 20-point scale. After ten minutes of warm-up, every session ends with a brief 3-minute period of cool-down.
Interventions
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Aerobic training
For twelve weeks, the women participate in aerobic training on cycle ergometer. Each session consists of 30-45 minutes of cycling at a moderate intensity, accompanied by a workout heart rate ranging from 65% to 75% of the maximal heart rate and ranging between 12 and 14 on the Borg rating of perceived exertion 20-point scale. After ten minutes of warm-up, every session ends with a brief 3-minute period of cool-down.
Manual Diaphragm Release
The participant is asked 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. Therapist progressively increases the depth of their contact within the costal margin.
Eligibility Criteria
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Inclusion Criteria
* Well controlled diabetes with glycated hemoglobin≤7%.
* Normal to mild ventilatory functions impairment.
* Their ages ranges from 65 to 70 years old.
* Their body mass index are less than 30 Kg/m2.
Exclusion Criteria
* Patients with any other chronic chest diseases .
* Cardiovascular disorders (coronary heart disease, heart failure, cardiac arrhythmia, peripheral arterial disease, uncontrolled hypertension).
* Smokers.
* Rheumatoid arthritis.
* Musculoskeletal/ neurological limitations to exercise.
65 Years
70 Years
FEMALE
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Saad
Assistant Professor of Physical Therapy
Principal Investigators
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Saher Lotfy Elgayar, Ph.D
Role: STUDY_DIRECTOR
Department of Physiotherapy Faculty of Allied Medical Sciences Middle East University Amman Jordan
Locations
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Endocrinology outpatient clinic at Mansoura University
Al Mansurah, Dakahlya, Egypt
Countries
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Central Contacts
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Mohammed Sayed Saif, Ph.D
Role: CONTACT
Facility Contacts
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Hossam Arafa Ghazi, PhD
Role: primary
Other Identifiers
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Manual Diaphragmatic Release
Identifier Type: -
Identifier Source: org_study_id