Intercostal and Thoracic Cage Stretching on Chest Expansion , Dyspnea ,Oxygen Saturation in Asthma

NCT ID: NCT07331662

Last Updated: 2026-01-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 56 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-04-17
• Study Completion Date: 2025-12-17

Brief Summary

The rationale of this study is to clarify distinct role of these two stretching techniques in pulmonary rehabilitation. Insight gained from this research could provide evidence based recommendations for implementing these therapeutic approaches, aiming to optimize symptoms in asthma patients. so improved respiratory function and muscular flexibility can empower individuals with asthma to better manage their condition, weakening of muscles, airflow obstruction , reduce the effort required for daily activities and engage more fully in physical and everyday tasks thereby enhancing overall quality of life.

Detailed Description

Asthma is a chronic respiratory disorder characterized by the inflammation and constriction of the airways, resulting in recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing. This condition often results in the weakening and atrophy of muscles, particularly the key areas impacted include the respiratory muscles like intercostal muscles, muscles in the chest, shoulders, thoracic become weaker due to decreased physical activity. Stretching exercises can offer several benefits for individuals with asthma by improving overall lung function, enhancing muscle strength, and promoting relaxation. The objective of this study will be to evaluate the effects of intercostal and thoracic cage stretching on chest expansion, dyspnea, and oxygen saturation in asthma patients.

This study will be conducted as a randomized clinical trial with enrollment of 56 participants, that will divided equally into two groups. Group A will receive intercostal muscle stretching like lateral side bending stretch, torso rotational stretch, (4x\week) or Group B will undergo thoracic cage stretching like overhead arm chest stretch, chest opener stretch,(4x\week) .Study will be conducted for four weeks at sheikh zaid hospital Lahore, involving asthma patients both male and female. Key outcome measures will include chest expansion assessed using tape measure, dyspnea via Borg category scale, oxygen saturation via pulse oximeter. The non-probability convenient sampling technique, followed by random allocation using a lottery method ensure diverse yet unbiased sample. Pre, Post values will be noted. Data will be entered and analyzed by SPSS version 25 after checking normality of the data. Parametric and non-parametric test will be applied. Statistical significance will be set at P=0.05.

Conditions

Asthma; Asthma (Diagnosis)

Study Design

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

Study Groups

intercostal stretching

initially all patients will receive hotpack for 10-15 min then intercostal stretching will performed by them

Group Type: EXPERIMENTAL

intercostal stretching

Intervention Type: OTHER

intercostal stretching involve Sessions 4 times per week ,Intensity Stretch to the point of mild discomfort, but not pain. The goal is to feel a gentle stretch in the muscles being targeted, promoting flexibility without risking injury. Duration of Sessions: Each session should last about 30-40 minutes. Exercise Duration: Each exercise should involve 10repetitions ,Hold stretch for 10-30 sec. sets: 1-2, Rest for 1- 2 minutes between these two exercises. Types :lateral side bend stretch and torso rotational stretch

Thoracic cage stretching

initially all patients will receive hotpack for 10-15 min then intercostal stretching will performed by them

Group Type: EXPERIMENTAL

thoracic cage stretching

Intervention Type: OTHER

thoracic cage stretching involve Sessions 4 times per week ,Intensity Stretch to the point of mild discomfort, but not pain. The goal is to feel a gentle stretch in the muscles being targeted, promoting flexibility without risking injury. Duration of Sessions: Each session should last about 30-40 minutes. Exercise Duration: Each exercise should involve 10repetitions ,Hold stretch for 10-30 sec. sets: 1-2, Rest for 1- 2 minutes between these two exercises. Types :chest opener stretch and overhead arm chest stretch

Interventions

thoracic cage stretching

thoracic cage stretching involve Sessions 4 times per week ,Intensity Stretch to the point of mild discomfort, but not pain. The goal is to feel a gentle stretch in the muscles being targeted, promoting flexibility without risking injury. Duration of Sessions: Each session should last about 30-40 minutes. Exercise Duration: Each exercise should involve 10repetitions ,Hold stretch for 10-30 sec. sets: 1-2, Rest for 1- 2 minutes between these two exercises. Types :chest opener stretch and overhead arm chest stretch

Intervention Type: OTHER

intercostal stretching

intercostal stretching involve Sessions 4 times per week ,Intensity Stretch to the point of mild discomfort, but not pain. The goal is to feel a gentle stretch in the muscles being targeted, promoting flexibility without risking injury. Duration of Sessions: Each session should last about 30-40 minutes. Exercise Duration: Each exercise should involve 10repetitions ,Hold stretch for 10-30 sec. sets: 1-2, Rest for 1- 2 minutes between these two exercises. Types :lateral side bend stretch and torso rotational stretch

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

Inclusion Criteria: Both males and females ,Diagnosed asthma patients ,All patients must have variable respiratory symptoms (cough, wheeze, shortness of breath, and/or chest tightness),All patients have to be clinically stable (ie, no exacerbations or changes in medication for the last 4 weeks before enrollment, sedentary life (doing <60 min of physical activity per week)

Exclusion Criteria: Other respiratory disease , Any orthopedic limitations ,Pediatric population ,Uncontrolled diabetes, hypertension ,Cardiovascular condition, pregnancy ,Smokers/ex-smokers

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Riffat Malik malik

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Sehat Medical Complex Hanjerwal

Lahore, , Pakistan

Countries

Pakistan

References

Jahan N. Effectiveness of inter costal stretch techniques among copd patients at NIDCH: Bangladesh Health Professions Institute, Faculty of Medicine, the University …; 2017.

Reference Type: BACKGROUND

Trivedi D, Das AK. Effect of Intercostal Stretch and Breathing Control Exercise on Lung Function among Healthy Young Females.

Reference Type: BACKGROUND

Kumar MB, Reddy RS. Immediate effect of intercostal stretch on chest expansion in healthy smokers. 2021.

Reference Type: BACKGROUND

Yu L-J, Kim T-HJIJoHM, Sciences S. The effect of cervical stabilization exercises with thoracic spine extension exercises on forward head posture. 2021;9(5):852-7.

Reference Type: BACKGROUND

Safarini OA, Bordoni B. Anatomy, Thorax, Ribs. 2023 Jul 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK538328/

Reference Type: BACKGROUND

PMID: 30855912 (View on PubMed)

Chand, Vaish H. Effect of diaphragmatic breathing, respiratory muscle stretch gymnastics and conventional physiotherapy on chest expansion, pulmonary function and pain in patients with mechanical neck pain: A single group pretest-posttest quasi-experimental pilot study. J Bodyw Mov Ther. 2023 Oct;36:148-152. doi: 10.1016/j.jbmt.2023.07.004. Epub 2023 Jul 5.

Reference Type: BACKGROUND

PMID: 37949552 (View on PubMed)

Armstrong M, Vogiatzis I. Personalized exercise training in chronic lung diseases. Respirology. 2019 Sep;24(9):854-862. doi: 10.1111/resp.13639. Epub 2019 Jul 3.

Reference Type: BACKGROUND

PMID: 31270909 (View on PubMed)

Miller RL, Grayson MH, Strothman K. Advances in asthma: New understandings of asthma's natural history, risk factors, underlying mechanisms, and clinical management. J Allergy Clin Immunol. 2021 Dec;148(6):1430-1441. doi: 10.1016/j.jaci.2021.10.001. Epub 2021 Oct 14.

Reference Type: BACKGROUND

PMID: 34655640 (View on PubMed)

Eguiluz-Gracia I, Tay TR, Hew M, Escribese MM, Barber D, O'Hehir RE, Torres MJ. Recent developments and highlights in biomarkers in allergic diseases and asthma. Allergy. 2018 Dec;73(12):2290-2305. doi: 10.1111/all.13628. Epub 2018 Oct 30.

Reference Type: BACKGROUND

PMID: 30289997 (View on PubMed)

Osadnik CR, Gleeson C, McDonald VM, Holland AE. Pulmonary rehabilitation versus usual care for adults with asthma. Cochrane Database Syst Rev. 2022 Aug 22;8(8):CD013485. doi: 10.1002/14651858.CD013485.pub2.

Reference Type: BACKGROUND

PMID: 35993916 (View on PubMed)

Schoettler N, Strek ME. Recent Advances in Severe Asthma: From Phenotypes to Personalized Medicine. Chest. 2020 Mar;157(3):516-528. doi: 10.1016/j.chest.2019.10.009. Epub 2019 Oct 31.

Reference Type: BACKGROUND

PMID: 31678077 (View on PubMed)

Cevhertas L, Ogulur I, Maurer DJ, Burla D, Ding M, Jansen K, Koch J, Liu C, Ma S, Mitamura Y, Peng Y, Radzikowska U, Rinaldi AO, Satitsuksanoa P, Globinska A, van de Veen W, Sokolowska M, Baerenfaller K, Gao YD, Agache I, Akdis M, Akdis CA. Advances and recent developments in asthma in 2020. Allergy. 2020 Dec;75(12):3124-3146. doi: 10.1111/all.14607. Epub 2020 Oct 16.

Reference Type: BACKGROUND

PMID: 32997808 (View on PubMed)

Aaron SD, Boulet LP, Reddel HK, Gershon AS. Underdiagnosis and Overdiagnosis of Asthma. Am J Respir Crit Care Med. 2018 Oct 15;198(8):1012-1020. doi: 10.1164/rccm.201804-0682CI.

Reference Type: BACKGROUND

PMID: 29756989 (View on PubMed)

Gonzalez-Garcia M, Caballero A, Jaramillo C, Maldonado D, Torres-Duque CA. Prevalence, risk factors and underdiagnosis of asthma and wheezing in adults 40 years and older: A population-based study. J Asthma. 2015 Oct;52(8):823-30. doi: 10.3109/02770903.2015.1010733. Epub 2015 May 21.

Reference Type: BACKGROUND

PMID: 25996179 (View on PubMed)

Varraso R, Camargo CA Jr. Diet and asthma: need to account for asthma type and level of prevention. Expert Rev Respir Med. 2016 Nov;10(11):1147-1150. doi: 10.1080/17476348.2016.1240033. Epub 2016 Oct 5. No abstract available.

Reference Type: BACKGROUND

PMID: 27701925 (View on PubMed)

Sockrider M, Fussner L. What Is Asthma? Am J Respir Crit Care Med. 2020 Nov 1;202(9):P25-P26. doi: 10.1164/rccm.2029P25. No abstract available.

Reference Type: BACKGROUND

PMID: 33124914 (View on PubMed)

Other Identifiers

S24C14G36006

Identifier Type: -

Identifier Source: org_study_id