Diaphragm Release Manual Technique Efficacy in COPD Patients

Helga Cecília Muniz de Souza

Status: Completed

Conditions: COPD

Treatments: Other: Manual Diaphragm Release Technique; Other: Manual Diaphragm release technique (sham)

Study type: Interventional

Funder types: Other

Identifiers

NCT02212184

Manual Therapy in COPD

Details and patient eligibility

About

The aims of this study are to evaluate the effects of Diaphragm Release Manual Technique on diaphragm mobility, chest wall kinematics and functional capacity of COPD patients. Methods: Randomized controlled trial (double blinded) with COPD patients, allocated in two group: intervention (IG) who will receive the Diaphragm Release manual technique on 6 non-consecutive sessions and control group (CG), who will receive a sham protocol (light touch) with the same parameters of IG. Outcomes will be evaluated as: immediate and post treatment effects (after 1 and 6 sessions respectively). The primary outcome analysed will be the diaphragm displacement (ultrasonography evaluation) and secondary outcomes will comprise abdominal and chest wall kinematics.

Enrollment: 26 patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• CPOD patients
• ex-smokers
• clinically stable patients (no exacerbation in the previous 6 weeks)
• forced expiratory volume in one second (FEV1) < than 80% predicted
• FEV1/FVC ≤ 0.7, post bronchodilator

Exclusion criteria

• cardiopulmonary diseases
• BMI > 30.0 kg/m2
• History of thoracic surgery
• Denial to participate

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Double Blind

---

26 participants in 2 patient groups

Control Group

Sham Comparator group

Description:

Manual Diaphragm release technique (sham) In attempt to execute the sham protocol the therapist performs manual contact (pisiform, ulnar edge and the last three fingers) with the underside of the costal cartilage of the 7th, 8th, 9th and 10th rib. The therapist will hold only light touch in the landmarks, without exerting pressure or traction. The maneuver will be performed in two sets of ten deep breaths, with an one minute interval between them.

Treatment:

Other: Manual Diaphragm release technique (sham)

Intevention Group

Experimental group

Description:

All patients will receive the Manual Diaphragm Release Technique, during 6 days of treatment. They will undertake four evaluations throughout treatment: before and immediately after the Day 1 (Baseline 1 and Post 1) and before and after Day 6 (Baseline 6 and Post 6). In the other Days (2nd to 5th) patients will only receive the intervention and won't be evaluated.

Treatment:

Other: Manual Diaphragm Release Technique