Effectiveness of 1st Rib Mobilization and Scalene Muscles Muscle Energy Technique Among Patients With Asthma

Superior University

Status and phase

Active, not recruiting

Early Phase 1

Conditions

Asthma

Treatments

Combination Product: Scalene Muscle Energy Technique (MET) + Respiratory Physiotherapy

Diagnostic Test: First Rib Mobilization + Respiratory Physiotherapy

Study type

Interventional

Funder types

Other

Identifiers

NCT07036887

DPT/Batch-Fall20/1001

Details and patient eligibility

About

This randomized controlled trial aims to evaluate the effectiveness of first rib mobilization and scalene muscle energy technique (MET) in improving respiratory function and reducing symptoms in patients with asthma. Asthma is a chronic inflammatory condition of the airways characterized by bronchoconstriction, airway hyperresponsiveness, and mucus overproduction, often leading to respiratory difficulty and increased use of accessory muscles such as the scalene.

Full description

Manual therapy techniques like first rib mobilization and scalene MET are believed to restore upper thoracic mobility, reduce muscle tightness, and optimize breathing mechanics. In this study, 47 asthmatic patients will be randomly assigned into two groups: Group A will receive first rib mobilization combined with respiratory physiotherapy, while Group B will receive scalene MET along with the same physiotherapy protocol. Treatment will be administered three times a week for four weeks.

Enrollment

47 patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Both male and female age range: 18-65 years.
Diagnosed with asthma according to the Global Initiative for Asthma criteria.
Presence of musculoskeletal symptoms; Complaints of chest tightness, neck stiffness, or restricted upper thoracic mobility, often associated with dysfunctional breathing patterns.
Ability to provide informed consent and comply with the treatment protocol.

Exclusion criteria

clinically unstable or had a neuromuscular disease, unstable cardiovascular disease, or musculoskeletal disease that may interfere with exercise
History of thoracic or cervical spine surgery, trauma, or fractures
Pregnancy or postpartum status
Rheumatologic diseases, a history of musculoskeletal trauma, or musculoskeletal malformations.