Effectiveness of Combined Manual Therapy and Pulmonary Exercises on Ventilatory Function in Patients with Restrictive Lung Diseases

South Valley University

Status: Not yet enrolling

Conditions: Study the Effectiveness of Combined Manual Therapy and Pulmonary Exercises on Ventilatory Function in Patients with Restrictive Lung Diseases

Treatments: Procedure: Combined Manual Therapy and Pulmonary Exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06681701

Restrictive lung diseases

Details and patient eligibility

About

This research investigates the effect of selective manual therapy techniques on chest expansion, pulmonary function (FVC, FEV1, and FEV1/FVC ratio), and functional capacity, in restrictive lung disease patients. The research hypothesis will be that no statistically significant difference would be found between manual therapy combined to conventional treatment and conventional treatment alone in restrictive lung disease patients.

Full description

A chest physician diagnosed 72 subjects with mild to moderate restrictive lung diseases based on history, physical examination, and a ratio of FEV1/FVC above 80%. Male subjects meeting the following criteria will be included: age ranged from 50 to 60 years, BMI was 18-25 kg/m2, If a patient had a history of hiatus hernia, substantial gastro-esophageal reflux, osteoporosis, acute cardiac events within the last six weeks, congestive heart failure, acute exacerbation, exacerbation six months before, active hemoptysis, or malignant disease, they will be excluded from the study.

The subjects who consented to will be involved and met the recruitment standards randomly assigned. A computer-generated block randomization program will be used. To eliminate bias between groups, the subjects will be randomized into four-person blocks with a 1:1 allocation ratio. To ensure disguised allocation, the randomization code will be maintained in sealed, opaque envelopes consecutively numbered. A single external party will be responsible for administering the randomization

Enrollment: 72 estimated patients

Sex: All

Ages: 50 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Restrictive lung diseases pneumonia pulmonary edema pleural effusion pneumothorax

Exclusion criteria

hiatus hernia substantial gastro-esophageal reflux acute cardiac events osteoporosis congestive heart failure active hemoptysis malignant disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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72 participants in 2 patient groups

Group B (experimental)

Experimental group

Description:

Group B (experimental) received conventional physiotherapy and manual therapy Rib mobilization from sitting: Rib mobilization from supine: Unilateral Posterior-Anterior mobilization of costo-vertebral joints: Myofascial release techniques (MRT) Diaphragmatic myofascial release (DMR): Pectoralis minor myofascial release: Pectoralis major and pectoral fascia myofascial release: Sternocleidomastoid myofascial release: Scalene muscle and neck fascia myofascial release: Mobilize one side of the chest:

Treatment:

Procedure: Combined Manual Therapy and Pulmonary Exercises

Group A (control)

Active Comparator group

Description:

Group A (control) received conventional physiotherapy Diaphragmatic breathing exercise: Segmental breathing exercises (apical, upper lateral, lower lateral and posterior basal), according to site of consolidation: Active Cycle Breathing Technique (ACBT): Intensive spirometry: It encourages patients to take deep breaths, which helps to expand the lungs and prevent complications such as pneumonia.

Treatment:

Procedure: Combined Manual Therapy and Pulmonary Exercises