Respiratory Exercises Versus Manual Therapy and Respiratory Exercises in Moderate Smokers

Universidad Autonoma de Madrid

Status: Completed

Conditions: Inspiratory Capacity; Exercise Therapy; Manual Therapies; Respiratory Muscle Training

Treatments: Other: Inspiratory Muscle training; Other: IMT + Manual Therapy and Motor Control Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT02514161

CSEU La Salle

Details and patient eligibility

About

The aim of this study is to assess if an intervention of manual therapy and motor control exercises combined with an inspiratory muscle training program is more effective than an inspiratory muscle training program alone in increasing the maximum inspiratory pressure in moderate smokers. In addition, the study pretends to evaluate the changes caused by the intervention regarding possible postural changes and thoracic diameter.

Enrollment: 53 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Healthy subjects aged between 18 and 60 years and a current smoking rate ≥ 5 points.

Exclusion criteria

• Were excluded participants who presented diagnosis of cardiorespiratory disease, systemic or metabolic disease such as rheumatoid arthritis or cancer, history of thoracic surgery, vertebral fracture, spinal structured musculoskeletal disorders and thoracic region and contraindication to the treatment techniques used (osteoporosis).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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53 participants in 2 patient groups

Inspiratory Muscle Training Group (IMT)

Active Comparator group

Description:

The IMT program consisted of supervised and domiciliary exercises. 1. - The supervised exercises was performed in the presence of physiotherapist. This consisted of 30 min 2 days for 4 weeks using the threshold device (Powerbreathe classic level 1, Gaiam Ltd; Southam, Warwickshire, UK). This program involve 5 sets of 5 repetitions with 30 seconds rest between each one. The load of the training was distributed as follow: * First week: 30% Maximum Inspiratory Pressure (MIP) * Second week: 40% MIP * Third week: 50% MIP * Fourth week: 60% MIP 2. - The domiciliary exercises consisted of Yoga Breathing Exercises (Pranayama) that combines the inspiration and expiration through one or both nostrils, and requires the activation of chest and abdomen

Treatment:

Other: Inspiratory Muscle training

IMT + Manual Therapy and Motor Control Exercises

Experimental group

Description:

The protocol for this group is identical to the previous group with the sole difference that is added a manual therapy (MT) and a motor control exercises (MCE). The MT protocol was performed for 15min, whereas the MCE was 10min. Below it described both protocols: 1. - MT: * Upper cervical region mobilization in flexion * Lower cervical postero-anterior mobilization + maintained traction * Costovertebral joint postero-anterior mobilization * Thoracic vertebral posteroanterior mobilization * Thrust dorsal 2. - MCE: * Isometric contraction of the deep neck flexors. * Isometric contraction of the neck extensors. * Neural self-mobilization. * Cervical retraction with theraband. * Sphinx. * Scapular adduction exercises in prone. * Scapular adduction exercises in sitting position with theraband.

Treatment:

Other: IMT + Manual Therapy and Motor Control Exercise