Stretching of the Diaphragm and Cervical Impulse Technique and Its Possible Spirometric Changes

Cardenal Herrera University

Status: Completed

Conditions: Respiratory Disease

Treatments: Procedure: Impulse technique in rotation of cervical level 3 and 4; Procedure: Stretching the diaphragm muscle; Procedure: Combined technique of diaphragm muscle stretch and cervical rotation impulse technique level 3 and 4

Study type: Interventional

Funder types: Other

Identifiers

NCT03732222

UCH CEU 208

Details and patient eligibility

About

This study investigates the effect of two different techniques, stretching of the diaphragm and cervical level impulse technique C3-C4, in the possible spirometric changes, vital capacity (CV), maximum expiratory flow (PEF) and maximum expiratory volume (FEV). in relation to the secondary variables (age, physical activity, BMI, sex). the subjects of the study were informed and clarified doubts about it and its subsequent reading and signing of informed consent. The subjects were randomly selected to determine which intervention group they would belong to (G1: intervention group of the diaphragm muscle stretch technique, G2: intervention group of the cervical rotation rotation impulse technique C3- C4, G3: Combined technique G1 and G2, G4: control group.The evaluation technique is spirometry.The intervention protocol is as follows, first the pre-intervention spirometry is performed, then the corresponding technique (according to intervention group), then the post-intervention spirometry, the intervention technique and at 5 minutes, the intervention technique is performed.

Full description

The objectives of the study are the following: 1. To evaluate the changes in the values of the simple spirometry after the application of the study techniques: muscle stretching technique of the diaphragm (G1), rotation impulse technique of the cervical level of C3- C4 (G2) and combined technique of both (G3); 2. Determine the influence of these on measurable respiratory parameters by simple spirometry; 3. Compare the spirometric values obtained after applying the study techniques (G1, G2, G3) and the control group (G4: simulation of a previous technique); and 4. Analyze the different variables measured (age, gender, weight, height, sports practice and body mass index) in the effects of the applied treatment.

Enrollment: 152 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Accept participating in the study (signature of informed consent).
• Be in an age range between 18 and 50 years.
• Do not present any exclusion criteria.

Exclusion criteria

• Do not meet the inclusion criteria.
• Have obstructive and / or restrictive respiratory problems.
• Perfect transient conditions that affect the respiratory tract, such as colds, sinusitis, influenza, respiratory allergies.
• To have a history of rib fractures.
• Congenital deformities.
• To have digestive problems.
• Paying hepatitis and / or hepatobiliary lesions.
• Suffer heart disease and / or arterial hypertension.
• Have abdominal problems.
• Provide surgical scar on the abdomen, thorax and / or neck.
• Patience cancer
• Press any type of pain at the time of conducting the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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152 participants in 3 patient groups

Stretching the diaphragm muscle

Experimental group

Description:

The interventor places his hands on the last costal cartilages and the subject makes an inspiration and keeps his hands resisted in the expiration.

Treatment:

Procedure: Stretching the diaphragm muscle

Impulse technique in rotation of cervical level 3 and 4

Experimental group

Description:

The thumbs position the head in a double chin and then place it with neutral flexion-extension until focusing on the level of manipulation, ipsilateral lateral flexion and contralateral rotation approximately 45 degrees.

Treatment:

Procedure: Impulse technique in rotation of cervical level 3 and 4

Combined technique of diaphragm muscle stretch and cervical ro

Experimental group

Description:

combine both previous techniques.

Treatment:

Procedure: Combined technique of diaphragm muscle stretch and cervical rotation impulse technique level 3 and 4