The Influence of the Diaphragm Muscle and Pain Perception on Lower Limb Neuromuscular Control in Sports Practice.

Universitat Internacional de Catalunya

Status: Enrolling

Conditions: Diaphragm; Relaxation

Treatments: Other: Breathing Exercises and Manual Therapy of the Muscle Diaphragm and Ribs Protocol

Study type: Interventional

Funder types: Other

Identifiers

NCT05982210

FIS-2022-13

Details and patient eligibility

About

Core stability is maintained mainly by muscle function of abdominal and lumbar region, including the diaphragm muscle. It is known that exists a connection between trunk's muscle activity and the movement of lower limb and lower limb and low back injuries are related to core alterations. Thus, a randomized clinical trial is planned to analyze the effectiveness of an exercises and manual therapy of the diaphragm and ribs program designed, aiming to analyze the correlation between rib cage mobility and lower limb neuromuscular control in young healthy subjects.

Full description

The aim of the study consists on analysing the correlation between rib cabe mobility and neuromuscular control parameters of lower limb, as well as pain perception in young healthy adults sports players. A clinical practice protocol consisting on breathing exercises and manual therapy of the muscle diaphragm and the ribs will be applied twice a week during eight weeks. As a result, could be an increasement of the neuromuscular control parameters, described with the outcome measures of rib cage mobility, lower limb power and stability, and pain perception. If the results stablish correlation between the rib cage mobility and neuromuscular control parameters of lower limb, could be helpful in healthcare and sports science field in order to take in account the diaphragm biomechanics when treating lower limb injuries and facing its prevention.

Enrollment: 44 estimated patients

Sex: All

Ages: 18 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Physical Activity Practice: at least 150-300min of moderate activity or 75-100min of intense aerobic activity, twice a week.
• Physical activity or sports practice involve mostly lower limb muscles activation.
• Core Stability exercises least twice a week. Includes at least 3 of the 6 exercises listed: bridge exercises, standard plank, lateral plank, superman exercise, mountain climber and plank variations.

Exclusion criteria

• Musculoskeletal injury currently or in the past 6 months.
• Abdominal or thoracic surgery.
• Nervous System disease.
• Hiatal Hernia or visceral disease.
• Pelvic floor alterations or disease.
• Breathing restrictions: disease or infection, asthma, anxiety or other non controlled alterations.
• Treatment of the diaphragm muscle the past 6 months.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

44 participants in 2 patient groups

Control Group

No Intervention group

Description:

The Control Group does not have any interventions applied.

Intervention Group

Experimental group

Description:

The Intervention Group will take part in the experimental process. A clinical practice protocol about breathing exercises and diaphragm and ribs manual therapy will be applied, in a total duration of 15 minutes, twice a week during eight weeks.

Treatment:

Other: Breathing Exercises and Manual Therapy of the Muscle Diaphragm and Ribs Protocol