Efficacy of Costal Mobilization Techniques and Manual Diaphragm Release Technique in Patients COPD

NCT03022942 | Completed DMC

• 1 other identifier: Lacap UFPE
• Study Type: interventional
• Target: 14
• Locations: 1 country
• Sites: 1

Brief Summary

To evaluate the acute and chronic effects of costal mobilization techniques and diaphragmatic release in chest cavity kinematics, diaphragmatic mobility and functional capacity in patients with chronic obstructive pulmonary disease

Conditions

Copd; Chest Disorders; Diaphragmatic Disorder

Outcome Measures

Primary Outcomes (1)

• Mobility of the thoracic cage

  Will be measured by optoelectronic plestimography

  Three weeks total: Thirty minutes after the first intervention, after two weeks of intervention and after one week without treatment (follow up)

Secondary Outcomes (3)

• Diaphragma mobility

  Three weeks total: Thirty minutes after the first intervention, after two weeks of intervention and after one week without treatment (follow up)

• functional capacity

  Three weeks total: after two weeks of intervention and after one week without treatment (follow up)

• heart rate variability

  1 day: before and after the intervention

Study Arms (2)

Costal mobilization & Diaphragm Release

EXPERIMENTAL

Costal mobilization. Lying: two sets of ten deep respiratory cycles with one minute interval between sets. Sitting: two series with interval of one minute between them. Manual Diaphragm Release Technique: will be applied during two series of ten deep respiratory cycles, with one minute interval between sets.

Other: GROUP Costal mobilization & Diaphragm Release

Manual Diaphragm Release

ACTIVE COMPARATOR

Manual Diaphragm Release Technique: will be applied during two series of ten deep respiratory cycles, with one minute interval between sets.

Other: GROUP Manual Diaphragm Release

Interventions

GROUP Costal mobilization & Diaphragm Release OTHER

Costal mobilization technique (Rib raising): The patient will be lying. The Therapist supports the last four pulps of both hands at the rib angles, gently traverses the rib angles in the posterior-anterior direction, using the stretcher as a lever to facilitate the elevation of the costal angles. Siting: The Therapist hugs the patient by supporting the ribs of the fingers at the rib angles, gently traverses the rib angles bilaterally in the anterior-lateral direction. Manual Diaphragm Release Technique: The therapist makes manual contact with the underside of the costal border of the common cartilage of the last rib. In the inspiratory phase, the therapist draws the points of contact with both hands in a cephalad direction and slightly Accompanying the movement of the rib cage.

Also known as: GROUP Rib Raising & Diaphragm Release, GROUP A

Costal mobilization & Diaphragm Release

GROUP Manual Diaphragm Release OTHER

The therapist makes manual contact with the underside of the costal border of the common cartilage of the last rib. In the inspiratory phase, the therapist draws the points of contact with both hands in a cephalad direction and slightly Accompanying the movement of the rib cage.

Also known as: GROUP B

Manual Diaphragm Release

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of COPD (spirometry with FEV1 \<80% and FEV1 / FVC \<0.7) of both sexes, who are not undergoing another physiotherapeutic treatment, from to 21 years of age, clinically stable without exacerbation in the last 6 weeks.

You may not qualify if:

• Patients with rheumatic or orthopedic diseases;
• Deformities / abnormalities in the spine that compromise the mechanics of the respiratory system;
• Rib fracture for less than 1 year;
• Respiratory co-morbidities;
• History of thoracic or abdominal surgery for less than 1 year;
• Osteoporosis and IMC \> 30kg / m²

Sponsors & Collaborators

• Universidade Federal de Pernambuco: lead

Study Sites (1)

Universidade Federal de Pernambuco

Recife, Pernambuco, 50670-901, Brazil

Location

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• HELENA M ROCHA

  Universidade Federal de Pernambuco

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Graduate

Study Record Dates

• First Submitted: December 22, 2016
• First Posted: January 18, 2017
• Study Start: February 1, 2017
• Primary Completion: January 31, 2018
• Study Completion: November 30, 2018
• Last Updated: February 27, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)