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

NCT03732222 | Completed

• 1 other identifier: UCH CEU 208
• Study Type: interventional
• Target: 152
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Respiratory Disease

Keywords

Diaphragm; Neck; Frenic Nerve

Outcome Measures

Primary Outcomes (1)

• forced vital capacity

  volume of air that we can exhale (quickly, sustainably and maximally) after a maximum expiration from the position of maximum inspiration. It is measured in liters (L).

  a week

Secondary Outcomes (1)

• Forced expiratory volume in the first second

  a week

Other Outcomes (1)

• Maximum expiratory flow

  a week

Study Arms (3)

Stretching the diaphragm muscle

EXPERIMENTAL

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

Procedure: Stretching the diaphragm muscle

Impulse technique in rotation of cervical level 3 and 4

EXPERIMENTAL

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.

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

Combined technique of diaphragm muscle stretch and cervical ro

EXPERIMENTAL

combine both previous techniques.

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

Interventions

Stretching the diaphragm muscle PROCEDURE

Place the hands on the last costal cartilages and maintain the ascent of the ribs in the expiration.

Stretching the diaphragm muscle

Impulse technique in rotation of cervical level 3 and 4 PROCEDURE

head to double chin position and then placed with neutral flexo-extension until focusing on the level of manipulation, ipsilateral lateral flexion and contralateral rotation approximately 45 degrees.

Impulse technique in rotation of cervical level 3 and 4

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

The same initial position, hand placement and technique guidelines will be used, cited in each of the techniques performed in the "intervention 1" group and the "intervention 2" group.

Combined technique of diaphragm muscle stretch and cervical ro

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Accept participating in the study (signature of informed consent).
• Be in an age range between 18 and 50 years.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Cardenal Herrera University: lead

Study Sites (1)

Universidad CEU Cardenal Herrera

Valencia, Moncada, 46113, Spain

Location

Related Publications (1)

• Kendall FP, Mac Creary EK, Provance PG. Muscles: functional tests, posture and pain. 5th ed. Madrid: Marbán; 2007 Souchard PE. RPG Principles of global postural reeducation. 1st ed. Barcelona: Paidotribo; 2005 American Thoracic Society / European Respiratory Society. ATS / ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002; 166: 518-624.

  BACKGROUND

Related Links

• The University CEU-Cardenal Herrera is the first private university in the Valencian Community. It belongs to the Foundation San Pablo- CEU and is the leading educational organization in Spain with three Universities all over Spain

MeSH Terms

Conditions

Respiration Disorders

Condition Hierarchy (Ancestors)

Respiratory Tract Diseases

Study Officials

• Rocha Ortiz

  Cardenal Herrera University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: the masking of the evaluator has been obtained, measuring the association between the response variables at baseline and the intervention group, by means of the variance analysis (ANOVA), for each response variable separately. We have verified that there are no differences between the means of the responses at the baseline level in each assigned intervention group, so that masking at the level of the evaluator has been carried out correctly
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: November 3, 2018
• First Posted: November 6, 2018
• Study Start: November 5, 2018
• Primary Completion: November 6, 2018
• Study Completion: November 18, 2018
• Last Updated: November 20, 2018

Record last verified: 2018-11

Locations

ES (1)