Immediate and Long-term Effects of an Adaptation of the "Balloon-blowing Exercise"

NCT04737824 | Completed

• 1 other identifier: ESS-Balloon
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

Despite the literature evidence that the "balloon-blowing exercise" improves the pulmonary function as a long-term effect, this exercise has not yet been studied or tested experimentally, meaning that there are no specific and measurable results that attest the improvement on thoracoabdominal movement.

Conditions

Healthy

Outcome Measures

Primary Outcomes (10)

• Anterior-to-posterior movement of the upper rib cage

  Thoracoabdominal movement was measure through "Qualisys motion capture system".

  Immediate after procedure

• Anterior-to-posterior movement of the lower rib cage

  Thoracoabdominal movement was measure through "Qualisys motion capture system".

  Immediate after procedure

• Anterior-to-posterior abdominal movement

  Thoracoabdominal movement was measure through "Qualisys motion capture system".

  Immediate after procedure

• Medial-to-lateral movement of the upper rib cage

  Thoracoabdominal movement was measure through "Qualisys motion capture system".

  Immediate after procedure

• Medial-to-lateral movement of the lower rib cage

  Thoracoabdominal movement was measure through "Qualisys motion capture system".

  Immediate after procedure

• Anterior-to-posterior movement of the upper rib cage

  Thoracoabdominal movement was measure through "Qualisys motion capture system".

  Seven weeks

• Anterior-to-posterior movement of the lower rib cage

  Thoracoabdominal movement was measure through "Qualisys motion capture system".

  Seven weeks

• Anterior-to-posterior abdominal movement

  Thoracoabdominal movement was measure through "Qualisys motion capture system".

  Seven weeks

• Medial-to-lateral movement of the upper rib cage

  Thoracoabdominal movement was measure through "Qualisys motion capture system".

  Seven weeks

• Medial-to-lateral movement of the lower rib cage

  Thoracoabdominal movement was measure through "Qualisys motion capture system".

  Seven weeks

Study Arms (4)

Experimental group A

EXPERIMENTAL

Participants executed two sets of twelve repetitions of an adaptation of the "balloon-blowing" exercise.

Procedure: An adaptation of the "balloon-blowing" exercise

Control group A

NO INTERVENTION

No intervention was applied.

Experimental group B

EXPERIMENTAL

Participants executed two sets of twelve repetitions of an adaptation of the "balloon-blowing" exercise for seven weeks, three times a week, at home.

Procedure: An adaptation of the "balloon-blowing" exercise for seven weeks, three times a week, at home

Control group B

NO INTERVENTION

No intervention was applied.

Interventions

An adaptation of the "balloon-blowing" exercise PROCEDURE

The participants were positioned in supine, on a semi-rigid surface, with the upper limbs placed above the level of the head, at rest. Their feet were also placed at a resting position on a wall and with their hips and knees at 90o of flexion. The cervical was placed in a neutral position and the pelvis was maintained in a posterior pelvic tilt, both structures corrected by the researcher. The participants were asked to contract the adductors, maintaining a bilateral and symmetric pressure between 10 and 15 mmHg on two sphygmomanometers placed between the knees. Also, an isometric contraction of the hamstrings and gluteus was requested. A Threshold®, with a minimum resistance of 5 cmH2O, and they were instructed to close their lips around the mouthpiece, to avoid air leaks. To start the exercise, it was transmitted to the participants to make a maximum inspiration through the nose, for two seconds. Subsequently, a maximum exhalation throughout the threshold was made for three seconds.

Also known as: Motor control exercise A

Experimental group A

An adaptation of the "balloon-blowing" exercise for seven weeks, three times a week, at home PROCEDURE

The participants were positioned in supine, on a semi-rigid surface, with the upper limbs placed above the level of the head, at rest. Their feet were also placed at a resting position on a wall and with their hips and knees at 90o of flexion. The cervical was placed in a neutral position and the pelvis was maintained in a posterior pelvic tilt, both structures corrected by the researcher. The participants were asked to contract the adductors, maintaining a bilateral and symmetric pressure between 10 and 15 mmHg on two sphygmomanometers placed between the knees. Also, an isometric contraction of the hamstrings and gluteus was requested. A Threshold®, with a minimum resistance of 5 cmH2O, and they were instructed to close their lips around the mouthpiece, to avoid air leaks. To start the exercise, it was transmitted to the participants to make a maximum inspiration through the nose, for two seconds. Subsequently, a maximum exhalation throughout the threshold was made for three seconds.

Also known as: Motor control exercise B

Experimental group B

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• \- In the Experimental Group B were admitted individuals that, through the analysis of the training record sheet, had executed 2⁄3 of the programmed sessions.

You may not qualify if:

• Individuals that had participated in aerobic physical activities of moderate (i.e., at least 30 minutes on five days per week) or vigorous intensity (i.e., at least 20 minutes on three days per week) for more than one year;
• Chronic nonspecific lumbopelvic pain (i.e., recurrent episodes of lumbopelvic pain for a period exceeding three months);
• Flu symptoms or respiratory infection up to one week before data collection;
• History of recent ribs fracture and pain in the last three months;
• Pulmonary or rib cage previous pathologies;
• Length discrepancy of the lower limbs or other postural asymmetries;
• History of spinal, gynaecological, or abdominal surgery in the previous year;
• Recurrent muscle/joint pain and history of musculoskeletal injury in the last three months;
• Smoking and/or drinking habits.

Sponsors & Collaborators

• Escola Superior de Tecnologia da Saúde do Porto: lead

Study Sites (1)

Escola Superior de Saúde - Instituto Politécnico do Porto

Porto, 4200-072, Portugal

Location

Related Publications (3)

• Boyle KL, Olinick J, Lewis C. The value of blowing up a balloon. N Am J Sports Phys Ther. 2010 Sep;5(3):179-88.

  PMID: 21589673 BACKGROUND

• De Troyer A. Respiratory effect of the lower rib displacement produced by the diaphragm. J Appl Physiol (1985). 2012 Feb;112(4):529-34. doi: 10.1152/japplphysiol.01067.2011. Epub 2011 Dec 1.

  PMID: 22134697 BACKGROUND

• Key J. 'The core': understanding it, and retraining its dysfunction. J Bodyw Mov Ther. 2013 Oct;17(4):541-59. doi: 10.1016/j.jbmt.2013.03.012. Epub 2013 Jun 28.

  PMID: 24139017 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: January 30, 2021
• First Posted: February 4, 2021
• Study Start: February 1, 2021
• Primary Completion: March 31, 2021
• Study Completion: March 31, 2021
• Last Updated: August 31, 2021

Record last verified: 2021-08

Locations

PT (1)