Influence of Manual Relaxation of the Diaphragm on the Tension of the Posterior Superficial Fascia

NCT05197907 | Unknown

• 1 other identifier: N43/DBS/000115
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

The diaphragm performs many functions that are vital to the body as a whole. Some of them are not related only to ventilation. The diaphragm is part of the myofascial system in the human body. Therefore, the proper functioning of the diaphragm should be a significant element of physiotherapy, e.g. in patients reporting pain in the lumbosacral spine. Considering the complex role of the diaphragm, it seems reasonable to investigate the influence of the mobilization of the diaphragm (aimed at reducing diaphragm tension) on the tension of the extensor muscles of the lumbar spine. The assumption of this reserach is to investigate the correlation between the tension of the fascia in the area of the diaphragm to the tension of the muscles in the area of the lumbar spine. The fascial connections between the diaphragm and the muscles in the lumbar spine presented above suggest that the manual therapy performed within the diaphragm can effectively prevent the occurrence of pain, and might be a supportive measure in the treatment of pain in the spine. The aim of the study is to investigate the corellation between the tension of the fascia within the diaphragm and the tension of the posterior superficial tape. Research questions:

1. 1.How does manual therapy in the area of the tendon attachments of the diaphragm affect the relaxation of the extensor muscles of the lumbar spine?
2. 2.How can the therapy conducted only within the diaphragm, without interfering with the structures surrounding the spine, reduce the tension of the extensor muscles of the lumbar spine and, consequently, increase the range of its mobility in all planes?
3. 3.How will the introduced therapy change the tidal volume of the lungs?

Conditions

Diaphragm; Relaxation; Low Back Pain

Keywords

diaphragm; low back pain; deep tissue massage; diaphragm relaxation

Outcome Measures

Primary Outcomes (1)

• Assessemnt of change in muscle tension of selected muscles of lumbar region

  Assessment of muscle superficial electromyography will be performed with sEMG device NuTrac Alpha2E (NeuroTrac Ltd.) on the following muscles: multifidus, longissimus and iliocostalis.

  Twice - before and immediately after the treatment procedure

Secondary Outcomes (2)

• Assessment of change of range of motion of the lumbar spine.

  Twice - before and immediately after the treatment procedure

• Assessment of change in peak expiratory flow in one second (PEF1)

  Twice - before and immediately after the treatment procedure

Study Arms (2)

Diaphragm fascial release group.

EXPERIMENTAL

Ten minutes lasting fascial release techinques performed on diaphragm.

Procedure: Fascial release of diaphragm muscle.

Classic massage group

PLACEBO COMPARATOR

Ten minutes lasting classic massage performed on abdomen.

Procedure: Classic massage of the abdomen.

Interventions

Fascial release of diaphragm muscle. PROCEDURE

The intervention consists of deep tissue massage techniques and manual mobilization of the fascia performed within the diaphragm attachments in the area of the costal arches.

Diaphragm fascial release group.

Classic massage of the abdomen. PROCEDURE

The intervention consists of selected classic massage techniques - mainly stroking (effleurage) - performed on the superficial layers of the abdominal region

Classic massage group

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• age within 20-40 yrs,
• BMI within normal range (18.5-24.9)
• lack of abdominal obesity
• lack of chronic musculoskeletal conditions
• written, conscious consent

You may not qualify if:

• former abdominal surgery
• abdominal diseases (i.e. (np. kidney stones, ulcers, irritative bowel sindrome, etc.),
• pregnancy
• fever,
• tumors,
• blood hypertension,
• former surgery of respiratory system ,
• condition after surgical procedures in the area of the spine,
• the occurrence of pain in the spine in the 3 months preceding the research experiment,
• lack of conscious consent

Sponsors & Collaborators

• Jagiellonian University: lead

Study Sites (1)

Jagiellonian University Medical College

Krakow, Poland

RECRUITING

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Bartosz Trybulec, PhD

  Jagiellonian University

  STUDY CHAIR

Central Study Contacts

Roksana S. Wójcik, MSc

CONTACT

12 634 33 97; roksanaa.wojcik@student.uj.edu.pl

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: BASIC SCIENCE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director

Study Record Dates

• First Submitted: December 27, 2021
• First Posted: January 20, 2022
• Study Start: August 1, 2021
• Primary Completion: March 31, 2022
• Study Completion: July 30, 2022
• Last Updated: January 20, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

PL (1)