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

NCT05982210 | Unknown DMC

• 1 other identifier: FIS-2022-13
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Diaphragm; Relaxation

Keywords

Core Stability; Diaphragm Muscle; Rib Cage; Breathing Biomechanics

Outcome Measures

Primary Outcomes (1)

• Rib Cage Mobility

  The the rib cage mobility is assessed using a measuring tape. The measuring tape assess the diameter of the rib cage between a maximal inspiration and maximal expiration. Two anatomical marks are described: the superior mark is formed by the third intercostal space, de clavicular line and spinous apophysis of the thoracic vertebra number five; and the inferior mark is formed by xiphoid process and the spinous apophysis of the thoracic vertebra number ten. The subjects stand with the hands on the head and the evaluator mantains the measuring tape around the rib cage of the subject. The subject inhales by the nose expanding the lungs and exhales by the mouth until the lungs are empty. The measures are taken three times, at the beginning of each inspiratory and expiratory cycle. The repetition is failed if the subject makes an apnea or cough.

  Week 0, Week 4 and Week 9

Secondary Outcomes (3)

• Lower Limb Power

  Week 0, Week 4 and Week 9

• Lower Limb Stability

  Week 0, Week 4 and Week 9

• Pain Perception

  Week 0, Week 4 and Week 9

Study Arms (2)

Control Group

NO INTERVENTION

The Control Group does not have any interventions applied.

Intervention Group

EXPERIMENTAL

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.

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

Interventions

Breathing Exercises and Manual Therapy of the Muscle Diaphragm and Ribs Protocol OTHER

The intervention consists on applying a protocol based on five different exercises, compound by breathing exercises and manual therapy of the muscle diaphragm and the ribs, applied by a physiotherapist.

Intervention Group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Universitat Internacional de Catalunya: lead

Study Sites (1)

Universitat Internacional de Catalunya

Sant Cugat del Vallès, Barcelona, 08195, Spain

RECRUITING

MeSH Terms

Interventions

Breathing Exercises

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities

Study Officials

• María Caridad Bagur

  Universitat Internacional de Catalunya

  STUDY DIRECTOR

• Xantal Borràs

  Universitat de Vic

  STUDY DIRECTOR

Central Study Contacts

Imma Vergara

CONTACT

+34 637 03 13 54; immavergara@uic.es

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Student

Study Record Dates

• First Submitted: July 29, 2023
• First Posted: August 8, 2023
• Study Start: July 15, 2023
• Primary Completion: June 1, 2024
• Study Completion: January 1, 2025
• Last Updated: August 8, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)