Chest Mobility Exercises Versus Proprioceptive Neuromuscular Facilitation in Patients With COPD

NCT06269029 | Completed DMC

• 1 other identifier: P.T.Rec/012/004297
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Chest mobility exercise versus proprioceptive neuromuscular facilitation in patients with chronic obstructive pulmonary disease

Conditions

Chronic Obstructive Pulmonary Disease Moderate

Outcome Measures

Primary Outcomes (1)

• Pulmonary function test

  Spirometry is the most common pulmonary function test. It is widely used in the assessment of lung function to provide objective information used in the diagnosis of lung diseases and monitoring lung health Test started at the time of 20 minutes after subjects inhaling 400 μg of salbutamol. The following variables were assessed: FVC, FEV1, inspiratory capacity (IC), and inspiratory reserve volume (IRV)

  One week for each comparator

Study Arms (2)

patients with COPD assigned for chest mobility

EXPERIMENTAL

This study will be carried on 30 patients with Chronic obstructivepulmonarydisease. Patients will be selected from department (3) Kaser EL-Ainy, Cairo University.

Other: Chest mobility exercises

patients with COPD assigned for PNF

EXPERIMENTAL

This study will be carried on 30 patients with Chronicobstructivepulmonarydisease. Patients will be selected from department (3) Kaser EL-Ainy, Cairo University.

Other: proprioceptive neuromuscular facilitation

Interventions

Chest mobility exercises OTHER

exercises were repeated 6 times on each side with rest of period for 30 seconds in between. The intervention will be carried out for one week with total of 7 sessions. Each Exercise will be accompanied by breathing pattern. In neutral position of exercises, subjects will be asked to exhale during flexion, turning or extension subject will be asked to do inhale.

patients with COPD assigned for chest mobility

proprioceptive neuromuscular facilitation OTHER

The technique used in this study Proprioceptive neuromuscular facilitation technique of hold and relax stretching for isolated clavicular head of the pectoralis major muscle. The subjects sitting on a chair with back support to keep spine in a neutral position and both their arms are extended and hands are placed behind the occipital region. His both arms will be positioned in glenohumeral horizontal extension, and glenohumeral abduction and external rotation with elbow bent to perform stretch position of pectoral muscle. Then ask him to contract the pectoral muscles .This isometric contraction is held for 6 seconds. The patient then relaxed and passive stretch in the opposite direction . and it was repeated 6 times with rest period 30 seconds. The session will be given every day for one week

patients with COPD assigned for PNF

Eligibility Criteria

• Age: 50 Years - 60 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• All patients will have the following criteria:
• Age: 50-60 years old
• All patients will be in mild to moderate of COPD. In accordance with criteria of Global Initiative for Chronic Obstructive Lung Disease (GOLD) (GOLD I-II).
• BMI: obese class 1 (30-34.9).
• Sex: male
• They suffered from mild dyspnea, chronic cough and expectorations, with forced expiratory volume in one second (FEV1sec) from 50% to 80% of predicted value.

You may not qualify if:

• Patients with the following criteria will excluded from the study:
• Severe psychiatric or cognitive impairments.
• Progressive neuromuscular disorders.
• Decreased level of consciousness.
• Unstable fracture.
• pacemaker inserted for fewer than 2 days
• Deep-venous thrombosis (to minimize risk for pulmonary embolism from being in a prone position.
• Mean arterial blood pressure of less than 65 mm Hg with or without vasopressors.
• Tracheal surgery or sternotomy in the last 15 days.
• Massive haemoptysis.
• Intracranial pressure of more than 30 mm Hg or cerebral perfusion pressure of less than 60 mm Hg.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo university- faculty of physical therapy

Cairo, Dokki, 12556, Egypt

Location

Related Publications (1)

• Zakaria I, Serry ZMH, Soliman YMA, Aziz MM, Mohamed MI, Guirguis SA. Chest mobility exercises versus proprioceptive neuromuscular facilitation in patients with chronic obstructive pulmonary disease: A randomized trial. J Bodyw Mov Ther. 2025 Oct;44:400-408. doi: 10.1016/j.jbmt.2025.05.057. Epub 2025 Jun 4.

  PMID: 40954608 DERIVED

MeSH Terms

Interventions

Muscle Stretching Exercises

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Zahra Serry

  Faculty of physical therapy- internal medicine department

  STUDY DIRECTOR

Study Design

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

Study Record Dates

• First Submitted: January 17, 2024
• First Posted: February 21, 2024
• Study Start: February 17, 2024
• Primary Completion: June 30, 2024
• Study Completion: June 30, 2024
• Last Updated: July 22, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)