Diaphragmatic Breathing and Global Postural Reeducation on Stress and Sleep Quality in University Students

NCT06308783 | Unknown

• 1 other identifier: UFranciscoVitoriaRPGBREATH23
• Study Type: interventional
• Target: 33
• Locations: 0 countries
• Sites: N/A

Brief Summary

Introduction: Nowadays, the reduction of perceived stress and the improvement of sleep quality are considered fundamental aspects in the quality of life of both healthy subjects and patients with disease. Stress has become a pandemic in recent years due to the socio-labor demands faced by society. On the other hand, it has a direct relationship with the quality of sleep, its influence being bidirectional. In this regard, several tools have been reported for the management of these conditions. These include strategies such as yoga, mindfulness, diaphragmatic breathing (DR) or Pilates. On the other hand, other proposals such as global postural reeducation (GPR) lack evidence in the management of these conditions. Objectives: Compare the effects of a diaphragmatic breathing self-management program with global postural reeducation on stress and sleep quality in university students. Method: The study will be carried out with physiotherapy students of the University Francisco de Vitoria. The participants will be randomly divided into three groups: GPR group, DR group and control group. Perceived stress (Perceived Stress Scale - PSS14) and reported sleep quality (Pittsburgh Sleep Quality Index - PSQI) will be measured three times throughout the study: pre-intervention, 3 weeks after the start of the intervention and post-intervention. The intervention will last 6 weeks, during which time all participants will be required to complete the 5 Grade Scale (5GS) each morning. The GPR group will perform; Frog to the ground posture, while the DR group will follow a set breathing protocol at a 4/6 rhythm. Both GPR and DR will be performed 10 minutes before going to sleep. Ethical considerations: The principles of the 1964 Declaration of Helsinki will be followed. The proposed interventions are non-invasive, based on the combination of mild physical activity tools, body awareness and relaxation techniques. The dependent variables to be measured are based on clinimetric aspects, without any harm to the participants. Subjects will be asked to participate on a voluntary basis and may withdraw from the study at any time.

Conditions

Stress; Sleep Disturbance

Keywords

diaphragmatic breathing; global posture reeducation; stress; sleep quality

Outcome Measures

Primary Outcomes (2)

• Stress

  Perceived Stress Scale Questionnaire

  First measure one day before starting the intervention, second measure 3 weeks after starting the intervention and third measure 6 weeks after starting the intervention (last day of intervention)

• Sleep Quality

  Pittsburgh Sleep Quality Index Questionnaire

  First measure one day before starting the intervention, second measure 3 weeks after starting the intervention and third measure 6 weeks after starting the intervention (last day of intervention)

Secondary Outcomes (1)

• Sleep Quality

  Up to 6 weeks.

Study Arms (3)

Diaphragmatic Breathing

EXPERIMENTAL

Diaphragmatic breathing, also known as deep breathing, is based on breathing slowly and widely, expanding the abdomen and then the ribs on inspiration and emptying as much air as possible on exhalation.

Other: Diaphragmatic Breathing

Global Postural Reeducation

EXPERIMENTAL

Global Postural Re-education (GPR) is a technique described by Philippe Souchard that is based on the active and sustained stretching of muscle chains by performing specific postures. Breathing plays a fundamental role in the development of exercise, influencing the structures of the body and its functioning.

Other: Global Postural Reeducation

Control Group

NO INTERVENTION

No treatment

Interventions

Diaphragmatic Breathing OTHER

10 minutes each day during 6 weeks, before sleeping.

Diaphragmatic Breathing

Global Postural Reeducation OTHER

10 minutes each day during 6 weeks, before sleeping.

Also known as: GPR

Global Postural Reeducation

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Healthy subjects over 18 years of age.
• Physiotherapy students of Francisco de Vitoria University.
• Ability to understand written and oral Spanish.
• Ability to communicate in Spanish or French.

You may not qualify if:

• \< 18 years of age Cognitive disorders (psychiatric or mental).
• Problems when understanding instructions.
• Follow-up of a stress-focused treatment (medication, psychological therapy, meditation, etc.).
• Smokers.
• Pregnant women.
• Pathologies (rheumatic, neurological, cardiovascular, respiratory, visceral, tumor, fibromyalgia, physical handicap etc.).
• Serious accident or recent surgery.
• Sleep disorders (apnea...).
• Practice of a daily exercise similar to the intervention (Pilates, Yoga, tai chi, qi gong, etc.).
• Not undergoing any other intervention during the investigation.
• Suffering from stress lower than 29/56 on the PSS14 questionnaire.

Sponsors & Collaborators

• Universidad Francisco de Vitoria: lead

Related Publications (2)

• Hopper SI, Murray SL, Ferrara LR, Singleton JK. Effectiveness of diaphragmatic breathing for reducing physiological and psychological stress in adults: a quantitative systematic review. JBI Database System Rev Implement Rep. 2019 Sep;17(9):1855-1876. doi: 10.11124/JBISRIR-2017-003848.

  PMID: 31436595 RESULT

• Ferreira GE, Barreto RG, Robinson CC, Plentz RD, Silva MF. Global Postural Reeducation for patients with musculoskeletal conditions: a systematic review of randomized controlled trials. Braz J Phys Ther. 2016 Apr 1;20(3):194-205. doi: 10.1590/bjpt-rbf.2014.0153.

  PMID: 27437710 RESULT

MeSH Terms

Conditions

Parasomnias; Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Sleep Wake Disorders; Nervous System Diseases; Mental Disorders; Sleep Disorders, Intrinsic; Dyssomnias

Study Officials

• Alberto Roldán Ruiz, PhD

  Universidad Francisco de Vitoria

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Alberto Roldán Ruiz, PhD

CONTACT

+34657608266; alberto.roldan@ufv.es

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: One group receives Diaphragmatic Breathing, one group receives Global Postural Reeducation, and the other group receives no intervention.

Study Record Dates

• First Submitted: February 5, 2024
• First Posted: March 13, 2024
• Study Start: May 5, 2024
• Primary Completion: July 17, 2024
• Study Completion: July 18, 2024
• Last Updated: March 13, 2024

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share