Manual Diaphragm Release on Stepping Reaction Time in Chronic Obstructive Pulmonary Disease

NCT06455033 | Active Not Recruiting DMC

• 1 other identifier: Manual Diaphragm Release
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Finding the effect of diaphragm release exercises on stepping reaction time and balance in patients with chronic obstructive pulmonary disease patients.

Conditions

Respiratory Disease

Outcome Measures

Primary Outcomes (2)

• stepping reaction time

  stepping reaction time will be assessed by choice stepping reaction time test. The test procedure is as follows: when the stepping target is illuminated in a random order, the subject steps onto the illuminated target as quickly as possible.4 The faster the reaction, the shorter the reaction time.

  up to 8 weeks

• Balance

  Balance Balance will be assessed by berg balance scale, the balance score ranges from 0 to 56, with lower scores indicating increased risk of balance loss and higher scores indicating improved functional mobility. Time up and go test (TUG)n Score \< 10 seconds = normal \< 20 seconds = good mobility; can walk outside alone; does not require a walking aid \< 30 seconds = walking and balance problems; cannot walk outside alone; requires walking aid.

  up to 8 weeks

Study Arms (2)

Study Group

ACTIVE COMPARATOR

30 patients with chronic obstructive pulmonary disease

Other: Manual Diaphragm Release Technique; Other: Breathing Exercise

Control group

ACTIVE COMPARATOR

30 patients with chronic obstructive pulmonary disease

Other: Breathing Exercise

Interventions

Manual Diaphragm Release Technique OTHER

The participant will assume a supine position with relaxed limbs. The therapist should position themselves at the head of the participant and make manual contact with the pisiform, hypothenar region, and the last three fingers on both sides, underneath the seventh to tenth rib costal cartilages. The therapist's forearms should be aligned towards the participant's shoulders. During the inspiratory phase, the therapist gently pulled the points of contact with both hands in the direction of the head and slightly laterally, accompanying the elevation of the ribs. During exhalation, the therapist deepens their contact towards the inner costal margin while maintaining resistance. As the respiratory cycles continues, the therapist progressively increases the depth of their contact within the costal margin.

Study Group

Breathing Exercise OTHER

Sit up straight in a chair lengthen the distance between your navel and sternum. Keep your shoulders relax. Keep the pelvis in neutral position (Sit on your sitting bones). Place your hands at either side of your lower ribs. Breath in slowly through your nose. As you inhale feel your ribs expanding outwards and upwards. During inhalation is generated expansion of the trunk in three directions front , sides and back. Breath out from your nose. As you exhale feel your lower ribs moving inwards.

Control group; Study Group

Eligibility Criteria

• Age: 55 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All participants with a history of COPD
• Adults ranging from 55- 70 years old of both genders.
• Medically stable

You may not qualify if:

• Obesity (BMI ≥ 30 kg/m2)
• History of Pneumonia
• Diaphragmatic hernia, clinical evidence of phrenic nerve injury, recent abdominal or thoracic surgery, or history of traumatic lesion possibly affecting diaphragm.
• History of Myocardial infarction and/or cardiothoracic surgery
• orthopedics, or neurological that may interfere the intervention.
• Visual impairments, vestibular disorders, and postural hypotension.
• Dementia that interferes with the ability to follow instructions.

Sponsors & Collaborators

• Beni-Suef University: lead

Study Sites (1)

Kz Hospital

Cairo, Egypt

Location

MeSH Terms

Conditions

Respiration Disorders

Interventions

Breathing Exercises

Condition Hierarchy (Ancestors)

Respiratory Tract Diseases

Intervention Hierarchy (Ancestors)

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

Study Officials

• Mohammed S Saif, Ph.D

  National institute for Gerontology

  STUDY DIRECTOR

Study Design

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

Study Record Dates

• First Submitted: June 7, 2024
• First Posted: June 12, 2024
• Study Start: August 22, 2024
• Primary Completion: August 15, 2025
• Study Completion: November 15, 2025
• Last Updated: October 15, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)