Intercostal and Thoracic Cage Stretching on Chest Expansion , Dyspnea ,Oxygen Saturation in Asthma

NCT07331662 | Completed

• 1 other identifier: S24C14G36006
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

The rationale of this study is to clarify distinct role of these two stretching techniques in pulmonary rehabilitation. Insight gained from this research could provide evidence based recommendations for implementing these therapeutic approaches, aiming to optimize symptoms in asthma patients. so improved respiratory function and muscular flexibility can empower individuals with asthma to better manage their condition, weakening of muscles, airflow obstruction , reduce the effort required for daily activities and engage more fully in physical and everyday tasks thereby enhancing overall quality of life.

Conditions

Asthma; Asthma (Diagnosis)

Outcome Measures

Primary Outcomes (1)

• chest expansion

  To measure chest expansion, we used a plastic tape measure. Stand straight with your arms relaxed at your sides, ideally wearing minimal clothing. First, measure your chest at rest by wrapping the tape around the widest part, under the armpits, across the nipples and at the level of xiphoid process, ensuring it's snug but not tight. Take this measurement after a normal exhalation. Next, for maximum expansion, take a deep breath and fully expand your chest, then measure again in the same spot at full inhalation. To find your chest expansion, subtract the resting measurement from the expanded measurement. It's best to repeat the process for accuracy,

  4 week

Secondary Outcomes (1)

• dyspnea

  for 4 weeks

Other Outcomes (1)

• oxygen saturation

  4 week

Study Arms (2)

intercostal stretching

EXPERIMENTAL

initially all patients will receive hotpack for 10-15 min then intercostal stretching will performed by them

Other: intercostal stretching

Thoracic cage stretching

EXPERIMENTAL

initially all patients will receive hotpack for 10-15 min then intercostal stretching will performed by them

Other: thoracic cage stretching

Interventions

thoracic cage stretching OTHER

thoracic cage stretching involve Sessions 4 times per week ,Intensity Stretch to the point of mild discomfort, but not pain. The goal is to feel a gentle stretch in the muscles being targeted, promoting flexibility without risking injury. Duration of Sessions: Each session should last about 30-40 minutes. Exercise Duration: Each exercise should involve 10repetitions ,Hold stretch for 10-30 sec. sets: 1-2, Rest for 1- 2 minutes between these two exercises. Types :chest opener stretch and overhead arm chest stretch

Thoracic cage stretching

intercostal stretching OTHER

intercostal stretching involve Sessions 4 times per week ,Intensity Stretch to the point of mild discomfort, but not pain. The goal is to feel a gentle stretch in the muscles being targeted, promoting flexibility without risking injury. Duration of Sessions: Each session should last about 30-40 minutes. Exercise Duration: Each exercise should involve 10repetitions ,Hold stretch for 10-30 sec. sets: 1-2, Rest for 1- 2 minutes between these two exercises. Types :lateral side bend stretch and torso rotational stretch

intercostal stretching

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Sehat Medical Complex Hanjerwal

Lahore, Pakistan

Location

Related Publications (16)

• Jahan N. Effectiveness of inter costal stretch techniques among copd patients at NIDCH: Bangladesh Health Professions Institute, Faculty of Medicine, the University …; 2017.

  BACKGROUND

• Trivedi D, Das AK. Effect of Intercostal Stretch and Breathing Control Exercise on Lung Function among Healthy Young Females.

  BACKGROUND

• Kumar MB, Reddy RS. Immediate effect of intercostal stretch on chest expansion in healthy smokers. 2021.

  BACKGROUND

• Yu L-J, Kim T-HJIJoHM, Sciences S. The effect of cervical stabilization exercises with thoracic spine extension exercises on forward head posture. 2021;9(5):852-7.

  BACKGROUND

• Safarini OA, Bordoni B. Anatomy, Thorax, Ribs. 2023 Jul 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK538328/

  PMID: 30855912 BACKGROUND

• Chand, Vaish H. Effect of diaphragmatic breathing, respiratory muscle stretch gymnastics and conventional physiotherapy on chest expansion, pulmonary function and pain in patients with mechanical neck pain: A single group pretest-posttest quasi-experimental pilot study. J Bodyw Mov Ther. 2023 Oct;36:148-152. doi: 10.1016/j.jbmt.2023.07.004. Epub 2023 Jul 5.

  PMID: 37949552 BACKGROUND

• Armstrong M, Vogiatzis I. Personalized exercise training in chronic lung diseases. Respirology. 2019 Sep;24(9):854-862. doi: 10.1111/resp.13639. Epub 2019 Jul 3.

  PMID: 31270909 BACKGROUND

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  PMID: 34655640 BACKGROUND

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  PMID: 30289997 BACKGROUND

• Osadnik CR, Gleeson C, McDonald VM, Holland AE. Pulmonary rehabilitation versus usual care for adults with asthma. Cochrane Database Syst Rev. 2022 Aug 22;8(8):CD013485. doi: 10.1002/14651858.CD013485.pub2.

  PMID: 35993916 BACKGROUND

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  PMID: 31678077 BACKGROUND

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  PMID: 32997808 BACKGROUND

• Aaron SD, Boulet LP, Reddel HK, Gershon AS. Underdiagnosis and Overdiagnosis of Asthma. Am J Respir Crit Care Med. 2018 Oct 15;198(8):1012-1020. doi: 10.1164/rccm.201804-0682CI.

  PMID: 29756989 BACKGROUND

• Gonzalez-Garcia M, Caballero A, Jaramillo C, Maldonado D, Torres-Duque CA. Prevalence, risk factors and underdiagnosis of asthma and wheezing in adults 40 years and older: A population-based study. J Asthma. 2015 Oct;52(8):823-30. doi: 10.3109/02770903.2015.1010733. Epub 2015 May 21.

  PMID: 25996179 BACKGROUND

• Varraso R, Camargo CA Jr. Diet and asthma: need to account for asthma type and level of prevention. Expert Rev Respir Med. 2016 Nov;10(11):1147-1150. doi: 10.1080/17476348.2016.1240033. Epub 2016 Oct 5. No abstract available.

  PMID: 27701925 BACKGROUND

• Sockrider M, Fussner L. What Is Asthma? Am J Respir Crit Care Med. 2020 Nov 1;202(9):P25-P26. doi: 10.1164/rccm.2029P25. No abstract available.

  PMID: 33124914 BACKGROUND

MeSH Terms

Conditions

Asthma; Disease

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Riffat Malik malik

  Riphah International University

  PRINCIPAL INVESTIGATOR

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

Study Record Dates

• First Submitted: December 29, 2025
• First Posted: January 12, 2026
• Study Start: April 17, 2025
• Primary Completion: December 17, 2025
• Study Completion: December 17, 2025
• Last Updated: January 12, 2026

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)