Manual Therapy in Patients With Asthma

Asthma Clinical Trial

Official title:

Effects of Manual Therapy in Patients With Asthma

Clinical Trial Details — Status: Suspended

Administrative data

• NCT number: NCT02047370
• Other study ID #: DF0046UG
• Status: Suspended
• Phase: N/A
• First received: January 22, 2014
• Last updated: December 3, 2015
• Start date: January 2014
• Est. completion date: December 2016

Study information

• Verified date: December 2015
• Source: Universidad de Granada
• Contact: n/a
• Is FDA regulated: No
• Health authority: Spain: Comité Ético de Investigación Clínica
• Study type: Interventional

Clinical Trial Summary

Physical therapists have traditionally included various forms of manual therapy among the therapeutic approaches to respiratory conditions. The aim of this study was to evaluate the effect of diaphragmatic stretching technique on pulmonary ventilation, rig bage excursion and spirometric values in patients diagnosed with asthma.

Description:

Asthma is a chronic lung disease involving an inflammation and a narrowing of the airways. Asthma causes wheezing, chest tightness, shortness of breath, and coughing.

A variety of manual therapies are commonly used to treat patients with asthma. There is a need to conduct studies in order to examine the effects of manual therapies on clinically relevant outcomes. Techniques aim to increase movement in the rib cage and the spine to try and improve the working of the lungs and circulation.

Recruitment information / eligibility

• Status: Suspended
• Enrollment: 60
• Est. completion date: December 2016
• Est. primary completion date: October 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 45 Years

Eligibility

Inclusion Criteria:

• Age ranging between 18 and 45 years.

• Diagnosis of asthma.

• No exacerbations during last month.

Exclusion Criteria:

• History of spine surgery.

• Diabetes, neurological or a cardiovascular disease.

• Spine deformities and use of orthopedic devices.

Study Design

Allocation: Randomized, Intervention Model: Single Group Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Asthma

Intervention

Other:
• Diaphragm stretching
The therapist stands behind the patient and passes his hands around the thoracic cage, carefully introducing fingers under the costal margins. The patient slightly rounds the trunk in order to relax rectus abdominis. During the exhalation of the patient the therapist grasps the lower ribs and costal margin and eases the hands caudally. This traction was maintained during 5-7 minutes.
• Placebo
The same therapist, patient position and duration of the technique, but using disconnected ultrasound

Locations

Country	Name	City	State
Spain	Faculty of health Sciences. University of Granada	Granada

Sponsors (1)

Lead Sponsor	Collaborator
Universidad de Granada

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Forced vital capacity	The amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. It is going to be measured using a spirometer as recommended by the American Thoracic Society.	Baseline, 7 days	Yes
Secondary	Abdominal Kinematics	Abdominal kinematic measurements can be used as an evaluative method to quantify possible alterations in abdominal movements.	baseline, 7 days	Yes
Secondary	Airway diffusing capacity	The airway diffusion capacity will be measure using the deep breeze device. This is a non-invasive and radiation-free gadget that provides a dynamic image of the lungs, delivering both structural and functional information.	baseline, 7 days	Yes
Secondary	Forced expiratory volume in the first second	This is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. It is going to be measured using a spirometer as recommended by the American Thoracic Society.	baseline, 7 days	Yes
Secondary	Rib cage excursion	Rib cage excursion can be used as an evaluative method for diaphragmatic breathing excursion to quantify possible alterations in thoracic capacity and chest wall compliance as achieved by all expiratory and inspiratory muscles	baseline, 7 days	Yes