Efficacy of Costal Mobilization Techniques and Manual Diaphragm Release Technique in Patients COPD

Copd Clinical Trial

Official title:

Efficacy of Costal Mobilization Techniques and Diaphragm Release in Thoracoabdominal Kinematics, Diaphragm Mobility and Submaximal Functional Capacity in Patients With Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03022942
• Other study ID #: Lacap UFPE
• Status: Recruiting
• Phase: N/A
• First received: December 22, 2016
• Last updated: April 9, 2018
• Start date: January 2017
• Est. completion date: December 2018

Study information

• Verified date: April 2018
• Source: Universidade Federal de Pernambuco
• Contact: HELENA M ROCHA
• Email: hmr.fisio[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To evaluate the acute and chronic effects of costal mobilization techniques and diaphragmatic release in chest cavity kinematics, diaphragmatic mobility and functional capacity in patients with chronic obstructive pulmonary disease

Description:

Study will be a controlled clinical trial in which participants will be randomized into 2 groups: GROUP A (costal mobilization techniques and Manual Diaphragm Release Technique), GROUP B (Manual Diaphragm Release Technique). After the initial evaluation, participants will undergo six sessions of care according to randomization and will be reevaluated in 3 following situations: immediately after the first session, at the end of treatment and one week after the last session. The evaluation will be performed through Optoelectronic plethysmography , Pollar, Ultrasound and 6-minutes walk test.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 14
• Est. completion date: December 2018
• Est. primary completion date: June 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 21 Years and older

Eligibility

Inclusion Criteria:

• Diagnosis of COPD (spirometry with FEV1 <80% and FEV1 / FVC <0.7) of both sexes, who are not undergoing another physiotherapeutic treatment, from to 21 years of age, clinically stable without exacerbation in the last 6 weeks.

Exclusion Criteria:

• Patients with rheumatic or orthopedic diseases;

• Deformities / abnormalities in the spine that compromise the mechanics of the respiratory system;

• Rib fracture for less than 1 year;

• Respiratory co-morbidities;

• History of thoracic or abdominal surgery for less than 1 year;

• Osteoporosis and IMC > 30kg / m²

Related Conditions & MeSH terms

• Chest Disorders
• Copd
• Diaphragmatic Disorder
• Disease

Intervention

Other:
• GROUP Costal mobilization & Diaphragm Release
Costal mobilization technique (Rib raising): The patient will be lying. The Therapist supports the last four pulps of both hands at the rib angles, gently traverses the rib angles in the posterior-anterior direction, using the stretcher as a lever to facilitate the elevation of the costal angles. Siting: The Therapist hugs the patient by supporting the ribs of the fingers at the rib angles, gently traverses the rib angles bilaterally in the anterior-lateral direction. Manual Diaphragm Release Technique: The therapist makes manual contact with the underside of the costal border of the common cartilage of the last rib. In the inspiratory phase, the therapist draws the points of contact with both hands in a cephalad direction and slightly Accompanying the movement of the rib cage.
• GROUP Manual Diaphragm Release
The therapist makes manual contact with the underside of the costal border of the common cartilage of the last rib. In the inspiratory phase, the therapist draws the points of contact with both hands in a cephalad direction and slightly Accompanying the movement of the rib cage.

Locations

Country	Name	City	State
Brazil	Universidade Federal de Pernambuco	Recife	Pernambuco

Sponsors (1)

Lead Sponsor	Collaborator
Universidade Federal de Pernambuco

Country where clinical trial is conducted

Brazil, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mobility of the thoracic cage	Will be measured by optoelectronic plestimography	Three weeks total: Thirty minutes after the first intervention, after two weeks of intervention and after one week without treatment (follow up)
Secondary	Diaphragma mobility	Will be measured with ultrasonography	Three weeks total: Thirty minutes after the first intervention, after two weeks of intervention and after one week without treatment (follow up)
Secondary	functional capacity	Will be measured six minute walk test	Three weeks total: after two weeks of intervention and after one week without treatment (follow up)
Secondary	heart rate variability	Will be measured Pollar	1 day: before and after the intervention