The Effect of Instrument Assisted Soft Tissue Mobilization on Respiratory Functions in Chronic Obstructive Pulmonary Disease

COPD Clinical Trial

Official title:

Effect of Instrument Assisted Soft Tissue Mobilization in Chronic Obstructive Pulmonary Disease

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05023876
• Other study ID #: 006
• Status: Completed
• Phase: N/A
• Start date: March 15, 2021
• Est. completion date: September 30, 2021

Study information

• Verified date: January 2022
• Source: Okan University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to investigate the effect of instrument-assisted soft tissue mobilization applied to the hamstring muscle on respiratory function in patients with COPDThe patients to be included in the study will be divided into two groups by simple randomization. A group will be given breathing exercises (pursed lip breathing, diaphragmatic breathing and thoracic expansion exercises) as a home program. The other group will be given breathing exercises in the form of a home program in addition to 1 session of EDYM per week. Both groups will be evaluated before and 4 weeks after treatment.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: September 30, 2021
• Est. primary completion date: September 15, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 65 Years

Eligibility

Inclusion Criteria:

• Diagnosed with GOLD stage I-II COPD
• Between the ages of 40-65
• COPD in stable period
• No other respiratory disease that impairs respiratory functions such as asthma
• Knee flexion angle of 15 degrees and above in the hamstring muscle shortness test,
• Individuals without musculoskeletal problems in their lower extremities were included.

Exclusion Criteria:

• COPD patients who receive home oxygen therapy or who need oxygen therapy frequently
• COPD exacerbation, hospitalization with acute exacerbation in the last 15 days
• Pregnancy
• Kyphoscoliosis, advanced postural disorder
• Prior thoracic surgery
• Advanced heart failure
• Patients with primary pulmonary hypertension or have had a pulmonary embolism,
• Having serious neurological diseases such as Parkinson's, hemiplegia, multiple sclerosis,
• Neuromuscular disease
• Having dementia, Alzheimer's or advanced cognitive problems,
• Diagnosed with lung cancer or other malignancy,
• People with morbid obesity will not be included in the study.

Related Conditions & MeSH terms

• COPD
• Lung Diseases, Obstructive
• Pulmonary Disease, Chronic Obstructive
• Pulmonary Function

Intervention

Other:
• IASTM+respiratory Exercise
Instrument assisted soft tissue mobilization
• Respiratory Exercise
Respiratory Exercise

Locations

Country	Name	City	State
Turkey	Emine	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Okan University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Respiratory Function	Respiratory Function evaluated with spirometer	5 minute
Secondary	Chest circumference measurement	It will be performed in a standing position with body weight evenly distributed over both lower extremities. During the tidal volume maximum inspiration and maximum expiration, the body of the person will be surrounded by a tape measure separately from the fourth intercostal space (axillary region), xiphoid process and subcostal region lines. To determine rib cage mobility, the difference between chest circumference measurements at maximum inspiration and maximum expiration will be recorded in centimeters. Measurements will be repeated for both groups before and after the application.	5 minute
Secondary	Popliteal angle test	Popliteal Angle Test will be used to evaluate hamstring muscle mobility. The person to be evaluated will be placed on the back with the hip and knee joints flexed to 90° and the contralateral side with the extremity extended. The person will be instructed to hold the back surface of the leg with their hands and maintain the flexion angle. Meanwhile, the inclinometer will be detected in the anterior-midline of the tibia. Then, the person will be asked to extend the knee as much as tolerated and the last degree of movement will be measured. It will be repeated before and after the application for both the treatment and control groups.	3 minutes
Secondary	Finger-floor distance measurement	To consider the mobility of the posterior chain muscles as a whole, the finger-to-ground distance test with high reliability and sensitivity will be used. The person standing on a block with a height of 15 cm from the ground will be asked to bend forward and touch his toes without bending his knees, and at the end of the movement, the distance between the distal end of his extended fingers and the ground will be measured. Values above the block will be evaluated as minus, and values below the block will be evaluated as plus. The measurement will be repeated three times and the average value will be recorded. It will be repeated before and after the application for both the treatment and control groups.	3 minutes
Secondary	Hand grip strength	Measurement will be taken with the patients in a sitting position, shoulder adduction, elbow flexion at 90°, forearm prono-supination neutral, and wrist joint in neutral position. 3 consecutive measurements will be provided with 60-second rest breaks between measurements and the result obtained from the average of the three measurements will be recorded. It will be repeated before and after the application for both the treatment and control groups.	3 minutes
Secondary	6-minute walk test	The 6-minute walk test (6MWT) is the most commonly used field test in patients with COPD. Participants will be asked to walk the longest distance they can walk at their own pace for a period of 6 minutes, under the supervision of a physiotherapist, in a 30-meter straight corridor. After the test is complete, the total distance walked will be recorded in meters. It will be repeated before and after the application for both the treatment and control groups.	6 minute