Osteopathic Intervention in Professional Handball Players

Osteopathia Clinical Trial

— ECHODIAPOST  

Official title:

Ultrasound Evaluation of Diaphragmatic Contractility After Manual Osteopathic Intervention in Professional Handball Players: a Pilot Study

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT05942690
• Other study ID #: RC31/23/0146
• Status: Terminated
• Phase: N/A
• Start date: July 30, 2023
• Est. completion date: July 31, 2023

Study information

• Verified date: January 2024
• Source: University Hospital, Toulouse
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim is to study the effectiveness of a common osteopathic intervention in professional handball players on diaphragmatic contractility and its correlations with posture. This study has never been done in healthy subjects. It is a scientific process of objectification of an osteopathic technique commonly performed in this population. The main objective is to assess diaphragmatic contractibility using ultrasound after abdominal osteopathic intervention (OMT).

Description:

The context is that of optimizing the performance of professional handball players. The aim is to study the effectiveness of a common osteopathic intervention in professional handball players on diaphragmatic contractility and its correlations with posture. This study has never been done in healthy subjects. It is a scientific process of objectification of an osteopathic technique commonly performed in this population. The main objective is to assess diaphragmatic contractibility after abdominal osteopathic intervention (OMT). The secondary objective is to evaluate the impact of this manual intervention in professional handball players on: - other diaphragmatic ultrasound data - on spirometry - postural control Prospective pilot non-interventional controlled monocentric study opened in healthy male and female International players who are part of the French Handball team. Approach to objectification of current practice.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 20
• Est. completion date: July 31, 2023
• Est. primary completion date: July 31, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• healthy male and female International players who are part of the French Handball team

Exclusion Criteria:

• history of thoracic or diaphragmatic surgery

Related Conditions & MeSH terms

• Bone Diseases
• Osteopathia

Intervention

Procedure:
• manual osteopathic intervention
The subject sits on the examination table for the manual osteopathic intervention. The expert osteopath, having no report from the sonographers, will manually test breathing diaphragmatic and will bring osteopathic manual treatment to the area of mobility restriction

Locations

Country	Name	City	State
France	Maison du Handball	Créteil

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Toulouse

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Variation in the fraction of diaphragm thickening (right and left) measured on ultrasound before and after the procedure	The subject undergoes the ultrasound which will investigate the contractility of the diaphragm muscle. Two expert sonographers from G-ECHO will perform the ultrasound on each of the athletes, and note 3 successive measurements to check the stability of the results.	Day 1
Secondary	expiratory diaphragmatic thickness	expiratory diaphragmatic thickness will be measured by echography (mm) after manual abdominal osteopathic intervention	Day 1
Secondary	Variation of the Forced Vital Capacity (FVC) measured in spirometry before and after the intervention	The subject performs spirometry while standing with a Spirobank spirometer. 3 successive measurements keeping only the highest value.	Day 1
Secondary	Postural analysis	postural analysis will be perform using Cyber-Sabot type platform. the measurements will be done at day 1 before manual abdominal osteopathic intervention and at day 2	Day 2
Secondary	Inspiratory diaphragmatic thickness	Inspiratory diaphragmatic thickness will be measured by echography (mm) after manual abdominal osteopathic intervention	day 1
Secondary	diaphragmatic contraction velocity	Diaphragmatic contraction velocity is expressed in % will be measured by echography after manual abdominal osteopathic intervention	day 1
Secondary	diaphragmatic amplitude	Diaphragmatic amplitude is expressed in mm and will be measured by echography after manual abdominal osteopathic intervention	day 1