Chest Disorders, Copd, Diaphragmatic Disorder
Conditions
Brief 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
Detailed 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.
Interventions
OTHERGROUP 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.
OTHERGROUP 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.
Sponsors
Universidade Federal de Pernambuco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mobility of the thoracic cage | Three weeks total: Thirty minutes after the first intervention, after two weeks of intervention and after one week without treatment (follow up) | Will be measured by optoelectronic plestimography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diaphragma mobility | Three weeks total: Thirty minutes after the first intervention, after two weeks of intervention and after one week without treatment (follow up) | Will be measured with ultrasonography |
| functional capacity | Three weeks total: after two weeks of intervention and after one week without treatment (follow up) | Will be measured six minute walk test |
| heart rate variability | 1 day: before and after the intervention | Will be measured Pollar |
Countries
Brazil
Outcome results
None listed