Healthy Individuals
Conditions
Brief summary
The aim of this study was to evaluate the immediate effects of diaphragmatic release techniques on posterior chain flexibility and lumbar spine amplitude. Respiratory muscle strength and chest cavity mobility in healthy women.
Detailed description
The aim of this study was to evaluate the immediate effects of diaphragmatic release techniques on posterior chain flexibility and lumbar spine amplitude; Respiratory muscle strength and chest cavity mobility in healthy women. This is an intervention study with a randomized controlled trial design. The randomized study in two groups, the Intervention Group in which two diaphragmatic release techniques were performed and the Control Group where two placebo techniques were applied in 75 participants between 18 and 35 years of age. For intragroup analysis the paired Student t test was used, comparing the outcomes before and after the intervention and for intergroup analysis the independent Student t test.
Interventions
PROCEDUREDiaphragm lift
The purpose is to generate the stretch of the peripheral fibers of the diaphragm, being performed with the patient in the supine position and the physiotherapist standing on the patient's head and Pulling the Your costal arch In the cephalic direction, for one minute, twice
PROCEDURERelaxation of the diaphragm pillars
Second technique aims to promote the rhythmic stretching of the double psoas diaphragm pillars, being performed with The patient in the ventral position and the therapist standing at his side placing the ulnar border of his cephalic hand on the last ribs and his caudal hand flattened in front of the popliteal fossa of the popliteal fossa, stretching was done for one minute
Sponsors
Universidade Federal do Ceara
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
The sample was randomly divided by electronic draw in two groups, the intervention group (GI), where two techniques were performed, one for diaphragmatic release and another for relaxation of the diaphragm pillars. In the control group (CG) the same techniques were applied, but in a placebo form.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* sedentary female participants * aged between 18 and 35 years.
Exclusion criteria
* those with cardiovascular, respiratory obstructive or restrictive disease * smokers and ex-smokers * who were or were submitted to speech therapy less than a year ago * those with postural deviation type scoliosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Thoracic Mobility | baseline and immediately post-intervention | Thoracic mobility was measued with a tape as an evaluation tool. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Amplitude of Motion of the Lumbar Spine | baseline and immediately post-intervention | Tape measure was used as an evaluation tool. |
| Posterior Chain Flexibility | baseline and immediately post-intervention | Tape measure was used as an evaluation tool. |
| Maximum Respiratory Pressure | baseline and immediately post-intervention | manovacuometer was used as an evaluation tool. |
Participant flow
Pre-assignment details
none declare
Participants by arm
| Arm | Count |
|---|---|
| Diaphragmatic Release The stretching of the peripheral fibers of the diaphragm
Diaphragm lift: The purpose is to generate the stretch of the peripheral fibers of the diaphragm, being performed with the patient in the supine position and the physiotherapist standing on the patient's head and Pulling the Your costal arch In the cephalic direction, for one minute, twice
Relaxation of the diaphragm pillars: Second technique aims to promote the rhythmic stretching of the double psoas diaphragm pillars, being performed with The patient in the ventral position and the therapist standing at his side placing the ulnar border of his cephalic hand on the last ribs and his caudal hand flattened in front of the popliteal fossa of the popliteal fossa, stretching was done for one minute | 50 |
| Diaphragmatic Release Control In both placebo techniques, only the light touching of the contacts of the volunteers' skin
Diaphragm lift: The purpose is to generate the stretch of the peripheral fibers of the diaphragm, being performed with the patient in the supine position and the physiotherapist standing on the patient's head and Pulling the Your costal arch In the cephalic direction, for one minute, twice
Relaxation of the diaphragm pillars: Second technique aims to promote the rhythmic stretching of the double psoas diaphragm pillars, being performed with The patient in the ventral position and the therapist standing at his side placing the ulnar border of his cephalic hand on the last ribs and his caudal hand flattened in front of the popliteal fossa of the popliteal fossa, stretching was done for one minute | 25 |
| Total | 75 |
Baseline characteristics
| Characteristic | Total | Diaphragmatic Release | Diaphragmatic Release Control |
|---|---|---|---|
| Age, Continuous | 21.18 years STANDARD_DEVIATION 2.49 | 21.24 years STANDARD_DEVIATION 2.86 | 21.12 years STANDARD_DEVIATION 2.12 |
| Sex: Female, Male Female | 75 Participants | 50 Participants | 25 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 50 | 0 / 25 |
| serious Total, serious adverse events | 0 / 50 | 0 / 25 |
Outcome results
Primary
Thoracic Mobility
Thoracic mobility was measued with a tape as an evaluation tool.
Time frame: baseline and immediately post-intervention
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Diaphragmatic Release | Thoracic Mobility | post-intervention | 3.47 cm | Standard Deviation 1 |
| Diaphragmatic Release | Thoracic Mobility | baseline | 2.87 cm | Standard Deviation 0.93 |
| Diaphragmatic Release Control | Thoracic Mobility | post-intervention | 2.86 cm | Standard Deviation 0.99 |
| Diaphragmatic Release Control | Thoracic Mobility | baseline | 2.78 cm | Standard Deviation 1.08 |
Comparison: A paired t-test was used for intragroup analysis, and an independent Student's t-test was used for intergroup analysis. Data are represented in mean between-group difference with a 95% CI, and analysis was by intention to treat.p-value: 0.0595% CI: [-0.38, 0.57]t-test, 2 sided
Other Pre-specified
Amplitude of Motion of the Lumbar Spine
Tape measure was used as an evaluation tool.
Time frame: baseline and immediately post-intervention
Other Pre-specified
Maximum Respiratory Pressure
manovacuometer was used as an evaluation tool.
Time frame: baseline and immediately post-intervention
Other Pre-specified
Posterior Chain Flexibility
Tape measure was used as an evaluation tool.
Time frame: baseline and immediately post-intervention