Musculoskeletal Manipulations
Conditions
Keywords
diaphragm dysfunction, reflexology
Brief summary
Diaphragm dysfunction, are refractory to drug therapy. This encourage investigators to explore new non-drug therapeutic paths, such as plantar reflexology (RP). The investigators proposed a comparison of the evolution of different parameters, quantitative and qualitative, to identify biomarkers and highlight the specific effect of RP on the diaphragm function, compared to placebo.
Detailed description
Many complex, chronic and multifactorial dysfunctions, such as diaphragm dysfunction, are refractory to drug therapy. This encourage investigators to explore new non-drug therapeutic paths, such as plantar reflexology (RP). This change is essential and will broaden relevant solutions to health. Despite the very positive benefits of RP highlighted, the methodological quality of trials are often poor and there are gaps notably on the description of the intervention, the blind, the drop-out rate ... which prevents the meta-analyzes to conclude. Promoting rigorous research will play an essential role in the transition to personalized and integrative medicine. With the intention of specifying the methods of application and the indications of the PR, it is necessary to correctly evaluate and be able to cross-check the different information It therefore seems relevant to combine research on the objective physiological effects in correlation with the patient's subjective feelings to initiate the scientific validation of RP and thus non-drug interventions as recommended by the High Authority for Health (HAS). The hypothesis is that through a comparison of the evolution of different parameters, quantitative and qualitative, this study will allow to identify biomarkers and highlight the specific effect of RP on the diaphragm function, compared to placebo.
Interventions
OTHERreflexology massage
reflexology massage of the foot zone implicated in diaphragm stimulation
OTHERsham massage
traditional massage of the foot
Sponsors
Institut National de la Santé Et de la Recherche Médicale, France
University Hospital, Toulouse
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
SINGLE (Subject)
Masking description
each participant has reflexology and placebo massage, he is his own comparator
Intervention model description
monocentric, interventional, comparative, randomized cross-over study in healthy individuals, with minimal risk and constraints
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Adult aged 20 to 40 * Healthy right-handed subject, attested by a score ≥ 8/10 on the Edinburgh manual laterality questionnaire * Naive subject in Reflexology.
Exclusion criteria
* Contraindication to carrying out the MRI examination * Subject refusing to be informed of any abnormality detected on brain MRI, * Subject presenting a neurodegenerative disease, * Subject presenting a cardiac disease, * Subject presenting skin lesions in the feet or recent fracture in the feet, * Subject having an history of phlebitis less than 3 months * Subject having an history of deep vein thrombosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| modulation of brain activity of the specific impact of RP | day 1 | a comparison between the activation cards of the brain networks and a map of correlation coefficients representing the strength of the connectivity between the different brain networks and regions of interest |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| variation of physiological constants related to the function of the diaphragm | Day 1 | collection of respiratory rate |
| variation in physiological constants linked to the ANS | Day 1 | collection of heart rate |
| subjective feelings of the subjects | Day 1 | Likert scale for the subjective assessment of stress and a Likert scale for the subjective assessment of ease of breathing (graduations from 1 to 7 with 1 = I completely agree and 7= I Don't agree at all) |
Countries
France
Outcome results
None listed