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Muscle Energy Techniques in COPD Patients

Muscle Energy Techniques in Chronic Obstructive Disease Patients: Effects on Pulmonary Function and Activities of Daily Living

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04773860
Enrollment
110
Registered
2021-02-26
Start date
2021-02-23
Completion date
2023-06-30
Last updated
2021-02-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Obstructive Pulmonary Disease

Keywords

COPD, METs, Muscle Energy Techniques, Dyspnoea, Activities of daily living

Brief summary

Patients diagnosed with COPD as a result of hyperinflation adapt to the increased workload through shortening and overactivation of other muscles because of their dual function as muscles of the upper limb and neck motion which makes them limited in function and decreases the range of motion in these joints. Another resultant effect of these changes is the shortness of breath taking place following the inability of patients to perform daily activities. Current research is focusing on the use of Muscle Energy Techniques (METs) for such circumstances. Therefore, this study aims to evaluate whether METs result in an improvement in rib cage mobility which could potentially lead to improvements in pulmonary function and activities of daily of living (ADLs) in a group of patients diagnosed with COPD. If positive results are obtained, such an intervention might provide a possible addition to the evidence-based interventions already available for COPD patients. The result of this intervention may provide physiotherapists with further techniques for use in such patients; ones which will be of benefit to the patients and their quality of life and also to the health services.

Detailed description

Patients diagnosed with COPD as a result of hyperinflation adapt to the increased workload through shortening and overactivation of other muscles because of their dual function as muscles of the upper limb and neck motion which makes them limited in function and decreases the range of motion in these joints. Another resultant effect of these changes is the shortness of breath taking place following the inability of patients to perform daily activities. Current research is focusing on the use of Muscle Energy Techniques (METs) for such circumstances. Therefore, this study aims to evaluate whether METs result in an improvement in rib cage mobility which could potentially lead to improvements in pulmonary function and activities of daily of living (ADLs) in a group of patients diagnosed with COPD. If positive results are obtained, such an intervention might provide a possible addition to the evidence-based interventions already available for COPD patients. The result of this intervention may provide physiotherapists with further techniques for use in such patients; ones which will be of benefit to the patients and their quality of life and also to the health services. A randomised controlled trial (RCT) shall be carried out on an approximate sample of 110 patients diagnosed with COPD. Participants shall be randomly assigned to an intervention and a control group. The intervention group shall be receiving a 4 week programme of Muscle Energy Techniques whereas the control group shall continue with their prescribed medications and any conventional physiotherapy sessions suggested for these patients.

Interventions

A 4 week intervention will be carried out consisting of Muscle Energy Techniques on the accessory muscle of respiration. That is, Pectoralis Minor, Sternocleidomastoid, Upper trapezius, Scalene muscles and Latissimus Dorsi

Sponsors

University of Malta
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Masking description

Patients shall be randomly assigned to the intervention and control group.

Intervention model description

Patients diagnosed with COPD

Eligibility

Sex/Gender
ALL
Age
40 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

1. The patient has to have been diagnosed as suffering from COPD by a medical consultant, 2. Be medically stable with no exacerbations within the past 2 months and, 3. Be between the age range of 40 to 79 years of age.

Exclusion criteria

1. Rheumatoid arthritis, 2. Musculoskeletal or neuromuscular pathology and, 3. Cognitive disability that could affect comprehension or execution of the intervention protocol or outcome measurements

Design outcomes

Primary

MeasureTime frameDescription
Change in Lung function testWeek 0, Week 4 and Week 8Spirometry
Change in Chest expansionWeek 0, Week 4 and Week 8Chest expansion using a tape measure
Change in 6 Minute Walk TestWeek 0, Week 4 and Week 8An endurance test over a 6 minute time frame using a 30m course
Change in Manchester Related Activities of Daily Living QuestionnaireWeek 0, Week 4 and Week 8MR-ADL is a reliable physical disability scale. It is a self-completed scale and usually takes around 10 minutes to complete. It assesses functional ability in 4 different domains, that is in the kitchen, mobility, domestic tasks and leisure activities

Contacts

Primary ContactKimberley Sevasta, BSc
sevastakimberley@gmail.com79980164
Backup ContactAnabel Sciriha, PhD
anabel.sciriha@um.edu.mt99423327

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026