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Diaphragmatic Myofascial Release Techinque on Chest Expansion and Heart Rate in Patients Having Thoracic Kyphosis

Effects of Diaphragmatic Myofascial Release on Chest Expansion and Heart Rate in Patients With Thoracic Kyphosis

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06656143
Enrollment
44
Registered
2024-10-24
Start date
2024-10-16
Completion date
2024-12-15
Last updated
2025-09-03

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

Conditions

Thoracic Kyphosis

Brief summary

The air of this RCT is to evaluate the effects Diaphragmatic Myofascial Release technique on chest expansion and heart rate in patients with thoracic kyphosis

Detailed description

This study focus on diaphragmatic release technique along with conventional therapy is more effective in improving chest expansion and with im-proved chest expansion, heart rate and blood pressure is also improved because tho-racic kyphosis impacts the way of heart and lung function creating stress response and increasing heart rate and blood pressure. Lung capacity is also reduced in indi-viduals with thoracic kyphosis. Postural alterations of thoracic spine result in im-paired chest expansion and length tension curve of diaphragm.

Interventions

OTHERTraditional Physical therapy

The exercise program included the strengthening of the deep cervical flexor and shoulder retractor muscles and also stretching of the pectoralis and cervical extensor muscles. (3 sets of 12 repetitions) Strengthening Deep Cervical Flexors Lying chin tuck Lying chin tuck with head lift. Strengthening Shoulder Retractors Standing shoulder pull back with elastic Shoulder pull back with weight Stretch Cervical Extensors Chin drop Stretch Pectoralis Muscle Bilateral Pectoral stretch

To release the diaphragm, the patient was positioned in the supine position. The therapist stood at the head of the patient. The therapist made manual contact bilaterally under the costal cartilages of the lower ribs (7th to 10th) with hypothenar regions of the hands and last three fingers. During the patient's inspiration, the therapist was gently pulling the points of hands contacts toward the head and slightly laterally, while elevating the ribs simultaneously. During exhalation, the therapist deepened hand contacts towards the inner costal margins Exercise Program (3 sets of 12 reps) Strengthening deep cervical flexors Strengthening shoulder retractors Stretching Cervical Extensors Stretching Pectoralis Muscle

Sponsors

Riphah International University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Both male and females * age 18-40 years * patients who consented to the purposes of this study and participated voluntarily. * patients with thoracic kyphosis ≥40

Exclusion criteria

* Participant failing to fall in this category would be excluded of the study. * Vertebrobasilar insufficiency, rib fracture, rib dislocation and/or signs of serious pathology (e.g., malignancy, inflammatory disorder, infection); * History of cervical spine surgery in previous 12 months * Signs of cervical radiculopathy or myelopathy; and vascular syndromes such as basilar insufficiency. * Patients with diagnosed any respiratory condition. * Patient diagnosed with hypertension or taking any medication

Design outcomes

Primary

MeasureTime frameDescription
Chest Expansion3rd weekDiaphragm is facially and mechanically attached to thoracic spine, so releasing tension in diaphragmatic muscles will improve biomechanics, resulting in greater chest expansion and improving heart rate.
Heart Rate3rd weekDiaphragm a thin, flat muscle that separates the thoracic and abdominal cavity, is the primary muscle of respiration, which plays significant role in breathing and physiological regulation. Hyper kyphosis negatively affects chest expansion and heartrate by causing limited mobility in thoracic cage. Diaphragm is facially and mechanically attached to thoracic spine, so releasing tension in diaphragmatic muscles will improve biomechanics, resulting in greater chest expansion and improving heart rate

Secondary

MeasureTime frameDescription
Thoracic Kyphosis3rd weekKyphosis is an abnormal convex curvature in thoracic spine, certain factors such as neuromuscular disorders, congenital anomalies and positional difficulties trigger development of kyphotic posture. Thoracic kyphosis affects the physiological and anatomical feature of the human body

Countries

Pakistan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026