Diabetes
Conditions
Brief summary
To investigate if there is a significant effect of manual diaphragmatic release technique on exercise capacity, sleep quality, chest expansion, ADL, fatigue and quality of life in older adults with type II diabetes.
Detailed description
Participants, including both genders, will have a history of Diabetes Type II for more than one year. They will be well controlled with HbA1c≤7. Patients will be aged from 55 years and above and had a body mass index less than 30 kg/m². Patients will follow up on the training program and instructions. They will be medically stable.
Interventions
The participant should be supine with relaxed limbs, and the therapist should position themselves at the head, making manual contact with the pisiform, hypothenar region, and fingers. The therapist should gently pull the contact towards the head, deepen it during exhalation, and gradually increase the depth.
Participants in a crook laying position are instructed to inhale through the nose, lift the abdomen, and let out through the mouth, breathing six breaths per minute for 30 minutes.
Sponsors
Study design
Eligibility
Inclusion criteria
* History of Diabetes Type II for more than one year. * They will be well controlled with HbA1c≤7. * Patients will be aged from 55 years and above and had a body mass index less than 30 kg/m². * Patients will follow up on the training program and instructions. They will be medically stable.
Exclusion criteria
* Chest diseases. * Diaphragmatic hernia, clinical evidence of phrenic nerve injury, recent abdominal or thoracic surgery, or history of traumatic lesion possibly affecting diaphragm. * History of Myocardial infarction and/or cardiothoracic surgery * Unstable medical status. * Cognitive disability hindering responding to the questionnaires.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6-minute walk test | up to 6 weeks | The 6 Minute Walk Test is a sub-maximal exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity. |
| Pittsburgh Sleep Quality Index (PSQI) | up to 6 weeks | The Pittsburgh Sleep Quality Index (PSQI) is a self-report questionnaire that assesses sleep quality over a 1-month time interval. The measure consists of 19 individual items, creating 7 components that produce one global score, and takes 5-10 minutes to complete |
Countries
Egypt