Skip to content

Manual Diaphragmatic Release Technique on Exercise Capacity and Sleep Quality

Effect of Manual Diaphragmatic Release Technique on Exercise Capacity and Sleep Quality in Older Adults With Type II Diabetes: a Randomized Controlled Trial

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06880783
Acronym
DM and sleep
Enrollment
44
Registered
2025-03-18
Start date
2025-03-30
Completion date
2026-10-31
Last updated
2025-04-15

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

Conditions

Diabetes

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

Beni-Suef University
Lead SponsorOTHER

Study design

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

Eligibility

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

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

MeasureTime frameDescription
6-minute walk testup to 6 weeksThe 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 weeksThe 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

Contacts

Primary ContactMohammed Yo Elhamrawy, Ph.D
dr_melhamrawy@yahoo.com+201282805567

Outcome results

None listed

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