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Evaluation of the effect of a physiotherapy intervention on diaphragm muscle movement in people with chronic respiratory disease using ultrasound analysis

Acute Effect of EPAP on Maximal Diaphragmatic Excursion in Patients with Chronic Obstructive Pulmonary Disease: An Analysis with Lung Ultrasonography - EPAP EPAP - Expiratory Positive Airway Pressure

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-2n2kc7x
Enrollment
20
Registered
2026-02-12
Start date
2025-08-16
Completion date
Unknown
Last updated
2026-03-02

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

Conditions

Positive-Pressure Respiration

Interventions

This study will be conducted using a crossover design, characterized by allowing all participants to be exposed to more than one intervention at different times, acting as their own controls. Each COP
s electronic medical records, will participate in this study. The study sample will consist of 16 patients, with an additional 25% to account for potential losses, totaling a sample of 20 people. All
s scale and subsequently used to calculate each patient&apos
s Body Mass Index (BMI). Following this, the pre-intervention assessment will begin, during which the patient&apos
s vital signs will be collected, the Modified Borg Scale will be applied, spirometry and manovacuometry will be performed, and a pulmona

Sponsors

Universidade Federal de Pelotas
Lead Sponsor
Hospital Escola UFPel
Collaborator

Eligibility

Inclusion criteria

Inclusion criteria: Clinical and/or functional diagnosis confirmed of Chronic Obstructive Pulmonary Disease (COPD); hemodynamic stability at the time of protocol application; preserved level of consciousness, with the ability to understand and execute simple verbal commands; functional level that allows positioning at the bedside for the intervention

Exclusion criteria

Exclusion criteria: Patients using continuous oxygen therapy via mask (Venturi, reservoir mask, or high-flow mask);patients who have undergone any recent thoracic or abdominal surgery; tracheostomized patients; patients with ascites; patients with cognitive or neurological impairment that prevents them from understanding or performing the proposed procedures

Design outcomes

Primary

MeasureTime frame
Measurement of maximum diaphragmatic excursion through pre- and immediate post-intervention ultrasound

Secondary

MeasureTime frame
Modified Borg Scale for analyzing the level of respiratory effort before and after immediate intervention;Manovacuometry using an analog manovacuometer with a pressure of +/- 150 cmH2O to measure maximum inspiratory pressure and maximum expiratory pressure before and after immediate intervention;Spirometry using a portable digital spirometer to measure forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) before and after immediate intervention

Countries

Brazil

Contacts

Public ContactRafael Orcy

Universidade Federal de Pelotas

rafaelorcy@gmail.com+55 053 32732752

Outcome results

None listed

Source: REBEC (via WHO ICTRP) · Data processed: Mar 14, 2026