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Diaphragm Stretching Increases Spine and Thoracic Mobility

This study has been completed.
Information provided by (Responsible Party):
Marie Carmen Valenza, Universidad de Granada Identifier:
First received: December 17, 2012
Last updated: October 30, 2016
Last verified: October 2016
Physical therapists have traditionally included various forms of manual therapy among the therapeutic approaches to spinal pathologies. The aim of this study was to evaluate the effect of diaphragmatic stretching on spine and thoracic movement in healthy adults.

Condition Intervention
Healthy Other: Diaphragm stretching. Other: Placebo.

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Diaphragm Stretching Technique Increases Spine Mobility and Thoracic Movement: a Randomized Controlled Trial

Further study details as provided by Marie Carmen Valenza, Universidad de Granada:

Primary Outcome Measures:
  • Assessment of lumbar mobility [ Time Frame: up to 2 months ]
    Schober test is a flexion trunk test to evaluate lumbar spine mobility. During this test, while the patient is in the standing position, marks are made in the midpoint between the posterior superior iliac spines (PSISs) and 10 cm superiorly to this point.

Secondary Outcome Measures:
  • Assessment of trunk mobility [ Time Frame: baseline, 2 months ]
    In Finger to floor test, the subjects were stood on a stool and asked to flex the trunk forward in order to reach as far as possible with both hands, without blending their knees.

  • Cervical mobility [ Time Frame: baseline, 2 months. ]
    A Baseline Bubble Inclinometer, Fabrication Enterprises Incorporated, New York. USA, was used to measure de active range of motion of the cervical spine. The measurements were performed in two planes of movement, lateral flexion (frontal plane) the right and left side; and flexion-extension (sagittal plane)

  • Abdominal and Thoracic Dimensions and Kinematics [ Time Frame: baseline, 2 months. ]
    Abdominal and thoracic dimensions and kinematics measurements can be used as an evaluative method for diaphragmatic breathing excursion to quantify possible alterations in thoracic capacity and abdominal and chest wall compliance as achieved by all expiratory and inspiratory muscles

Enrollment: 80
Study Start Date: June 2012
Study Completion Date: May 2015
Primary Completion Date: January 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Experimental group
43 people are recruited in order to the inclusion criteria for the study. They are healthy people. A diaphragm stretching technique was employed in this experimental group.
Other: Diaphragm stretching.
A manual technique of diaphragm stretching during 7 minutes. The participants were situated in a seated position.
Other Name: Manual technique
Placebo Comparator: Placebo group
37 healthy people were recruited in order to the inclusion criteria.
Other: Placebo.
Disconnected ultrasound was used for the 7 min as sham treatment
Other Name: Placebo

Detailed Description:
Spinal pain is a well recognized condition associated with significant personal and community burdens. Recent studies estimated the prevalence between 6 and 22% in neck pain, from 4-72% in thoracic pain and from 1.0% to 58.1% in low back pain, which increases with age. During the last decades numerous researches have been conducted on stretching effects, evidencing an increased muscle control, flexibility and range of motion. The main purpose of this investigation is to examine the effects of diaphragm stretching in spine and thoracic mobility in healthy subjects in order to apply the results in a specifics pathologies in future studies.

Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Healthy subjects
  • Age: between 18 and 65 years old.

Exclusion Criteria:

  • Pathological subjects
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01753726

Faculty of Health Sciences. University of Granada.
Granada, Spain, 18071
Sponsors and Collaborators
Universidad de Granada
Principal Investigator: M. Carmen Valenza, PH MD Department of Physical Therapy. University of Granada.
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Marie Carmen Valenza, Assistant professor, Universidad de Granada Identifier: NCT01753726     History of Changes
Other Study ID Numbers: DF0037UG
Study First Received: December 17, 2012
Last Updated: October 30, 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

Keywords provided by Marie Carmen Valenza, Universidad de Granada:
stretching, diaphragm, spinal movement, thoracic movement processed this record on September 19, 2017