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Effects of Diaphragm-releasing Techniques on the Lumbar Spine and Diaphragmatic Function in Healthy Women

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03065283
Recruitment Status : Completed
First Posted : February 27, 2017
Results First Posted : April 7, 2020
Last Update Posted : April 16, 2020
Sponsor:
Information provided by (Responsible Party):
Pedro Olavo de Paula Lima, Universidade Federal do Ceara

Brief Summary:
The aim of this study was to evaluate the immediate effects of diaphragmatic release techniques on posterior chain flexibility and lumbar spine amplitude. Respiratory muscle strength and chest cavity mobility in healthy women.

Condition or disease Intervention/treatment Phase
Healthy Individuals Procedure: Diaphragm lift Procedure: Relaxation of the diaphragm pillars Not Applicable

Detailed Description:
The aim of this study was to evaluate the immediate effects of diaphragmatic release techniques on posterior chain flexibility and lumbar spine amplitude; Respiratory muscle strength and chest cavity mobility in healthy women. This is an intervention study with a randomized controlled trial design. The randomized study in two groups, the Intervention Group in which two diaphragmatic release techniques were performed and the Control Group where two placebo techniques were applied in 75 participants between 18 and 35 years of age. For intragroup analysis the paired Student t test was used, comparing the outcomes before and after the intervention and for intergroup analysis the independent Student t test.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 75 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: The sample was randomly divided by electronic draw in two groups, the intervention group (GI), where two techniques were performed, one for diaphragmatic release and another for relaxation of the diaphragm pillars. In the control group (CG) the same techniques were applied, but in a placebo form.
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Effects of Diaphragm-releasing Techniques on the Lumbar Spine and Diaphragmatic Function in Healthy Women: a Randomized Clinical Trial
Actual Study Start Date : October 2015
Actual Primary Completion Date : March 2016
Actual Study Completion Date : March 2016

Arm Intervention/treatment
Active Comparator: Diaphragmatic release
The stretching of the peripheral fibers of the diaphragm
Procedure: Diaphragm lift
The purpose is to generate the stretch of the peripheral fibers of the diaphragm, being performed with the patient in the supine position and the physiotherapist standing on the patient's head and Pulling the Your costal arch In the cephalic direction, for one minute, twice
Other Name: Diaphragmatic release 1

Procedure: Relaxation of the diaphragm pillars
Second technique aims to promote the rhythmic stretching of the double psoas diaphragm pillars, being performed with The patient in the ventral position and the therapist standing at his side placing the ulnar border of his cephalic hand on the last ribs and his caudal hand flattened in front of the popliteal fossa of the popliteal fossa, stretching was done for one minute
Other Name: Diaphragmatic release 2

Placebo Comparator: Diaphragmatic release control
In both placebo techniques, only the light touching of the contacts of the volunteers' skin
Procedure: Diaphragm lift
The purpose is to generate the stretch of the peripheral fibers of the diaphragm, being performed with the patient in the supine position and the physiotherapist standing on the patient's head and Pulling the Your costal arch In the cephalic direction, for one minute, twice
Other Name: Diaphragmatic release 1

Procedure: Relaxation of the diaphragm pillars
Second technique aims to promote the rhythmic stretching of the double psoas diaphragm pillars, being performed with The patient in the ventral position and the therapist standing at his side placing the ulnar border of his cephalic hand on the last ribs and his caudal hand flattened in front of the popliteal fossa of the popliteal fossa, stretching was done for one minute
Other Name: Diaphragmatic release 2




Primary Outcome Measures :
  1. Thoracic Mobility [ Time Frame: baseline and immediately post-intervention ]
    Thoracic mobility was measued with a tape as an evaluation tool.


Other Outcome Measures:
  1. Amplitude of Motion of the Lumbar Spine [ Time Frame: baseline and immediately post-intervention ]
    Tape measure was used as an evaluation tool.

  2. Posterior Chain Flexibility [ Time Frame: baseline and immediately post-intervention ]
    Tape measure was used as an evaluation tool.

  3. Maximum Respiratory Pressure [ Time Frame: baseline and immediately post-intervention ]
    manovacuometer was used as an evaluation tool.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 35 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • sedentary female participants
  • aged between 18 and 35 years.

Exclusion Criteria:

  • those with cardiovascular, respiratory obstructive or restrictive disease
  • smokers and ex-smokers
  • who were or were submitted to speech therapy less than a year ago
  • those with postural deviation type scoliosis
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Pedro Olavo de Paula Lima, University professor of physiotherapy course Federal University of Ceará, Universidade Federal do Ceara
ClinicalTrials.gov Identifier: NCT03065283    
Other Study ID Numbers: POdePLima2
First Posted: February 27, 2017    Key Record Dates
Results First Posted: April 7, 2020
Last Update Posted: April 16, 2020
Last Verified: April 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No