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Efficacy of Costal Mobilization Techniques and Diaphragm Release in Thoracoabdominal Kinematics, Diaphragm Mobility and Submaximal Functional Capacity in Patients With Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial (NCT03022942)

To evaluate the acute and chronic effects of costal mobilization techniques and diaphragmatic release in chest cavity kinematics, diaphragmatic mobility and functional capacity in patients with chronic obstructive pulmonary disease
  • Other: GROUP Costal mobilization & Diaphragm Release
    Costal mobilization technique (Rib raising): The patient will be lying. The Therapist supports the last four pulps of both hands at the rib angles, gently traverses the rib angles in the posterior-anterior direction, using the stretcher as a lever to facilitate the elevation of the costal angles. Siting: The Therapist hugs the patient by supporting the ribs of the fingers at the rib angles, gently traverses the rib angles bilaterally in the anterior-lateral direction. Manual Diaphragm Release Technique: The therapist makes manual contact with the underside of the costal border of the common cartilage of the last rib. In the inspiratory phase, the therapist draws the points of contact with both hands in a cephalad direction and slightly Accompanying the movement of the rib cage.
    • GROUP Rib Raising & Diaphragm Release
    • GROUP A
  • Other: GROUP Manual Diaphragm Release
    The therapist makes manual contact with the underside of the costal border of the common cartilage of the last rib. In the inspiratory phase, the therapist draws the points of contact with both hands in a cephalad direction and slightly Accompanying the movement of the rib cage.
    • GROUP B
  • Other: GROUP SHAM
    The applied technique will only be of support of the therapist's hands, in the same anatomical points being one in each hemithorax without exerting any type of effort and / or pressure in the patient. You will be asked to perform your normal breathing for two sets of ten breathing cycles, with one minute interval between sets.
    • GROUP C
Ages eligible for Study
up to 70 Years
Genders eligible for Study
All
Accepts Healthy Volunteers
No
Inclusion Criteria:
  • Diagnosis of COPD (spirometry with FEV1 <80% and FEV1 / FVC <0.7) of both sexes, who are not undergoing another physiotherapeutic treatment, up to 70 years of age, clinically stable without exacerbation in the last 6 weeks.
Exclusion Criteria:
  • Patients with rheumatic or orthopedic diseases;
  • Deformities / abnormalities in the spine that compromise the mechanics of the respiratory system;
  • Rib fracture for less than 1 year;
  • Respiratory co-morbidities;
  • History of thoracic or abdominal surgery for less than 1 year;
  • Osteoporosis and IMC > 30kg / m²
Study will be a controlled clinical trial in which participants will be randomized into 3 groups: GROUP A (costal mobilization techniques and Manual Diaphragm Release Technique), GROUP B (Manual Diaphragm Release Technique), and GROUP C (Sham). After the initial evaluation, participants will undergo six sessions of care according to randomization and will be reevaluated in 3 following situations: immediately after the first session, at the end of treatment and one week after the last session. The evaluation will be performed through Optoelectronic plethysmography , Ultrasound and 6-minutes walk test.

1 locations

Brazil (1)
  • Universidade Federal de Pernambuco
    not yet recruiting
    Recife, Pernambuco, Brazil, 50670-901
Status:
not yet recruiting
Type:
Interventional
Phase:
-
Start:
31 December, 2016
Updated:
11 January, 2017
Participants:
30
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