Copd / Chest Disorders / Diaphragmatic Disorder
Universidade Federal de Pernambuco
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 ReleaseCostal 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 ReleaseThe 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 SHAMThe 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|
- 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.
- 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.
- Universidade Federal de Pernambuconot yet recruitingRecife, Pernambuco, Brazil, 50670-901
not yet recruiting
31 December, 2016
11 January, 2017