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

Effects of Diaphragm-releasing Techniques on the Lumbar Spine and Diaphragmatic Function in Healthy Women: a Randomized Clinical Trial

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.

Study Overview

• Status: Completed
• Conditions: Healthy Individuals
• Intervention / Treatment: Procedure: Diaphragm lift; Procedure: Relaxation of the diaphragm pillars

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.

• Study Type: Interventional
• Enrollment (Actual): 75
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 35 years (ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: Female

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / 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 Names: 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 Names: 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 Names: 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 Names: Diaphragmatic release 2

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Thoracic Mobility	Thoracic mobility was measued with a tape as an evaluation tool.	baseline and immediately post-intervention

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Amplitude of Motion of the Lumbar Spine	Tape measure was used as an evaluation tool.	baseline and immediately post-intervention
Posterior Chain Flexibility	Tape measure was used as an evaluation tool.	baseline and immediately post-intervention
Maximum Respiratory Pressure	manovacuometer was used as an evaluation tool.	baseline and immediately post-intervention

Collaborators and Investigators

• Sponsor: Universidade Federal do Ceara

Publications and helpful links

General Publications

• Marizeiro DF, Florencio ACL, Nunes ACL, Campos NG, Lima POP. Immediate effects of diaphragmatic myofascial release on the physical and functional outcomes in sedentary women: A randomized placebo-controlled trial. J Bodyw Mov Ther. 2018 Oct;22(4):924-929. doi: 10.1016/j.jbmt.2017.10.008. Epub 2017 Oct 25.

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2015
• Primary Completion (Actual): March 1, 2016
• Study Completion (Actual): March 1, 2016

Study Registration Dates

• First Submitted: February 6, 2017
• First Submitted That Met QC Criteria: February 21, 2017
• First Posted (Actual): February 27, 2017

Study Record Updates

• Last Update Posted (Actual): April 16, 2020
• Last Update Submitted That Met QC Criteria: April 7, 2020
• Last Verified: April 1, 2020

More Information

Terms related to this study

• Other Study ID Numbers: POdePLima2

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No