Stretching of the Diaphragm and Cervical Impulse Technique and Its Possible Spirometric Changes

Analysis, Evaluation and Comparison of Spirometric Values After the Application of the Diaphragm Muscle Stretch Technique and the Cervical Level Rotation Impulse Technique of C3-C4

This study investigates the effect of two different techniques, stretching of the diaphragm and cervical level impulse technique C3-C4, in the possible spirometric changes, vital capacity (CV), maximum expiratory flow (PEF) and maximum expiratory volume (FEV). in relation to the secondary variables (age, physical activity, BMI, sex). the subjects of the study were informed and clarified doubts about it and its subsequent reading and signing of informed consent. The subjects were randomly selected to determine which intervention group they would belong to (G1: intervention group of the diaphragm muscle stretch technique, G2: intervention group of the cervical rotation rotation impulse technique C3- C4, G3: Combined technique G1 and G2, G4: control group.The evaluation technique is spirometry.The intervention protocol is as follows, first the pre-intervention spirometry is performed, then the corresponding technique (according to intervention group), then the post-intervention spirometry, the intervention technique and at 5 minutes, the intervention technique is performed.

Study Overview

• Status: Completed
• Conditions: Respiratory Disease
• Intervention / Treatment: Procedure: Stretching the diaphragm muscle; Procedure: Impulse technique in rotation of cervical level 3 and 4; Procedure: Combined technique of diaphragm muscle stretch and cervical rotation impulse technique level 3 and 4

Detailed Description

The objectives of the study are the following: 1. To evaluate the changes in the values of the simple spirometry after the application of the study techniques: muscle stretching technique of the diaphragm (G1), rotation impulse technique of the cervical level of C3- C4 (G2) and combined technique of both (G3); 2. Determine the influence of these on measurable respiratory parameters by simple spirometry; 3. Compare the spirometric values obtained after applying the study techniques (G1, G2, G3) and the control group (G4: simulation of a previous technique); and 4. Analyze the different variables measured (age, gender, weight, height, sports practice and body mass index) in the effects of the applied treatment.

• Study Type: Interventional
• Enrollment (Actual): 152
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Moncada
    • Valencia, Moncada, Spain, 46113
      • Universidad CEU Cardenal Herrera

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 50 years (Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Accept participating in the study (signature of informed consent).
• Be in an age range between 18 and 50 years.
• Do not present any exclusion criteria.

Exclusion Criteria:

• Do not meet the inclusion criteria.
• Have obstructive and / or restrictive respiratory problems.
• Perfect transient conditions that affect the respiratory tract, such as colds, sinusitis, influenza, respiratory allergies.
• To have a history of rib fractures.
• Congenital deformities.
• To have digestive problems.
• Paying hepatitis and / or hepatobiliary lesions.
• Suffer heart disease and / or arterial hypertension.
• Have abdominal problems.
• Provide surgical scar on the abdomen, thorax and / or neck.
• Patience cancer
• Press any type of pain at the time of conducting the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Stretching the diaphragm muscle; The interventor places his hands on the last costal cartilages and the subject makes an inspiration and keeps his hands resisted in the expiration.	Procedure: Stretching the diaphragm muscle; Place the hands on the last costal cartilages and maintain the ascent of the ribs in the expiration.
Experimental: Impulse technique in rotation of cervical level 3 and 4; The thumbs position the head in a double chin and then place it with neutral flexion-extension until focusing on the level of manipulation, ipsilateral lateral flexion and contralateral rotation approximately 45 degrees.	Procedure: Impulse technique in rotation of cervical level 3 and 4; head to double chin position and then placed with neutral flexo-extension until focusing on the level of manipulation, ipsilateral lateral flexion and contralateral rotation approximately 45 degrees.
Experimental: Combined technique of diaphragm muscle stretch and cervical ro; combine both previous techniques.	Procedure: Combined technique of diaphragm muscle stretch and cervical rotation impulse technique level 3 and 4; The same initial position, hand placement and technique guidelines will be used, cited in each of the techniques performed in the "intervention 1" group and the "intervention 2" group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
forced vital capacity	volume of air that we can exhale (quickly, sustainably and maximally) after a maximum expiration from the position of maximum inspiration. It is measured in liters (L).	a week

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Forced expiratory volume in the first second	Maximum expiratory volume in the first second. Volume obtained in the first second of the forced vital capacity maneuver.	a week

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Maximum expiratory flow	peak or peak expiratory flow obtained during the forced expiratory maneuver	a week

Collaborators and Investigators

• Sponsor: Cardenal Herrera University
• Investigators: Principal Investigator: Rocha Ortiz, Cardenal Herrera University

Publications and helpful links

General Publications

• American Thoracic Society/European Respiratory Society. ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002 Aug 15;166(4):518-624. doi: 10.1164/rccm.166.4.518. No abstract available.

Helpful Links

• The University CEU-Cardenal Herrera is the first private university in the Valencian Community. It belongs to the Foundation San Pablo- CEU and is the leading educational organization in Spain with three Universities all over Spain

Study record dates

Study Major Dates

• Study Start (Actual): November 5, 2018
• Primary Completion (Actual): November 6, 2018
• Study Completion (Actual): November 18, 2018

Study Registration Dates

• First Submitted: November 3, 2018
• First Submitted That Met QC Criteria: November 3, 2018
• First Posted (Actual): November 6, 2018

Study Record Updates

• Last Update Posted (Actual): November 20, 2018
• Last Update Submitted That Met QC Criteria: November 18, 2018
• Last Verified: November 1, 2018

More Information

Terms related to this study

• Keywords: Diaphragm; Neck; Frenic Nerve
• Additional Relevant MeSH Terms: Respiration Disorders; Respiratory Tract Diseases
• Other Study ID Numbers: UCH CEU 208

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

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