Osteopathic Intervention in Professional Handball Players (ECHODIAPOST)

Ultrasound Evaluation of Diaphragmatic Contractility After Manual Osteopathic Intervention in Professional Handball Players: a Pilot Study

The aim is to study the effectiveness of a common osteopathic intervention in professional handball players on diaphragmatic contractility and its correlations with posture. This study has never been done in healthy subjects. It is a scientific process of objectification of an osteopathic technique commonly performed in this population. The main objective is to assess diaphragmatic contractibility using ultrasound after abdominal osteopathic intervention (OMT).

Study Overview

• Status: Terminated
• Conditions: Osteopathia
• Intervention / Treatment: Procedure: manual osteopathic intervention

Detailed Description

The context is that of optimizing the performance of professional handball players. The aim is to study the effectiveness of a common osteopathic intervention in professional handball players on diaphragmatic contractility and its correlations with posture. This study has never been done in healthy subjects. It is a scientific process of objectification of an osteopathic technique commonly performed in this population.

The main objective is to assess diaphragmatic contractibility after abdominal osteopathic intervention (OMT).

The secondary objective is to evaluate the impact of this manual intervention in professional handball players on:

• other diaphragmatic ultrasound data
• on spirometry
• postural control

Prospective pilot non-interventional controlled monocentric study opened in healthy male and female International players who are part of the French Handball team. Approach to objectification of current practice.

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Contacts and Locations

Study Locations

• France
  • Créteil, France, 94046
    • Maison du Handball

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• healthy male and female International players who are part of the French Handball team

Exclusion Criteria:

• history of thoracic or diaphragmatic surgery

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: experimental; The intervention evaluated is a technique of prolonged abdominal manual pressure centered on the zone of restriction of mobility called "trigger point" with diaphragmatic aim.	Procedure: manual osteopathic intervention; The subject sits on the examination table for the manual osteopathic intervention. The expert osteopath, having no report from the sonographers, will manually test breathing diaphragmatic and will bring osteopathic manual treatment to the area of mobility restriction

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Variation in the fraction of diaphragm thickening (right and left) measured on ultrasound before and after the procedure	The subject undergoes the ultrasound which will investigate the contractility of the diaphragm muscle. Two expert sonographers from G-ECHO will perform the ultrasound on each of the athletes, and note 3 successive measurements to check the stability of the results.	Day 1

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
expiratory diaphragmatic thickness	expiratory diaphragmatic thickness will be measured by echography (mm) after manual abdominal osteopathic intervention	Day 1
Variation of the Forced Vital Capacity (FVC) measured in spirometry before and after the intervention	The subject performs spirometry while standing with a Spirobank spirometer. 3 successive measurements keeping only the highest value.	Day 1
Postural analysis	postural analysis will be perform using Cyber-Sabot type platform. the measurements will be done at day 1 before manual abdominal osteopathic intervention and at day 2	Day 2
Inspiratory diaphragmatic thickness	Inspiratory diaphragmatic thickness will be measured by echography (mm) after manual abdominal osteopathic intervention	day 1
diaphragmatic contraction velocity	Diaphragmatic contraction velocity is expressed in % will be measured by echography after manual abdominal osteopathic intervention	day 1
diaphragmatic amplitude	Diaphragmatic amplitude is expressed in mm and will be measured by echography after manual abdominal osteopathic intervention	day 1

Collaborators and Investigators

• Sponsor: University Hospital, Toulouse
• Investigators: Principal Investigator: Elise NOEL-SAVINA, MD, CHU Toulouse

Study record dates

Study Major Dates

• Study Start (Actual): July 30, 2023
• Primary Completion (Actual): July 31, 2023
• Study Completion (Actual): July 31, 2023

Study Registration Dates

• First Submitted: June 23, 2023
• First Submitted That Met QC Criteria: July 5, 2023
• First Posted (Actual): July 12, 2023

Study Record Updates

• Last Update Posted (Estimated): January 17, 2024
• Last Update Submitted That Met QC Criteria: January 12, 2024
• Last Verified: January 1, 2024

More Information

Terms related to this study

• Keywords: ultrasound; diaphragm; contractibility; osteopathic intervention
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Bone Diseases
• Other Study ID Numbers: RC31/23/0146

Drug and device information, study documents

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