Back to resultsChest Wall Muscle Stretching and Acute Effects in Chronic Obstructive Pulmonary Disease
Primary Purpose
Chronic Obstructive Pulmonary Disease
Status
Completed
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
Stretching
Sponsored by
About this trial
This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease
Eligibility Criteria
Inclusion Criteria:
- clinical and functional diagnosis of Chronic obstructive pulmonary disease according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD, 2009),
- forced expiratory volume in one second (FEV1) less than 80% predicted post-bronchodilator;
- clinical stability during the study,
- both sexes,
- age above 40 years,
- body mass index (BMI) between 18.5 and 29.9 kg / m²;
- smoking history,
- symptoms of cough,
- dyspnea or hypersecretion,
- ex-smokers for at least three months.
Exclusion Criteria:
- Disease exacerbation for at least eight weeks,
- patients with other respiratory diseases,
- cardiovascular or osteoarticular and
- participants in pulmonary rehabilitation programs.
Sites / Locations
- UFPE
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
No Intervention
Arm Label
Stretching
Rest
Arm Description
The respiratory muscle stretching were developed bilaterally as follows: Upper trapezius: head lateral flexion with a hand therapist supports the the occipital region and his shoulder, promotes the stretching; Sternocleidomastoid: was stretched with flexion lateral and rotation of the head to the side which hands on the occipital region and in the sternal region; Scalene: with one hand on the occipital region and the other in the sternum, the two points was stretched; Pectoralis major: the arm was abducted, flexed the forearm and hand was in the occipital region the therapist hands in the arm and in the side of the upper chest, which was stretched craniocaudal direction; Intercostal: therapist performs with both hands to mobilize and stretch the ribs in cranial-caudal directions.
COPD patients were not submitted to any intervention, remaining at rest in the same place, position and time period to the treatment group.
Outcomes
Primary Outcome Measures
Distribution of volume variation of thoracoabdominal wall and electromyographic activity of respiratory muscles
Secondary Outcome Measures
Respiratory rate, minute volume, expiratory time, inspiratory time, relation inspiratory time/ total time
Full Information
NCT ID
NCT01826669
First Posted
September 14, 2012
Last Updated
April 3, 2013
Sponsor
Universidade Federal de Pernambuco
1. Study Identification
Unique Protocol Identification Number
NCT01826669
Brief Title
Chest Wall Muscle Stretching and Acute Effects in Chronic Obstructive Pulmonary Disease
Official Title
Chest Wall Muscle Stretching and Acute Effects on Volume Variation of Thoracoabdominal Wall and Electromyographic Activity in Chronic Obstructive Pulmonary Disease
Study Type
Interventional
2. Study Status
Record Verification Date
April 2013
Overall Recruitment Status
Completed
Study Start Date
May 2011 (undefined)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
December 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universidade Federal de Pernambuco
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The study hypothesis is chest wall muscle stretching increase distribution of volume variation of thoracoabdominal wall and reduce electromyographic activity of respiratory muscles in patients with Chronic Obstructive Pulmonary Disease.
Detailed Description
Randomized controlled trial involving patients with Chronic Obstructive Pulmonary Disease evaluated before and immediately after a program of stretching muscles of the rib cage or after resting with time similar to the intervention, as volume variation of thoracoabdominal wall by optoelectronic plethysmography and on the electromyographic activity of accessory muscles of respiration.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Obstructive Pulmonary Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
28 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Stretching
Arm Type
Active Comparator
Arm Description
The respiratory muscle stretching were developed bilaterally as follows:
Upper trapezius: head lateral flexion with a hand therapist supports the the occipital region and his shoulder, promotes the stretching;
Sternocleidomastoid: was stretched with flexion lateral and rotation of the head to the side which hands on the occipital region and in the sternal region;
Scalene: with one hand on the occipital region and the other in the sternum, the two points was stretched;
Pectoralis major: the arm was abducted, flexed the forearm and hand was in the occipital region the therapist hands in the arm and in the side of the upper chest, which was stretched craniocaudal direction;
Intercostal: therapist performs with both hands to mobilize and stretch the ribs in cranial-caudal directions.
Arm Title
Rest
Arm Type
No Intervention
Arm Description
COPD patients were not submitted to any intervention, remaining at rest in the same place, position and time period to the treatment group.
Intervention Type
Procedure
Intervention Name(s)
Stretching
Intervention Description
Patients submitted to respiratory muscle stretching related to the increase thoracic mobility. Stretching were performed in the upper trapezius, scalenes, sternocleidomastoids, major pectoral and intercostals. The muscle stretching were performed passively by a single therapist trained and experienced. The subjects were positioned supine or lateral, knees flexed in order to correct the lumbar curve. Stretching occurred during the expiratory phase, leading to muscle maximum length, with two series of ten consecutive incursions for each muscle, with an interval of one minute between series. The patients were properly informed to perform slow exhalations and pursed-lip during stretching.
Primary Outcome Measure Information:
Title
Distribution of volume variation of thoracoabdominal wall and electromyographic activity of respiratory muscles
Time Frame
1 hour
Secondary Outcome Measure Information:
Title
Respiratory rate, minute volume, expiratory time, inspiratory time, relation inspiratory time/ total time
Time Frame
1 hour
10. Eligibility
Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
clinical and functional diagnosis of Chronic obstructive pulmonary disease according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD, 2009),
forced expiratory volume in one second (FEV1) less than 80% predicted post-bronchodilator;
clinical stability during the study,
both sexes,
age above 40 years,
body mass index (BMI) between 18.5 and 29.9 kg / m²;
smoking history,
symptoms of cough,
dyspnea or hypersecretion,
ex-smokers for at least three months.
Exclusion Criteria:
Disease exacerbation for at least eight weeks,
patients with other respiratory diseases,
cardiovascular or osteoarticular and
participants in pulmonary rehabilitation programs.
Facility Information:
Facility Name
UFPE
City
Recife
State/Province
Pernambuco
ZIP/Postal Code
50740560
Country
Brazil
12. IPD Sharing Statement
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Chest Wall Muscle Stretching and Acute Effects in Chronic Obstructive Pulmonary Disease
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