Ignite Creation Date:
2024-05-06 @ 3:58 PM
Last Modification Date:
2024-10-26 @ 2:01 PM
Study NCT ID:
NCT04824573
Status:
COMPLETED
Last Update Posted:
2021-04-01
First Post:
2021-03-06
Brief Title:
Effects of Manual Therapy and Inspiratory Muscle Training
Sponsor:
Bahçeşehir University
Organization:
Bahçeşehir University
Study Overview
Official Title:
The Effect of Manual Therapy Approaches and Inspiratory Muscle Training on Respiratory Parameters in Healthy Individuals With Hyperkyphosis
Status:
COMPLETED
Status Verified Date:
2021-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The effectiveness of inspiratory muscle training IMT and manual therapy approaches added to the IMT program in healthy individuals with hyperkyphosis is uncertain This study was aimed to determine the effects of manual therapy techniques added to IMT and IMT on pulmonary functions FVC FEV1 FEV1 FVC and PEF forward head posture and hyperkyphosis in healthy individuals with hyperkyphosis Thirty-five individuals voluntarily participate to study were randomly divided into IMT and manual therapy groups While all participants received twenty minutes of IMT twice a week for four weeks manual therapy techniques were applied to the manual therapy group in addition to IMT Pulmonary functions forward head posture and hyperkyphosis were evaluated before and after the treatments with spirometry device cervical range of joint range of motion measuring device CROM Deluxe C0-wall OWD and C7-wall distance measurement respectively Statistical Package for Social Sciences SPSS 250 will be used to analyze the data in the research
Detailed Description:
Hyperkyphosis which is defined as a thoracic curvature higher than normal limits is among the reasons that decrease chest wall mobility and lung function In modern society kyphosis in the thoracic vertebra increases with the increase in sitting time of people It has been identified in studies that an increase in thoracic kyphosis and a decrease in the mobility of the thoracic region of the spine are associated with a decrease in respiratory functions such as Forced Vital Capacity FVC and Forced Expiratory Volume in 1 Second FEV1
Manual therapy approaches consisting of different techniques manipulation joint mobilization and soft tissue mobilization can be an effective approach to improve pulmonary function by increasing chest wall mobility Manual therapy techniques applied to the thoracic region have been shown to cause a significant reduction in thoracic kyphosis In a study it has been shown that thoracic joint mobilization is effective in increasing FVC FEV1 and Peak Expiratory Flow PEF in people with hyperkhyphosis and chronic neck pain In addition identified studies shows that manual therapy approaches applied to improve respiratory functions should include both the thoracic and cervical regions due to the relationship between cervical and thoracic spine movements
Inspiratory Muscle Training IMT leads among the approaches used in the current literature to increase respiratory functions There is important evidence that this technique which aims to increase the strength or endurance of the diaphragm and respiratory assist muscles activated during inspiration improves respiratory function in the patient and healthy population In the literature there are studies examining the effects of IMT and manual therapy approaches on respiratory functions in individuals with chronic obstructive pulmonary disease COPD asthma and smokers In a study conducted on smokers the effects of manual therapy added to the IMT program on maximum inspiratory pressure MIP and other respiratory parameters were examined and a significant increase in MIP was observed but a significant increase in other respiratory parameters not observed In another study it was stated that the addition of manual therapy and therapeutic exercise protocol to IMT in asthmatic individuals was more effective than IMT in improving forward head posture and kyphotic posture
Although the studies on the effects of using IMT and manual therapy techniques together in healthy individuals on respiratory functions are very limited in the literature more acute effects were investigated in these studies In this context the aim of our study is to evaluate the cervical and thoracic region manual therapy approaches added to IMT and IMT program in healthy individuals with hyperkyphosis It is the determination of the effects on respiratory function values such as FVC FEV1 tiffeneau index FEV1 FVC and PEF forward head posture and hyperkyphosis
Manual therapy approaches consisting of different techniques manipulation joint mobilization and soft tissue mobilization can be an effective approach to improve pulmonary function by increasing chest wall mobility Manual therapy techniques applied to the thoracic region have been shown to cause a significant reduction in thoracic kyphosis In a study it has been shown that thoracic joint mobilization is effective in increasing FVC FEV1 and Peak Expiratory Flow PEF in people with hyperkhyphosis and chronic neck pain In addition identified studies shows that manual therapy approaches applied to improve respiratory functions should include both the thoracic and cervical regions due to the relationship between cervical and thoracic spine movements
Inspiratory Muscle Training IMT leads among the approaches used in the current literature to increase respiratory functions There is important evidence that this technique which aims to increase the strength or endurance of the diaphragm and respiratory assist muscles activated during inspiration improves respiratory function in the patient and healthy population In the literature there are studies examining the effects of IMT and manual therapy approaches on respiratory functions in individuals with chronic obstructive pulmonary disease COPD asthma and smokers In a study conducted on smokers the effects of manual therapy added to the IMT program on maximum inspiratory pressure MIP and other respiratory parameters were examined and a significant increase in MIP was observed but a significant increase in other respiratory parameters not observed In another study it was stated that the addition of manual therapy and therapeutic exercise protocol to IMT in asthmatic individuals was more effective than IMT in improving forward head posture and kyphotic posture
Although the studies on the effects of using IMT and manual therapy techniques together in healthy individuals on respiratory functions are very limited in the literature more acute effects were investigated in these studies In this context the aim of our study is to evaluate the cervical and thoracic region manual therapy approaches added to IMT and IMT program in healthy individuals with hyperkyphosis It is the determination of the effects on respiratory function values such as FVC FEV1 tiffeneau index FEV1 FVC and PEF forward head posture and hyperkyphosis
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None