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Manual therapy techniques targeting the thoracic region are commonly used in clinical practice. It has been suggested that manual therapy interventions directed at the spine can increase mobility of the spine and chest wall, which may have a positive impact on lung functions. The potential positive effects of thoracic manipulation on respiratory system diseases such as chronic obstructive pulmonary disease (COPD) and asthma have been investigated and continue to be studied. Specifically, the results of studies investigating the physiological outcomes of this therapeutic approach in healthy adults are conflicting. The aim of this study is to investigate the short-term effects of thoracic manipulation and mobilization, as well as diaphragm mobilization, through a single session of manual therapy interventions on respiratory functions.
In this planned study, designed as a randomized controlled intervention trial, two groups will be formed: an experimental group and a control group. After completing these procedures, the intervention group will receive the method of "thoracic mobilization and manipulation with diaphragm mobilization," while the control group will receive a placebo thoracic mobilization method. All techniques will be applied by a physiotherapist.
Within 5 minutes after the completion of the intervention, a respiratory function test will be repeated, resulting in a total of two respiratory function tests: one before the intervention and one after the intervention. The changes in respiratory function criteria before and after the intervention will be compared in both groups
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Active Comparator | Diaphragmatic mobilization, toracic mobilization and manipulation |
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| Control group | Placebo Comparator | Placebo mobilization and manipulation |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Manual therapy group | Other | Manual therapy will be applied to the diaphragm and thoracic region. |
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| Measure | Description | Time Frame |
|---|---|---|
| Pulmonary Functions Test- FEV1 (Forced expiratory volume in the first second) | The forced expiratory volume in 1 second (FEV1) is the volume of air (in liters) exhaled in the first second during forced exhalation after maximal inspiration. | Change from before and 5 minutes after application |
| Pulmonary Functions Test-FVC (Forced vital capacity) | Forced vital capacity, the maximum amount of air you can forcibly exhale from your lungs after fully inhaling. | Change from before and 5 minutes after application |
| Pulmonary Functions Test- FEV1/FVC | The FEV1/FVC ratio is the ratio of the forced expiratory volume in the first one second to the forced vital capacity of the lungs. | Change from before and 5 minutes after application |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University | Ankara | 06000 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39075156 | Derived | Kucuk E, Tozcu D, Topaktas B, Coskun G. Immediate effects of manual therapy on respiratory functions in healthy young individuals: a randomized controlled trial. Sci Rep. 2024 Jul 29;14(1):17419. doi: 10.1038/s41598-024-68654-7. |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Sham-manual therapy | Other | Sham-manual therapy will be applied to the diaphragm and thoracic region. |
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