Our study aiming for determining the combined effect of selective manual therapy techniques in chronic obstructive pulmonary disease patients
I will apply selective manual therapy techniques in form of mobilization techniques ,myofascial release techniques combined with traditional treatment to determine thier effect in chronic obstructive pulmonary disease patients
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
52
manual therapy (chest mobilization, diaphragmatic myofascial release, myofascial release for pectoralis minor, pectoralis major, scaleni ),pursed lip breathing, diaphragmatic breathing and active range of motion exercises of upper limbs
Cairo University
Giza, Egypt
chest expansion
caliper will be used to assess chest expansion into centimeter
Time frame: pre-intervention and after 8 weeks of intervention
(the forced vital capacity (FVC), forced expiratory volume at first second (FEV1) and FEV1/FVC will be recorded. )
spirometry used to measure
Time frame: pre-intervention
cranio-vertebral angle and kyphotic angle in degrees
kinovea software will be used to assess in degrees
Time frame: pre-intervention
functional capacity.
Six minute walk test will be used to assess functional capacity(meter/minutes)
Time frame: pre-intervention
dyspnea score
Modified Medical Research Council dyspnea scale (mMRC dyspnea scale) will be used to assess dyspnea
Time frame: pre-intervention
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