Influence of Manual Diaphragm Release on Pulmonary Functions in Women With COVID-19

Cairo University40 enrolled

Overview

Manual noninvasive respiratory techniques gained interest to treat respiratory pathologies related to COVID 19. This study designed to determine the combined effect of manual diaphragmatic release technique with the effect of conventional breathing exercises and prone positioning on pulmonary function parameters (FVC, FEV1, PEF, FEV1/FVC, FEF25, FEF50, FEF75, FEF25/75).

Forty females were randomly assigned to two groups. Group A received manual diaphragm release with conventional breathing exercises and prone positioning. Group B received conventional breathing exercises and prone positioning. Both groups took their prescribed medications. Their ages ranged from 35 to 45 years and with moderate COVID-19 illness. Any cases with mild and severe COVID-19 illness, ICU admission, and chest diseases were excluded. Main measures: pulmonary function parameters (FVC, FEV1, PEF, FEV1/FVC, FEF25, FEF50, FEF75, FEF25/75).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

COVID-19 Pneumonia

Interventions

manual therapyOTHER

manual diaphragmatic release technique combined with breathing exercise

breathing exercise and prone position aloneOTHER

deep breathing exercise and prone position

Eligibility

Sex: FEMALEMin age: 35 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * women with moderate COVID-19 illness diagnosed by a physician. * Patients with o2 saturation \>94%Nonsmoker subjects. * age ranging from 35-45 years. * body mass index from 25 to 34 kg/m2. Exclusion Criteria: * Unstable hemodynamic status. * Acute respiratory failure requiring intubation and impaired consciousness. * Inability to collaborate with prone positioning with refusal. * Change of mental status hindering response to instructions. * Poorly controlled hypertension (Mean systolic BP \> 140 mmhg and \\or diastolic BP \> 40 mmhg). * Patients who take continuous o2 supplementation. * Smoking. * Other chest diseases as (COPD-asthma-tuberculosis-cancer). * Male patients.

Locations (1)

Cairo Univeristy

Multiple Locations, Giza Governorate, Egypt

Outcomes

Primary Outcomes

forced vital capacity FVC

the amount of air that can be forcibly exhaled from your lungs after taking the deepest breath possible which is a common breathing test to check lung function.