Stretching of the Diaphragm and Cervical Impulse Technique and Its Possible Spirometric Changes

Study Overview
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Brief Summary
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This study investigates the effect of two different techniques, stretching of the diaphragm and cervical level impulse technique C3-C4, in the possible spirometric changes, vital capacity (CV), maximum expiratory flow (PEF) and maximum expiratory volume (FEV). in relation to the secondary variables (age, physical activity, BMI, sex). the subjects of the study were informed and clarified doubts about it and its subsequent reading and signing of informed consent. The subjects were randomly selected to determine which intervention group they would belong to (G1: intervention group of the diaphragm muscle stretch technique, G2: intervention group of the cervical rotation rotation impulse technique C3- C4, G3: Combined technique G1 and G2, G4: control group.The evaluation technique is spirometry.The intervention protocol is as follows, first the pre-intervention spirometry is performed, then the corresponding technique (according to intervention group), then the post-intervention spirometry, the intervention technique and at 5 minutes, the intervention technique is performed.

Detailed Description
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The objectives of the study are the following: 1. To evaluate the changes in the values of the simple spirometry after the application of the study techniques: muscle stretching technique of the diaphragm (G1), rotation impulse technique of the cervical level of C3- C4 (G2) and combined technique of both (G3); 2. Determine the influence of these on measurable respiratory parameters by simple spirometry; 3. Compare the spirometric values obtained after applying the study techniques (G1, G2, G3) and the control group (G4: simulation of a previous technique); and 4. Analyze the different variables measured (age, gender, weight, height, sports practice and body mass index) in the effects of the applied treatment.

Official Title
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Analysis, Evaluation and Comparison of Spirometric Values After the Application of the Diaphragm Muscle Stretch Technique and the Cervical Level Rotation Impulse Technique of C3-C4

Conditions
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Respiratory Disease

Intervention / Treatment
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* Procedure: Stretching the diaphragm muscle
* Procedure: Impulse technique in rotation of cervical level 3 and 4
* Procedure: Combined technique of diaphragm muscle stretch and cervical rotation impulse technique level 3 and 4


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Accept participating in the study (signature of informed consent). Be in an age range between 18 and 50 years. Do not present any exclusion criteria. Exclusion Criteria: Do not meet the inclusion criteria. Have obstructive and / or restrictive respiratory problems. Perfect transient conditions that affect the respiratory tract, such as colds, sinusitis, influenza, respiratory allergies. To have a history of rib fractures. Congenital deformities. To have digestive problems. Paying hepatitis and / or hepatobiliary lesions. Suffer heart disease and / or arterial hypertension. Have abdominal problems. Provide surgical scar on the abdomen, thorax and / or neck. Patience cancer Press any type of pain at the time of conducting the study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Stretching the diaphragm muscle<br>The interventor places his hands on the last costal cartilages and the subject makes an inspiration and keeps his hands resisted in the expiration. | Procedure: Stretching the diaphragm muscle<br>* Place the hands on the last costal cartilages and maintain the ascent of the ribs in the expiration.<br>|
| Experimental: Impulse technique in rotation of cervical level 3 and 4<br>The thumbs position the head in a double chin and then place it with neutral flexion-extension until focusing on the level of manipulation, ipsilateral lateral flexion and contralateral rotation approximately 45 degrees. | Procedure: Impulse technique in rotation of cervical level 3 and 4<br>* head to double chin position and then placed with neutral flexo-extension until focusing on the level of manipulation, ipsilateral lateral flexion and contralateral rotation approximately 45 degrees.<br>|
| Experimental: Combined technique of diaphragm muscle stretch and cervical ro<br>combine both previous techniques. | Procedure: Combined technique of diaphragm muscle stretch and cervical rotation impulse technique level 3 and 4<br>* The same initial position, hand placement and technique guidelines will be used, cited in each of the techniques performed in the intervention 1 group and the intervention 2 group.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| forced vital capacity | volume of air that we can exhale (quickly, sustainably and maximally) after a maximum expiration from the position of maximum inspiration. It is measured in liters (L). | a week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Forced expiratory volume in the first second | Maximum expiratory volume in the first second. Volume obtained in the first second of the forced vital capacity maneuver. | a week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Diaphragm, Neck, Frenic Nerve