Selective Manual Therapy Techniques in Chronic Obstructive Pulmonary Disease

Study Overview
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Brief Summary
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Our study aiming for determining the combined effect of selective manual therapy techniques in chronic obstructive pulmonary disease patients

Detailed Description
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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

Official Title
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Effect of Selective Manual Therapy Techniques in Chronic Obstructive Pulmonary Disease

Conditions
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Chronic Obstructive Pulmonary Disease

Intervention / Treatment
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* Other: Manual therapy and conventional physical therapy treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients must diagnosed mild to moderate chronic obstructive pulmonary disease All patients should have foreward head and kyphosis Exclusion Criteria: History of osteoporosis. Acute exacerbation. Presence of active hemoptysis Presence of malignant disease

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Male

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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: control<br>26patients will be included in this group and will receive conventional physiotherapy in form of pursed lip breathing, diaphragmatic breathing exercise and Active Range of Motion of both upper extremities | Other: Manual therapy and conventional physical therapy treatment<br>* 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<br>|
| Experimental: manual therapy<br>26patients will be included in this group and will receive manual therapy (chest mobilization, diaphragmatic myofascial release, myofascial release for pectoralis minor and major, scaleni ) and conventional physiotherapy | Other: Manual therapy and conventional physical therapy treatment<br>* 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<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| chest expansion | caliper will be used to assess chest expansion into centimeter | 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 | pre-intervention | 
| cranio-vertebral angle and kyphotic angle in degrees | kinovea software will be used to assess in degrees | pre-intervention | 
| functional capacity. | Six minute walk test will be used to assess functional capacity(meter/minutes) | pre-intervention | 
| dyspnea score | Modified Borg scale will be used to assess dyspnea | pre-intervention |