The Immediate Effect of Manual Therapy Application on Respiratory Functions in Healthy Young Individuals

Study Overview
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Brief Summary
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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.

Detailed Description
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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

Official Title
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The Immediate Effect of Manual Therapy Application on Respiratory Functions in Healthy

Conditions
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Health Young Individuals

Intervention / Treatment
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* Other: Manual therapy group
* Other: Sham-manual therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: be between the ages of 18-25, to be a studen Exclusion Criteria: those who have any health problems those with orthopedic disorders those with systemic and cardiopulmonary diseases that would interfere with the evaluation

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 25 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Experimental group<br>Diaphragmatic mobilization, toracic mobilization and manipulation | Other: Manual therapy group<br>* Manual therapy will be applied to the diaphragm and thoracic region.<br>|
| Placebo Comparator: Control group<br>Placebo mobilization and manipulation | Other: Sham-manual therapy<br>* Sham-manual therapy will be applied to the diaphragm and thoracic region.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Manual therapy, Respiratory function test, Physical activity