Clinical trial NCT05982210: The Influence of the Diaphragm Muscle and Pain Perception on Lower Limb Neuromuscular Control in Sports Practice.
Official title: The Influence of the Diaphragm Muscle and Pain Perception on Lower Limb Neuromuscular Control Parameters in Sports Practice: Application of Breathing Exercises and Manual Therapy of the Diaphragm Muscle and Ribs Protocol
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Diaphragm; Relaxation
Keywords: Core Stability
Diaphragm Muscle
Rib Cage
Breathing Biomechanics
Lead sponsor: Universitat Internacional de Catalunya
Sponsor class: OTHER
First posted: 2023-08-08
Enrollment: 44
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Core stability is maintained mainly by muscle function of abdominal and lumbar region, including the diaphragm muscle. It is known that exists a connection between trunk's muscle activity and the movement of lower limb and lower limb and low back injuries are related to core alterations. Thus, a randomized clinical trial is planned to analyze the effectiveness of an exercises and manual therapy of the diaphragm and ribs program designed, aiming to analyze the correlation between rib cage mobility and lower limb neuromuscular control in young healthy subjects.

Detailed description: The aim of the study consists on analysing the correlation between rib cabe mobility and neuromuscular control parameters of lower limb, as well as pain perception in young healthy adults sports players. A clinical practice protocol consisting on breathing exercises and manual therapy of the muscle diaphragm and the ribs will be applied twice a week during eight weeks. As a result, could be an increasement of the neuromuscular control parameters, described with the outcome measures of rib cage mobility, lower limb power and stability, and pain perception. If the results stablish correlation between the rib cage mobility and neuromuscular control parameters of lower limb, could be helpful in healthcare and sports science field in order to take in account the diaphragm biomechanics when treating lower limb injuries and facing its prevention.

Eligibility criteria: Inclusion Criteria:

* Physical Activity Practice: at least 150-300min of moderate activity or 75-100min of intense aerobic activity, twice a week.
* Physical activity or sports practice involve mostly lower limb muscles activation.
* Core Stability exercises least twice a week. Includes at least 3 of the 6 exercises listed: bridge exercises, standard plank, lateral plank, superman exercise, mountain climber and plank variations.

Exclusion Criteria:

* Musculoskeletal injury currently or in the past 6 months.
* Abdominal or thoracic surgery.
* Nervous System disease.
* Hiatal Hernia or visceral disease.
* Pelvic floor alterations or disease.
* Breathing restrictions: disease or infection, asthma, anxiety or other non controlled alterations.
* Treatment of the diaphragm muscle the past 6 months.

Primary outcomes:
measure: Rib Cage Mobility
timeFrame: Week 0, Week 4 and Week 9
Secondary outcomes:
measure: Lower Limb Power
timeFrame: Week 0, Week 4 and Week 9
measure: Lower Limb Stability
timeFrame: Week 0, Week 4 and Week 9
measure: Pain Perception
timeFrame: Week 0, Week 4 and Week 9
Other outcomes:
Locations:
city: Sant Cugat Del Vallès
country: Spain
facility: Universitat Internacional de Catalunya
state: Barcelona
Study officials:
affiliation: Universitat Internacional de Catalunya
name: María Caridad Bagur
role: STUDY_DIRECTOR
affiliation: Universitat de Vic
name: Xantal Borràs
role: STUDY_DIRECTOR
References: