[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100568474":3},{"organization":4,"outcomesModule":7,"designInfo":18,"detailedDescription":28,"studyPopulation":17,"armGroups":29,"interventions":41,"overallOfficials":17,"centralContacts":17,"locations":17,"responsibleParty":47,"collaborators":17,"id":51,"slug":17,"hasResults":52,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":17,"eligibilityCriteria":56,"healthyVolunteers":57,"sex":58,"minAge":59,"maxAge":60,"enrollmentInfo":61,"targetDuration":17,"studyType":64,"phases":65,"briefSummary":67,"conditions":68,"keywords":17,"overallStatus":70,"whyStopped":17,"lastUpdateSubmitDate":71,"lastUpdatePostDateStruct":72,"startDateStruct":75,"completionDateStruct":77,"leadSponsor":79,"locationsCount":17},{"fullName":5,"class":6},"South Valley University","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":17},[9],{"measure":10,"description":11,"timeFrame":12},"Pulmonary function tests: Assessed by a previously calibrated portable spirometer was used (Niscomed Contec automated spirometer, 97LX89WX36mm). It is a valid test with higher reliability, as ICC = 0.912 for FVC, ICC = 0.953 for FEV1, and ICC = 0.874 for","Pulmonary function tests: Assessed by a previously calibrated portable spirometer was used (Niscomed Contec automated spirometer, 97LX89WX36mm). It is a valid test with higher reliability, as ICC = 0.912 for FVC, ICC = 0.953 for FEV1, and ICC = 0.874 for the FVC\u002FFEV1 ratio. Subjects were advised to sit on a backrest chair, wear a nose clip, inhale deeply, hold the breath, and then exhale through a mouthpiece linked to the spirometry.2: Assessed by a previously calibrated portable spirometer was used (Niscomed Contec automated spirometer, 97LX89WX36mm). It is a valid test with higher reliability, as ICC = 0.912 for FVC, ICC = 0.953 for FEV1, and ICC = 0.874 for the FVC\u002FFEV1 ratio. Subjects were advised to sit on a backrest chair, wear a nose clip, inhale deeply, hold the breath, and then exhale through a mouthpiece linked to the spirometry.2","Eight weeks",[14],{"measure":15,"description":16,"timeFrame":12},"Assessment of Chest Expansion and Mobility","Assessment of Chest Expansion and Mobility: Assessing chest expansion and mobility is crucial for evaluating respiratory function and identifying potential chest wall pathologies. Use a non-stretchable measuring tape to assess chest expansion at three key levels: 2nd Intercostal Space (supramammary area), 4th Intercostal Space (mammary area) and Xiphoid Process (inframammary area). To measure, have the patient exhale fully to establish a baseline measurement, and then instruct them to inhale deeply. Measure the circumference at each level during full inhalation and exhalation. Compare the measurements from both sides of the chest. Normal findings should show symmetric expansion. If one side expands less than the other, it may indicate underlying issues such as lung volume loss or obstruction. Decreased expansion on one side can suggest conditions like pleural effusion, pneumothorax, or lung consolidation. Observing the mediastinum's position can also provide insights; for instance, a",null,{"allocation":19,"interventionModel":20,"interventionModelDescription":21,"primaryPurpose":22,"observationalModel":17,"timePerspective":17,"maskingInfo":23},"RANDOMIZED","PARALLEL","Group B (experimental) received conventional physiotherapy and manual therapy (chest mobilization and myofascial release techniques). Treatments were performed three times weekly for 8 weeks.\n\nChest mobilization (Grade III joint oscillations are administered in three bouts of thirty oscillations per second each repeated 3-5 times) was applied through the following techniques:\n\nRib mobilization from sitting:\n\nRib mobilization from supine:\n\nCentral Posterior-Anterior (PA) mobilization of thoracic facet joints:\n\nUnilateral Posterior-Anterior mobilization of costo-vertebral joints:\n\nMyofascial release techniques (MRT) applied through the following (MRT was applied for 3min for each release.).\n\nDiaphragmatic myofascial release (DMR):\n\nPectoralis minor myofascial release:\n\nPectoralis major and pectoral fascia myofascial release:\n\nSternocleidomastoid myofascial release:\n\nScalene muscle and neck fascia myofascial release:\n\nMobilize one side of the chest:","TREATMENT",{"masking":24,"maskingDescription":25,"whoMasked":26},"SINGLE","Group A (control) received conventional physiotherapy in the form of deep breathing exercises (diaphragmatic, apical, lower costal), Intensive spirometery (improve deep inspiration) and active range of motion (AROM) of both upper extremities.\n\nDiaphragmatic breathing exercise: S\n\nSegmental breathing exercises (apical, upper lateral, lower lateral and posterior basal), according to site of consolidation:\n\nActive Cycle Breathing Technique (ACBT):\n\nIntensive spirometry: It encourages patients to take deep breaths, which helps to expand the lungs and prevent complications such as pneumonia.",[27],"PARTICIPANT","A chest physician diagnosed 72 subjects with mild to moderate restrictive lung diseases based on history, physical examination, and a ratio of FEV1\u002FFVC above 80%. Male subjects meeting the following criteria will be included: age ranged from 50 to 60 years, BMI was 18-25 kg\u002Fm2, If a patient had a history of hiatus hernia, substantial gastro-esophageal reflux, osteoporosis, acute cardiac events within the last six weeks, congestive heart failure, acute exacerbation, exacerbation six months before, active hemoptysis, or malignant disease, they will be excluded from the study.\n\nThe subjects who consented to will be involved and met the recruitment standards randomly assigned. A computer-generated block randomization program will be used. To eliminate bias between groups, the subjects will be randomized into four-person blocks with a 1:1 allocation ratio. To ensure disguised allocation, the randomization code will be maintained in sealed, opaque envelopes consecutively numbered. A single external party will be responsible for administering the randomization",[30,36],{"label":31,"type":32,"description":33,"interventionNames":34},"Group B (experimental)","EXPERIMENTAL","Group B (experimental) received conventional physiotherapy and manual therapy\n\nRib mobilization from sitting:\n\nRib mobilization from supine:\n\nUnilateral Posterior-Anterior mobilization of costo-vertebral joints:\n\nMyofascial release techniques (MRT)\n\nDiaphragmatic myofascial release (DMR):\n\nPectoralis minor myofascial release:\n\nPectoralis major and pectoral fascia myofascial release:\n\nSternocleidomastoid myofascial release:\n\nScalene muscle and neck fascia myofascial release:\n\nMobilize one side of the chest:",[35],"Procedure: Combined Manual Therapy and Pulmonary Exercises",{"label":37,"type":38,"description":39,"interventionNames":40},"Group A (control)","ACTIVE_COMPARATOR","Group A (control) received conventional physiotherapy\n\nDiaphragmatic breathing exercise:\n\nSegmental breathing exercises (apical, upper lateral, lower lateral and posterior basal), according to site of consolidation:\n\nActive Cycle Breathing Technique (ACBT):\n\nIntensive spirometry: It encourages patients to take deep breaths, which helps to expand the lungs and prevent complications such as pneumonia.",[35],[42],{"type":43,"name":44,"description":45,"armGroupLabels":46,"otherNames":17},"PROCEDURE","Combined Manual Therapy and Pulmonary Exercises","Diaphragmatic breathing exercise:\n\nSegmental breathing exercises (apical, upper lateral, lower lateral and posterior basal), according to site of consolidation:\n\nActive Cycle Breathing Technique (ACBT):\n\nIntensive spirometry: It encourages patients to take deep breaths, which helps to expand the lungs and prevent complications such as pneumonia.\n\nRib mobilization from sitting:\n\nRib mobilization from supine:\n\nCentral Posterior-Anterior (PA) mobilization of thoracic facet joints:\n\nUnilateral Posterior-Anterior mobilization of costo-vertebral joints:\n\nDiaphragmatic myofascial release (DMR):\n\nPectoralis minor myofascial release:\n\nPectoralis major and pectoral fascia myofascial release:\n\nSternocleidomastoid myofascial release:\n\nScalene muscle and neck fascia myofascial release:\n\nMobilize one side of the chest:",[37,31],{"type":48,"investigatorFullName":49,"investigatorTitle":50,"investigatorAffiliation":5,"oldNameTitle":17,"oldOrganization":17},"PRINCIPAL_INVESTIGATOR","Ibrahim Abuzaid","Director, Head of Department of Physiotherapy for Cardiovascular\u002FRespiratory and Geriatrics","100568474",false,"NCT06681701","Effectiveness of Combined Manual Therapy and Pulmonary Exercises on Ventilatory Function in Patients with Restrictive Lung Diseases","Effectiveness of Combined Manual Therapy and Pulmonary Exercises on Ventilatory Function in Patients with Restrictive Lung Diseases: a Randomized Control Trial","Inclusion Criteria:\n\nRestrictive lung diseases pneumonia pulmonary edema pleural effusion pneumothorax\n\nExclusion Criteria:\n\nhiatus hernia substantial gastro-esophageal reflux acute cardiac events osteoporosis congestive heart failure active hemoptysis malignant disease",true,"ALL","50 Years","60 Years",{"count":62,"type":63},72,"ESTIMATED","INTERVENTIONAL",[66],"NA","This research investigates the effect of selective manual therapy techniques on chest expansion, pulmonary function (FVC, FEV1, and FEV1\u002FFVC ratio), and functional capacity, in restrictive lung disease patients. The research hypothesis will be that no statistically significant difference would be found between manual therapy combined to conventional treatment and conventional treatment alone in restrictive lung disease patients.",[69],"Study the Effectiveness of Combined Manual Therapy and Pulmonary Exercises on Ventilatory Function in Patients with Restrictive Lung Diseases","NOT_YET_RECRUITING","2025-02-08",{"date":73,"type":74},"2025-02-11","ACTUAL",{"date":76,"type":63},"2025-03-15",{"date":78,"type":63},"2025-07-15",{"name":5,"class":6}]