Comparison of Physiotherapy Methods Applied To The Diaphragm In Chronic Low Back Pain
NCT07022132 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 44
Last updated 2026-01-02
Summary
The aim of this study was to compare the effects of conservative treatment with diaphragmatic myofascial release (DMR) and abdominal hypopressive exercise (AHE) technique added to conservative treatment in chronic low back pain.
Conditions
- Low Back Pain
Interventions
- OTHER
-
Diaphragmatic myofascial release (DMR)
The physiotherapist, positioned on the head side of the supine patient, makes bilateral contact with the pisiform, hypothenar region and the underside of the 7th-10th costal cartilages with the last three fingers. During the inspiration phase, he/she pulls the contact points cephalically and slightly laterally with both hands, accompanying the elevation of the costae. During expiration, it deepens the contact towards the inner costal margin, maintaining resistance. In subsequent breathing cycles, it gradually increases the depth of contact inside the costal margin. The application is performed in 2 sets of 10 deep breaths with 1 minute between them.
- OTHER
-
Abdominal hypopressive exercise (AHE)
Each session consists of 6 hypopressive abdominal exercises with a 2-minute recovery period in between, and each exercise is repeated 3 times. This manoeuvre consists of expelling all air until the reserve volume is reached, then holding the breath (expiratory apnoea) and pulling the abdominal wall inwards and cranially by opening the costae without allowing air to enter. Exercises are performed in 6 different positions.
- OTHER
-
Conservative treatment
It consists of lumbar flexion and extension, stretching and strengthening exercises for the waist, back and abdominal region.
Sponsors & Collaborators
-
Medipol University
lead OTHER
Principal Investigators
-
Hatice Hümeyra Akıl · Medipol University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-08-10
- Primary Completion
- 2025-06-20
- Completion
- 2025-06-20
Countries
- Turkey (Türkiye)
Study Locations
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