Influence of Manual Diaphragm Release Technique Combined with Inspiratory Muscle Training on Selected Persistent Symptoms in Men with Post-Covid-19 Syndrome: A Randomized Controlled Trial
Objective: To determine whether the addition of manual diaphragm release to an inspiratory muscle training programme is more effective than inspiratory muscle training alone in reducing blood pressure, dyspnoea, fatigue, and aerobic performance capacity in men with post-COVID-19 syndrome. Design:...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medical Journals Sweden
2022-10-01
|
| Series: | Journal of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/jrm/article/view/3972 |
| _version_ | 1811344676685348864 |
|---|---|
| author | Ebtesam N. Nagy Doaa A. Elimy Ahmed Y. Ali Hieba G. Ezzelregal Marwa M. Elsayed |
| author_facet | Ebtesam N. Nagy Doaa A. Elimy Ahmed Y. Ali Hieba G. Ezzelregal Marwa M. Elsayed |
| author_sort | Ebtesam N. Nagy |
| collection | DOAJ |
| description |
Objective: To determine whether the addition of manual diaphragm release to an inspiratory muscle training programme is more effective than inspiratory muscle training alone in reducing blood pressure, dyspnoea, fatigue, and aerobic performance capacity in men with post-COVID-19 syndrome.
Design: A prospective, randomized-controlled trial.
Setting: Chest Disease Department, Outpatient Clinic, Cairo University, Egypt.
Participants: Fifty-two men with post-COVID-19 syndrome were allocated randomly to the study and control groups.
Intervention: The study group underwent diaphragm release plus inspiratory muscle training, whereas the control group received inspiratory muscle training only.
Outcome measures: All patients were assessed with the following measures at baseline and 6 weeks postintervention: maximum static inspiratory pressure for inspiratory muscle strength, peripheral arterial blood pressure, Modified Medical Research Council scale for dyspnoea, Fatigue Severity Scale, serum lactate level, and 6-min walk test distance for aerobic performance.
Results: All outcome measures showed a significant improvement in favour of the study group (p < 0.001) over the control group. However, maximum static inspiratory pressure increased significantly, by 48.17% (p < 0.001) in the study group with no significant change in the control group.
Conclusion: Addition of manual diaphragm release to an inspiratory muscle training programme potentiates the role of inspiratory muscle training in the management of men with symptomatic post-COVID-19 syndrome.
LAY ABSTRACT
Patients with post-COVID-19 syndrome may experience a variety of symptoms that limit their ability to perform daily activities, such as breathing difficulties, diaphragmatic weakness, cardio-vascular abnormalities, fatigue, and intolerance to physical exercise. These problems may be resolved by physical therapy interventions, which may also prevent further decline. The aim of this study was to investigate the impact of adding a specific physiotherapy technique (manual diaphragm release) to inspiratory muscle training, delivered via a POWERbreath (PowerBreathe, IMT International Ltd. Southam, Warwickshire; England UK) on inspiratory muscle strength, blood pressure, dyspnoea, fatigue, lactate level, and aerobic performance capability in men with post-COVID-19 syndrome. A total of 52 men with post-COVID-19 syndrome were enrolled, and all completed the study. Twenty-six patients underwent diaphragm release plus inspiratory muscle training, whereas the other 26 received inspiratory muscle training only. The prescribed training lasted for 6 weeks. The results showed positive effects on the investigated parameters of adding the diaphragm release technique to inspiratory muscle training among these patients.
|
| first_indexed | 2024-04-13T19:50:52Z |
| format | Article |
| id | doaj.art-3c3d7512fa85452ea0bd8fee47d206ae |
| institution | Directory Open Access Journal |
| issn | 1651-2081 |
| language | English |
| last_indexed | 2024-04-13T19:50:52Z |
| publishDate | 2022-10-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-3c3d7512fa85452ea0bd8fee47d206ae2022-12-22T02:32:31ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812022-10-015410.2340/jrm.v54.3972Influence of Manual Diaphragm Release Technique Combined with Inspiratory Muscle Training on Selected Persistent Symptoms in Men with Post-Covid-19 Syndrome: A Randomized Controlled TrialEbtesam N. Nagy0Doaa A. Elimy 1Ahmed Y. Ali 2Hieba G. Ezzelregal3Marwa M. Elsayed4Lecturer at Physical Therapy Department for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, EgyptLecturer at Physical Therapy Department for Basic Science, Faculty of Physical Therapy, Cairo University, Giza, EgyptAssistant Professor at Internal Medicine Department, Faculty of Medicine, Cairo University, Giza, Egypt; Assistance Professor at Internal Medicine Department, Armed Forces College of Medicine, Cairo, EgyptAssistant Professor at Chest Department, Faculty of Medicine, Ain Shams University, Cairo, EgyptLecturer at Physical Therapy Department for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt Objective: To determine whether the addition of manual diaphragm release to an inspiratory muscle training programme is more effective than inspiratory muscle training alone in reducing blood pressure, dyspnoea, fatigue, and aerobic performance capacity in men with post-COVID-19 syndrome. Design: A prospective, randomized-controlled trial. Setting: Chest Disease Department, Outpatient Clinic, Cairo University, Egypt. Participants: Fifty-two men with post-COVID-19 syndrome were allocated randomly to the study and control groups. Intervention: The study group underwent diaphragm release plus inspiratory muscle training, whereas the control group received inspiratory muscle training only. Outcome measures: All patients were assessed with the following measures at baseline and 6 weeks postintervention: maximum static inspiratory pressure for inspiratory muscle strength, peripheral arterial blood pressure, Modified Medical Research Council scale for dyspnoea, Fatigue Severity Scale, serum lactate level, and 6-min walk test distance for aerobic performance. Results: All outcome measures showed a significant improvement in favour of the study group (p < 0.001) over the control group. However, maximum static inspiratory pressure increased significantly, by 48.17% (p < 0.001) in the study group with no significant change in the control group. Conclusion: Addition of manual diaphragm release to an inspiratory muscle training programme potentiates the role of inspiratory muscle training in the management of men with symptomatic post-COVID-19 syndrome. LAY ABSTRACT Patients with post-COVID-19 syndrome may experience a variety of symptoms that limit their ability to perform daily activities, such as breathing difficulties, diaphragmatic weakness, cardio-vascular abnormalities, fatigue, and intolerance to physical exercise. These problems may be resolved by physical therapy interventions, which may also prevent further decline. The aim of this study was to investigate the impact of adding a specific physiotherapy technique (manual diaphragm release) to inspiratory muscle training, delivered via a POWERbreath (PowerBreathe, IMT International Ltd. Southam, Warwickshire; England UK) on inspiratory muscle strength, blood pressure, dyspnoea, fatigue, lactate level, and aerobic performance capability in men with post-COVID-19 syndrome. A total of 52 men with post-COVID-19 syndrome were enrolled, and all completed the study. Twenty-six patients underwent diaphragm release plus inspiratory muscle training, whereas the other 26 received inspiratory muscle training only. The prescribed training lasted for 6 weeks. The results showed positive effects on the investigated parameters of adding the diaphragm release technique to inspiratory muscle training among these patients. https://medicaljournalssweden.se/jrm/article/view/3972aerobic performanceCOVID-19diaphragmdyspnoeafatiguemaximum static inspiratory pressure |
| spellingShingle | Ebtesam N. Nagy Doaa A. Elimy Ahmed Y. Ali Hieba G. Ezzelregal Marwa M. Elsayed Influence of Manual Diaphragm Release Technique Combined with Inspiratory Muscle Training on Selected Persistent Symptoms in Men with Post-Covid-19 Syndrome: A Randomized Controlled Trial Journal of Rehabilitation Medicine aerobic performance COVID-19 diaphragm dyspnoea fatigue maximum static inspiratory pressure |
| title | Influence of Manual Diaphragm Release Technique Combined with Inspiratory Muscle Training on Selected Persistent Symptoms in Men with Post-Covid-19 Syndrome: A Randomized Controlled Trial |
| title_full | Influence of Manual Diaphragm Release Technique Combined with Inspiratory Muscle Training on Selected Persistent Symptoms in Men with Post-Covid-19 Syndrome: A Randomized Controlled Trial |
| title_fullStr | Influence of Manual Diaphragm Release Technique Combined with Inspiratory Muscle Training on Selected Persistent Symptoms in Men with Post-Covid-19 Syndrome: A Randomized Controlled Trial |
| title_full_unstemmed | Influence of Manual Diaphragm Release Technique Combined with Inspiratory Muscle Training on Selected Persistent Symptoms in Men with Post-Covid-19 Syndrome: A Randomized Controlled Trial |
| title_short | Influence of Manual Diaphragm Release Technique Combined with Inspiratory Muscle Training on Selected Persistent Symptoms in Men with Post-Covid-19 Syndrome: A Randomized Controlled Trial |
| title_sort | influence of manual diaphragm release technique combined with inspiratory muscle training on selected persistent symptoms in men with post covid 19 syndrome a randomized controlled trial |
| topic | aerobic performance COVID-19 diaphragm dyspnoea fatigue maximum static inspiratory pressure |
| url | https://medicaljournalssweden.se/jrm/article/view/3972 |
| work_keys_str_mv | AT ebtesamnnagy influenceofmanualdiaphragmreleasetechniquecombinedwithinspiratorymuscletrainingonselectedpersistentsymptomsinmenwithpostcovid19syndromearandomizedcontrolledtrial AT doaaaelimy influenceofmanualdiaphragmreleasetechniquecombinedwithinspiratorymuscletrainingonselectedpersistentsymptomsinmenwithpostcovid19syndromearandomizedcontrolledtrial AT ahmedyali influenceofmanualdiaphragmreleasetechniquecombinedwithinspiratorymuscletrainingonselectedpersistentsymptomsinmenwithpostcovid19syndromearandomizedcontrolledtrial AT hiebagezzelregal influenceofmanualdiaphragmreleasetechniquecombinedwithinspiratorymuscletrainingonselectedpersistentsymptomsinmenwithpostcovid19syndromearandomizedcontrolledtrial AT marwamelsayed influenceofmanualdiaphragmreleasetechniquecombinedwithinspiratorymuscletrainingonselectedpersistentsymptomsinmenwithpostcovid19syndromearandomizedcontrolledtrial |