Evidence map›Paper›PMID 36121338›Full record

Trial reportJournal of rehabilitation medicine2022

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.

Ebtesam N Nagy, Doaa A Elimy, Ahmed Y Ali, Hieba G Ezzelregal, Marwa M Elsayed

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of rehabilitation medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05903144 nacompletednot on this map

Influence of Manual Diaphragm Release Combined With Conventional Breathing Exercises and Prone Positioning on Pulmonary Functions in Women With COVID-19

TypeinterventionalSponsorCairo UniversityRan2022 to 2023Enrolled40ConditionsCOVID-19 PneumoniaArmsmanual therapy, breathing exercise and prone position alone
NCT06460857 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effects of Manual Diaphragmatic Release Technique Versus Chest Wall Expansion Exercises on Pulmonary Function, Chest Wall Expansion and Asthma Control in Patients With Asthma

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2024Enrolled58ConditionsAsthmaArmsManual Diaphragmatic Release Technique, Chest Wall Expansion Exercises
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  3. Rehabilitation and COVID-19: systematic review by Cochrane Rehabilitation.European journal of physical and rehabilitation medicine · 2023
    Pooled it
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  6. Effect of manual diaphragmatic release on ventilatory function and functional capacity in elderly type 2 diabetic women: A randomised controlled trial.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2026
    Article
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  8. Systematic Review of Randomized Clinical Trials for the Treatment of Long COVID Syndrome.Journal of community hospital internal medicine perspectives · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Ebtesam N NagyLecturer at Physical Therapy Department for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Doaa A ElimyLecturer at Physical Therapy Department for Basic Science, Faculty of Physical Therapy, Cairo University, Giza, Egypt. D.Ayoub@cu.edu.eg.
Ahmed Y AliAssistant Professor at Internal Medicine Department, Faculty of Medicine, Cairo University, Giza, Egypt; Assistance Professor at Internal Medicine Department, Armed Forces College of Medicine, Cairo, Egypt.
Hieba G EzzelregalAssistant Professor at Chest Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Marwa M ElsayedLecturer at Physical Therapy Department for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Cairo University · EGAin Shams University · EGArmed Forces College of Medicine · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo 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.

designA prospective, randomized-controlled trial.

settingChest Disease Department, Outpatient Clinic, Cairo University, Egypt.

participantsFifty-two men with post-COVID-19 syndrome were allocated randomly to the study and control groups.

interventionThe 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.

resultsAll 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.

conclusionAddition 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.

Indexed as

Breathing ExercisesCOVID-19Respiratory MusclesDiaphragmDyspneaHumansLactatesMaleMuscle FatigueMuscle StrengthPost-Acute COVID-19 SyndromeProspective StudiesLactates

Identifiers

PMID36121338
PMCPMC9608026
OpenAlexW4296330759

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.