Evidence map›Paper›PMID 39359613›Full record

ArticleF1000Research2023

The effect of manual therapy on diaphragm function in adults with asthma: Protocol for a randomized controlled trial.

Dimitrios Tsimouris, Eirini Grammatopoulou, Maria Papandreou, George Gioftsos, George Koumantakis

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in F1000Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05709054 (The Effect of Manual Therapy Techniques on the Mobility of the Diaphragm in People With Asthma), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT05709054 naunknown statusnot on this map

The Effect of Manual Therapy Techniques on the Mobility of the Diaphragm in People With Asthma: Protocol for a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of West AtticaRan2023 to 2024Enrolled6ConditionsAsthmaArmsExperimental: Diaphragmatic Manual Therapy Group A, Sham Breathing Retraining Exercises Group B
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Adding Rib Mobilization to Diaphragm Release Techniques in Patients With Non-Specific Neck Pain: Randomized Controlled Trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Trial
  2. Article
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.

Dimitrios TsimourisPhysiotherapy Department, ,, Egaleo, School of Health & Care Sciences, University of West Attica, 12243, Greece.ORCID 0000-0003-1632-4440
Eirini GrammatopoulouPhysiotherapy Department, ,, Egaleo, School of Health & Care Sciences, University of West Attica, 12243, Greece.
Maria PapandreouPhysiotherapy Department, ,, Egaleo, School of Health & Care Sciences, University of West Attica, 12243, Greece.
George GioftsosPhysiotherapy Department, ,, Egaleo, School of Health & Care Sciences, University of West Attica, 12243, Greece.ORCID 0000-0002-3368-3114
George KoumantakisPhysiotherapy Department, ,, Egaleo, School of Health & Care Sciences, University of West Attica, 12243, Greece.ORCID 0000-0001-7709-2802

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diaphragm dysfunction is prevalent among individuals with asthma due to lung hyperinflation and hyperventilation in asthma paroxysm. This study was designed to evaluate the effect of the manual diaphragm release technique (MDRT) on diaphragm function in individuals with asthma. Methods: Adults with diagnosed stable asthma (n = 24), will be recruited from the General Hospital of Kifissia "Agioi Anargyroi" in Athens, Greece. The volunteers who meet the inclusion criteria will be randomly allocated to two groups: (a) the experimental group (n = 12) that will receive 12 sessions of MDRT in conjunction with breathing retraining exercises (BRE), and (b) the control group (n = 12) that will receive 12 sessions of BRE. Measurements will occur at three time points: before the initiation of treatment sessions (week 0), followed by 12 treatment sessions (week 6), and three months from the beginning of the trial (week 12). The main outcomes will be the diaphragm excursion (ultrasonography) and chest expansion (inch tape), with secondary outcomes the maximal respiratory pressures (digital pressure manometer), dysfunctional breathing (Nijmegen questionnaire), asthma control (ACT), dyspnea (Borg scale) and quality of life (SF-12v2). Discussion: The proposed protocol is the first to examine the effectiveness of MRDT on diaphragm's function in individuals with asthma. Manual Therapy (MT) is a low-cost alternative and supplementary therapy to standard treatment procedures that might improve the biomechanics of respiration in pulmonary rehabilitation. Trial Registration: Registered on Clinical Trials.gov (ID: NCT05709054). Protocol version: 29/09/2023.

Indexed as

AsthmaDiaphragmAdultBreathing ExercisesFemaleHumansMaleMiddle AgedMusculoskeletal ManipulationsQuality of LifeRandomized Controlled Trials as TopicKey Words: Asthma; Manual Therapy; Diaphragm; Breathing retraining exercises; Diaphragm mobilityUltrasound

Identifiers

PMID39359613
PMCPMC11445601

What OpenQuestion holds

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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.