RecruitingNot ApplicableNCT04941326

The Effect of Spinal Mobilization on Respiratory Parameters in Parkinson's Disease Patients

Investigation of the Effect of Spinal Mobilization and Respiration Techniques on Posture and Respiratory Function in Parkinson's Patients

Sponsor

Abant Izzet Baysal University

Enrollment

63 participants

Start Date

Aug 15, 2021

Study Type

INTERVENTIONAL

Conditions

Parkinson Disease Camptocormia Restrictive Lung Disease

Summary

Parkinson's patients suffer from respiratory distress for different reasons. It is thought that physiotherapy methods that have an indirect effect on the diaphragm can improve respiratory functions. The aim of this study is to investigate the effects of spinal mobilization and diaphragmatic breathing techniques on respiratory function.

Eligibility

Min Age: 50 YearsMax Age: 85 Years

Inclusion Criteria3

Have been diagnosed with Parkinson's disease
Volunteering to participate in the study
Modified Medical Research Council (MMRC) score \>2

Exclusion Criteria5

Those with COVID-19
Diseases that increase intra-abdominal pressure
Diseases affecting diaphragmatic motility
Those who had a recent thoracic or abdominal operation
Those who have a parenchymal, pleural or chest wall mass that will cause restriction on a recent chest X-ray or CT will not be included in the study

Interventions

OTHERDiaphragmatic stimulation treatment with PNF techniques

Thumbs and palms are placed along the cartilage edges of the lower ribs. At the end of the expiration, pressure and stretching are given as far into the chest and upwards as possible and a deep inspiration is requested immediately after the pressure. Both sides can be stimulated by repeated contraction technique. Hand holding positions may differ according to the patient's preference. If the patient's physical condition is not suitable, the application can be done with the thumbs, the thumb of the left hand for the right rib, and the thumb of the right hand for the left rib in the same lying position. The patient will be asked to do the application 2 times in a day with 10 repetitions for 4 weeks.

OTHERCostal mobilization

In the supine position, the individual will place both hands around the 10-12th ribs and alternately apply an oblique push from the right and left sides to the opposite side. The exercise will be taught to the patient as training, and he will be asked to apply it 2 times a day with 20 repetitions for 4 weeks.

OTHERBreathing exercises

It is done to increase the diaphragm activity of the individual and to suppress chest breathing. While lying in the supine position, the legs are placed in a hooked position, with one hand on the abdomen and the other on the chest, and the deep breath that is taken from the nose in 2 seconds is asked to exhale through the mouth in 4 seconds, while revealing as little movement in the chest as possible, the main movement is requested to be around the abdomen. The application will be given to the patient as a home program and he will be asked to do it 2 times a day with 5 repetitions for 4 weeks.

OTHERSpinal mobilization

T12 vertebrae will be found by following the 12th rib in the prone position of the individual and spinous of L1 and L2 vertebrae will be determined with this reference. Then, small amplitude rotational movements in the vertebrae will be revealed by pushing in the anterior direction over the transverse processes. This application will be applied once a week for an average of 10 minutes for 4 weeks.

OTHERSham mobilization

Sham pressures will be applied to the lumbar region of the patient, away from the vertebrae. This application will be applied once a week for an average of 10 minutes for 4 weeks.