The Effect of Deep Tissue Massage on Respiratory Parameters in People With Asthma

Обзор

Bronchial asthma, as a chronic inflammatory disease of the respiratory tract, significantly reduces the quality of life of patients. Standard treatment includes pharmacotherapy, but a holistic approach, including manual therapies, can support pharmacological therapy, reducing the need for drugs. The aim of the research is to verify whether deep tissue massage (DTM) techniques applied to the chest significantly affect respiratory parameters in people with asthma. The study is the next stage of the study conducted on healthy people. After obtaining positive results in the study involving people not suffering from respiratory diseases, the next step is to examine people with, in this case, bronchial asthma. It is important to determine whether the use of this form of manual therapy can bring benefits in the context of improving respiratory functions, reducing respiratory muscle tension and relieving subjective symptoms associated with asthma, such as shortness of breath or limitations in everyday functioning. The hypothesis assumes that DTM techniques can have a bigger effect on the respiratory system than classic massage (CM). The study is a randomized controlled trial, where participants will be randomly assigned to one of two groups: the study group (subjected to DTM) or the control group (subjected to CM). Before and after the massage intervention, participants will undergo spirometry to assess the changes in respiratory parameters. The obtained data will then be analyzed for effects on respiratory parameters and differences between both groups.

Вмешательства

• Процедура Deep Tissue Massage
  Administered as a soft tissue mobilization performed by the therapist with fingertips, knuckles, elbows and/or fists on the tissues that manifest symptoms of fascial restrictions. The techniques were performed with individually adjusted force until the change (eg. increased mobility) in the tissue being treated was stated by the therapist.
• Процедура Classic massage
  The subject was lying supine on the table, with a roller placed under the knee joints, the upper limbs along the body. The following sequence of techniques was used in the longitudinal and transverse strands and in the intercostal spaces (excluding the breast in women): effleurage, friction, petrissage, pressures, tapotement and vibrations.

Первичные конечные точки

• Assessment of change of lung vital capacity [Срок оценки: twice: before and immediately after procedure administration in both groups]
• Assessment of change of chest circumference [Срок оценки: twice: before and immediately after procedure administration in both groups]
• Assessment of change of blood oxygen saturation [Срок оценки: twice: before and immediately after procedure administration in both groups]
• Asessment of change of Peak Expiratory Flow (PEF) [Срок оценки: twice: before and immediately after procedure administration in both groups]
• Assessment of change of Forced Vital Capacity [Срок оценки: twice: before and immediately after procedure administration in both groups]
• Assessment of change of Maximum Expiratory Flow [Срок оценки: twice: before and immediately after procedure administration in both groups]
• Assessment of change of Forced Expiratory Volume in one second [Срок оценки: twice: before and immediately after procedure administration in both groups]
• Assessment of change of Maximum Voluntary Ventilation [Срок оценки: twice: before and immediately after procedure administration in both groups]

Критерии участия

Критерии включения

• diagnosed with bronchial asthma
• stable health condition, allowing participation in the study
• informed consent to participate in the study

Критерии исключения

• acute or chronic comorbidities that may affect the results (e.g. COPD, heart failure, cancer)
• any chest surgery performed within the last 6 months
• contraindications to massage (e.g. skin infections, wounds)
• pregnancy
• participation in other clinical trials in the last 3 months

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

Польша · 2 центра

• Department of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical C — Cracow
• The "Wieliczka" Salt Mine Health Resort — Wieliczka

Идентификаторы

NCT: NCT06893445 · 118.0043.1.81.2025

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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