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Manual Diaphragmatic Release Technique on Exercise Capacity and Sleep Quality
To investigate if there is a significant effect of manual diaphragmatic release technique on exercise capacity, sleep quality, chest expansion, ADL, fatigue and quality of life in older adults with type II diabetes.
ClinicalTrials.gov IDNCT06880783
PhaseNA
Enrollment44
SponsorBeni-Suef University
Age55 Years
SexALL
Conditions studied
Diabetes
About this study
To investigate if there is a significant effect of manual diaphragmatic release technique on exercise capacity, sleep quality, chest expansion, ADL, fatigue and quality of life in older adults with type II diabetes.
Interventions
- Other: manual diaphragm release technique — The participant should be supine with relaxed limbs, and the therapist should position themselves at the head, making manual contact with the pisiform, hypothenar region, and fingers. The therapist should gently pull the contact towards the head, deepen it during exhalation, and gradually increase the depth.
- Other: deep breathing exercises — Participants in a crook laying position are instructed to inhale through the nose, lift the abdomen, and let out through the mouth, breathing six breaths per minute for 30 minutes.
Primary outcomes
- 6-minute walk test (up to 6 weeks)
- Pittsburgh Sleep Quality Index (PSQI) (up to 6 weeks)
Eligibility information
Inclusion Criteria:
* History of Diabetes Type II for more than one year.
* They will be well controlled with HbA1c≤7.
* Patients will be aged from 55 years and above and had a body mass index less than 30 kg/m².
* Patients will follow up on the training program and instructions. They will be medically stable.
Exclusion Criteria:
* Chest diseases.
* Diaphragmatic hernia, clinical evidence of phrenic nerve injury, recent abdominal or thoracic surgery, or history of traumatic lesion possibly affecting diaphragm.
* History of Myocardial infarction and/or cardiothoracic surgery
* Unstable medical status.
* Cognitive disability hindering responding to the questionnaires.
Study locations
- Beni suef hospital, Banī Suwayf, 62511 Egypt
Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.