Academic Journal
Effect of manual diaphragmatic release technique on exercise capacity and sleep quality in older adults with Type II diabetes: A randomized controlled trial.
| Τίτλος: | Effect of manual diaphragmatic release technique on exercise capacity and sleep quality in older adults with Type II diabetes: A randomized controlled trial. |
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| Συγγραφείς: | Elhamrawy MY; 1Physical Therapy Department for Internal Medicine Disorders and Geriatrics, Faculty of Physical Therapy, Ahram Canadian University, Giza, Egypt.; 2Department of Physical Therapy for Internal Medicine and Geriatrics, Faculty of Physical Therapy, Alsalam University in Egypt, Tanta, Egypt., El-Sherbini AEIEM; 3National Institute of Longevity Elder Sciences (NILES), Beni-Suef University, Beni Suef, Egypt., Elgayar SL; 4Department of Physiotherapy, Faculty of Allied Medical Sciences, Middle East University, Amman, Jordan. |
| Πηγή: | Physiology international [Physiol Int] 2026 Sep 18; Vol. 113 (3), pp. 400-414. Date of Electronic Publication: 2026 Sep 18 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article; Randomized Controlled Trial |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Akadémiai Kiado Country of Publication: Hungary NLM ID: 101696724 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 2498-602X (Print) Linking ISSN: 2498602X NLM ISO Abbreviation: Physiol Int Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Budapest : Akadémiai Kiadó, [2016]- |
| Ιατρικοί όροι (MeSH): | Diabetes Mellitus, Type 2*/physiopathology , Diabetes Mellitus, Type 2*/therapy , Exercise Tolerance*/physiology , Diaphragm*/physiopathology , Breathing Exercises*/methods , Sleep Quality*, Fatigue/physiopathology ; Humans ; Aged ; Quality of Life ; Female ; Male ; Single-Blind Method ; Middle Aged ; Treatment Outcome |
| Περίληψη: | Background: Reduced exercise tolerance, fatigue, and poor sleep negatively affect daily functioning and quality of life. Manual diaphragmatic release (MDR) has demonstrated benefits in respiratory rehabilitation; however, its effects in type 2 diabetes mellitus (T2DM) are unexplored. Objective: This study aimed to examine the impact of a six-week MDR program on exercise capacity, sleep quality, fatigue, and health-related quality of life in older adults with T2DM. Methods: In a single-blind, randomized controlled trial, 44 older adults with type 2 diabetes mellitus (T2DM) were assigned to an experimental group (n = 22) receiving MDR plus guided breathing exercises or a control group (n = 22) performing breathing exercises alone. Interventions were conducted three times per week for six weeks. The primary outcomes were exercise capacity (Six-Minute Walk Test, 6MWT) and sleep quality (Pittsburgh Sleep Quality Index, PSQI). The secondary outcomes included Fatigue Assessment Scale (FAS) and quality of life (SF-12). Assessments were performed at baseline and post-intervention. Results: The experimental group showed significantly greater improvement than the control group. The 6MWT distance increased by 24.2 m versus 4.6 m (P < 0.001, η2 = 0.516). The PSQI and FAS scores decreased significantly (P = 0.001, η2 = 0.234; P < 0.001, η2 = 0.476), and the quality of life improved (P < 0.001, η2 = 0.413). Conclusion: A six-week MDR program combined with guided breathing exercises significantly improved exercise capacity, sleep quality, and quality of life and reduces fatigue in older adults with T2DM, supporting MDR as a promising non-pharmacological adjunct for older adults with well-controlled T2DM, with further research needed in broader diabetic populations. |
| Contributed Indexing: | Keywords: Type II diabetes mellitus; fatigue; manual diaphragmatic release; quality of life; sleep quality |
| Entry Date(s): | Date Created: 20260918 Date Completed: 20261016 Latest Revision: 20261016 |
| Update Code: | 20261017 |
| DOI: | 10.1556/2060.2026.00899 |
| PMID: | 42758547 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2498-602X |
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| DOI: | 10.1556/2060.2026.00899 |