{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T03:48:15Z","timestamp":1778039295845,"version":"3.51.4"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T00:00:00Z","timestamp":1729382400000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009392","name":"Prince Sattam bin Abdulaziz University","doi-asserted-by":"publisher","award":["PSAU\/2024\/R\/1446"],"award-info":[{"award-number":["PSAU\/2024\/R\/1446"]}],"id":[{"id":"10.13039\/100009392","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Purpose:<\/jats:title><jats:p>To examine the respiratory and functional benefits of manual diaphragmatic release for Cleaning\u2010Laborers Exposed to Occupational Hazards.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized controlled trial of 36 participants aged 35\u201345\u00a0years was randomly allocated into two groups. The experimental group (n\u00a0=\u00a018); received manual diaphragm release along with respiratory training exercises, and the control group (n\u00a0=\u00a018); received respiratory training exercises only. Three times\/week for 12 consecutive weeks. The serum immunoglobulin E level, pulmonary functions [forced expiratory volume in one second (FEV<jats:sub>1<\/jats:sub>), forced vital capacity (FVC), FEV<jats:sub>1<\/jats:sub>\/FVC, and peak expiratory flow (PEF) rate (PEF)], chest wall mobility, and 6\u00a0min walk\u2010test performance were assessed pre\u2010 and post\u2010intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a greater decline in serum immunoglobulin levels (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.003; Partial \u03b7<jats:sup>2<\/jats:sup>\u00a0=\u00a00.23) and enhancement in pulmonary functions [FEV<jats:sub>1<\/jats:sub> (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.025, Partial \u03b72\u00a0=\u00a00.14), FVC (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.017, Partial \u03b7<jats:sup>2<\/jats:sup>\u00a0=\u00a00.16), FEV<jats:sub>1<\/jats:sub>\/FVC (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.028, Partial \u03b7<jats:sup>2<\/jats:sup>\u00a0=\u00a00.13), and PEF (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.012, Partial \u03b72\u00a0=\u00a00.17) in the experimental group. Further, there was a greater increase in chest mobility at the xiphoid level (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.002, Partial \u03b7<jats:sup>2<\/jats:sup>\u00a0=\u00a00.25) in the experimental group, but this was not the case at the axillary level (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.29, Partial \u03b7<jats:sup>2<\/jats:sup>\u00a0=\u00a00.03). Still, the 6\u00a0min walk\u2010test performance improved more significantly in the experimental group (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.002, Partial \u03b7<jats:sup>2<\/jats:sup>\u00a0=\u00a00.24).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The diaphragmatic release technique may offer a promising approach for mitigating distressing respiratory symptoms, enhancing immune function, and improving 6\u00a0min walk\u2010test performance among cleaning laborers with work\u2010related respiratory hazards.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration<\/jats:title><jats:p>The study was retrospectively registered at XXX (ID: NCT05802355).<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.70001","type":"journal-article","created":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T17:38:21Z","timestamp":1729445901000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Respiratory and functional benefits of manual diaphragmatic release for cleaning\u2010laborers exposed to occupational hazards"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9533-0699","authenticated-orcid":false,"given":"Alshimaa R.","family":"Azab","sequence":"first","affiliation":[{"name":"Department of Health and Rehabilitation Sciences College of Applied Medical Sciences Prince Sattam Bin Abdulaziz University  Al\u2010Kharj Saudi Arabia"},{"name":"Department of Physical Therapy for Pediatrics Faculty of Physical Therapy Cairo University  Giza 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