Manual diaphragmatic release

Intervention2 papers8 findings

Human trials report improved exercise capacity and quality of life with manual diaphragmatic release combined with aerobic training or guided breathing. One trial in older women with type 2 diabetes reports improved lung volumes; another combining guided breathing reports reduced fatigue and PSQI scores.

  • Human trial2

Outcomes

8

Quality of life

upin humans1Moderate certainty

1 study
  1. Manual diaphragmatic release improves quality of life in humans (P < 0.001, η2 = 0.413).

    Human trialcombined with guided breathing exercisessix weeksn = 44

    Effect of manual diaphragmatic release technique on exercise capacity and sleep quality in older adults with Type II diabetes: A randomized controlled trial · Physiology international · 18 Sep 2026

Fatigue

downin humans1Moderate certainty

1 study
  1. Manual diaphragmatic release decreases fatigue in humans (P < 0.001, η2 = 0.476).

    Human trialcombined with guided breathing exercisessix weeksn = 44

    Effect of manual diaphragmatic release technique on exercise capacity and sleep quality in older adults with Type II diabetes: A randomized controlled trial · Physiology international · 18 Sep 2026

PSQI

downin humans1Moderate certainty

1 study
  1. Manual diaphragmatic release decreases PSQI in humans (P = 0.001, η2 = 0.234).

    Human trialcombined with guided breathing exercisessix weeksn = 44

    Effect of manual diaphragmatic release technique on exercise capacity and sleep quality in older adults with Type II diabetes: A randomized controlled trial · Physiology international · 18 Sep 2026

PSQI →

Exercise capacity

upin humans1Moderate certainty

1 study
  1. Manual diaphragmatic release improves exercise capacity in humans (24.2 m versus 4.6 m).

    Human trialcombined with guided breathing exercisessix weeksn = 44

    Effect of manual diaphragmatic release technique on exercise capacity and sleep quality in older adults with Type II diabetes: A randomized controlled trial · Physiology international · 18 Sep 2026

Diabetic Quality of Life Questionnaire score

upin humans1Low certainty

1 study
  1. Manual diaphragmatic release improves Diabetic Quality of Life Questionnaire score in humans.

    Human trialin addition to aerobic training in elderly type 2 diabetic women8 weeksfemalesn = 60

    Effect of manual diaphragmatic release on ventilatory function and functional capacity in elderly type 2 diabetic women: A randomised controlled trial · Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 6 May 2026

Diabetic Quality of Life Questionnaire score →

6-minute walk distance

upin humans1Low certainty

1 study
  1. Manual diaphragmatic release improves 6-minute walk distance in humans.

    Human trialin addition to aerobic training in elderly type 2 diabetic women8 weeksfemalesn = 60

    Effect of manual diaphragmatic release on ventilatory function and functional capacity in elderly type 2 diabetic women: A randomised controlled trial · Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 6 May 2026

6-minute walk distance →

Total lung capacity

upin humans1Low certainty

1 study
  1. Manual diaphragmatic release improves total lung capacity in humans.

    Human trialin addition to aerobic training in elderly type 2 diabetic women8 weeksfemalesn = 60

    Effect of manual diaphragmatic release on ventilatory function and functional capacity in elderly type 2 diabetic women: A randomised controlled trial · Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 6 May 2026

Total lung capacity →

Forced vital capacity

upin humans1Low certainty

1 study
  1. Manual diaphragmatic release improves forced vital capacity in humans.

    Human trialin addition to aerobic training in elderly type 2 diabetic women8 weeksfemalesn = 60

    Effect of manual diaphragmatic release on ventilatory function and functional capacity in elderly type 2 diabetic women: A randomised controlled trial · Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 6 May 2026

Forced vital capacity →

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