Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/18000
Title: The Clinical Effects of Manipulative Therapy in People with Chronic Obstructive Pulmonary Disease.
Authors: Galletti, Jayde;Mcheileh, George;Hahne, Andrew;Lee, Annemarie L
Affiliation: Department of Physiotherapy, Rehabilitation, Nutrition and Sport, La Trobe University, Bundoora, Australia
Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
Department of Physiotherapy, Faculty of Medicine, Nursing and Health Sciences, School of Primary and Allied Health Care, Monash University, Frankston, Australia
Issue Date: 29-Mar-2018
EDate: 2018-03-29
Citation: Journal of alternative and complementary medicine (New York, N.Y.) 2018; online first: 29 March
Abstract: This study aimed to determine the effects of manipulative therapies (MT), including spinal manipulation, and diaphragmatic release techniques on lung function, exercise capacity, symptoms, and health-related quality of life (HRQOL) in people with chronic obstructive pulmonary disease (COPD). Systematic review. People diagnosed with COPD. Randomized controlled trials of MT (either with or without pulmonary rehabilitation [PR]) compared to other treatments (soft tissue [ST] therapy or sham therapy) applied in people with COPD were identified following the search of seven databases. Two reviewers independently assessed study quality and extracted data. Lung function, exercise capacity, symptoms, and HRQOL. Four studies were included, with a total of 68 participants. The heterogeneity between treatments prevented meta-analysis. There was no beneficial effect on spirometry measures of lung function with MT. MT combined with PR improved exercise capacity by 48-49 m more than ST therapy plus PR. Less dyspnea was reported with MT and ST therapy compared to ST therapy alone (p = 0.01), but there was no effect on HRQOL, or symptoms of anxiety or depression. In people with COPD, MT (either with or without PR) improved functional exercise capacity, but had no effect on lung function, or HRQOL. Further research is required to determine the underlying mechanism of this treatment approach and its relationship to exercise capacity.
URI: http://ahro.austin.org.au/austinjspui/handle/1/18000
DOI: 10.1089/acm.2017.0390
PubMed URL: 29595991
Type: Journal Article
Subjects: chronic disease
exercise
manipulative therapy
physical therapy
pulmonary
spinal manipulation
systematic review
Appears in Collections:Journal articles

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