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Title: The Role of Manual Therapy in Patients with COPD.
Austin Authors: Clarke, Stephanie;Munro, Prue E;Lee, Annemarie L
Affiliation: Department of Physiotherapy, Eastern Health, 5 Arnold Street, Box Hill, Victoria, 3128, Australia
Physiotherapy, Rehabilitation, Nutrition and Sport, College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, 3088, Australia
Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Victoria, 3199, Australia
Issue Date: 1-Feb-2019 2019-02-01
Publication information: Healthcare (Basel, Switzerland) 2019; online first: 1 February
Abstract: Chronic obstructive pulmonary disease (COPD) is a respiratory condition associated with altered chest wall mechanics and musculoskeletal changes. In this narrative review, we describe the underlying musculoskeletal abnormalities in COPD, the reasons for applying manual therapy techniques, their method of application and clinical effects. A variety of manual therapy techniques have been applied in individuals with COPD, including soft tissue therapy, spinal and joint manipulation and mobilisation, and diaphragmatic release techniques. These have been prescribed in isolation and in conjunction with other treatments, including exercise therapy. When applied in isolation, transient benefits in respiratory rate, heart rate and symptoms have been reported. Combined with exercise therapy, including within pulmonary rehabilitation, benefits and their corresponding clinical relevance have been mixed, the extent to which may be dependent on the type of technique applied. The current practical considerations of applying these techniques, including intense therapistā»patient contact and the unclear effects in the long term, may limit the broad use of manual therapy in the COPD population. Further high quality research, with adequate sample sizes, that identifies the characteristic features of those with COPD who will most benefit, the optimal choice of treatment approach and the longevity of effects of manual therapy is required.
DOI: 10.3390/healthcare7010021
PubMed URL: 30717269
ISSN: 2227-9032
Type: Journal Article
Subjects: chronic obstructive pulmonary disease
exercise tolerance
manual therapy
musculoskeletal dysfunction
Appears in Collections:Journal articles

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