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The Influence of the Application of a Sternal Recoil Technique on Spirometric Parameters in Smokers

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2009/02, Pages: 67, type of study: randomized controlled trial

Free full text   (https://www.osteopathicresearch.org/s/orw/item/2925)

Keywords:

smoking [13]
spirometric parameters [1]
respiratory [98]
sternal recoil technique [1]
randomized controlled trial [710]
WSO [433]

Abstract:

Study Design random assignment cross-over design Outline/Problem Definition Object of the actual study is to examine the effects of the recoil technique, as it is described by several authors in osteopathy, on lung function. Research Question & Objective The mucous membrane of the bronchi is harmed by the multitude of noxous substances in tobacco smoke. The deterioration of respiratory volumes by smoking happens twice as fast than by normal ageing processes in non smokers. It was the aim of the study to examine the effect of a sternal recoil technique on spirometric parameters (VC, FEV1, FVC and MEF25) in smokers. The recoil technique is described in osteopathic literature as technique for diagnosis and treatment of tissue dysfunctions. According to the „link-concept“ by Chauffour, the recoil technique can be applied on the whole body. The dysfunctions are being dissolved. Hypothesis H1 = A sternal recoil technique has an effect on vital capacity (VC), forced vital capacity (FVC) and forced exspiratory volume in one second (FEV1) of smokers. H0 = A sternal recoil technique has no effect on the vital capacity (VC), forced vital capacity (FVC) and the forced exspiratory volume in one second (FEV1) of smokers. Relevance for the Patients The group of addicted smokers needs of a supportive treatment in order to reach a better vitality of their lungs. Relevance for Osteopathy For the Osteopathy this patient group would open a new field of work: Addicted patients could be supported in the finding of better life quality. Methodology Two groups of 12 smokers each were formed by random assignment of test persons meeting the inclusion criteria. All subjects were treated with recoil technique and sham treatment once each (cross over design). However, the order of the administration of the two methods was additionally reversed in the two groups (RS (recoil-sham)/ and SR (sham-recoil) group). The interval between the treatments was one week. Measurements of the spirometric parameters VC, FEV1, FVC and MEF25 were performed straight in advance and after each treatment. Results The results of this study did not point out significant changes in any spirometric parameter in smokers after application of the recoil-technique. Critical Reflection/Perspectives/Conclusions According to the results of this study, a single administration of a recoil technique has no significant influence on the lung function (VC, FEV1, FVC and MEF25) of smokers. It cannot be precluded, that the continued smoking overcasts the effects of the technique


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