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Effect of MET training on pain and activities of daily living in COPD patients

Journal: European Respiratory Journal Date: 2022/09, 60(Suppl 66):. doi: Subito , type of study: controlled clinical trial

Full text    (https://erj.ersjournals.com/content/60/suppl_66/3486)

Keywords:

chronic obstructive pulmonary disease [16]
controlled clinical trial [283]
COPD [25]
muscle energy technique [157]
MET [449]

Abstract:

Background: Recent studies in Chronic Obstructive Pulmonary Disease (COPD) report that pain is more of a concern,and it is emphasized that this issue should be focused on. Pain has become a common clinical problem in these patients, which negatively affects quality of life, symptom burden,and activities of daily living. Aims and objectives: To compare the effects of Muscle Energy Technique(MET) training in the cervical and thoracic regions, where muscular pain is intense, on pain, activities of daily living,and dyspnea in patients with moderate COPD. Methods: Twenty-eight moderate COPD patients with a mean age of 53±9 years were included in the study. The patients were divided into two groups. Global cervical local sensitivity(GCLS) and global trapezius local sensitivity(GTLS) pressure-pain thresholds (QST Pressure Pain Threshold branded algometer), activities of daily living(Glittre ADL test) and dyspnea perception before and after treatment of all cases(Modified medical research council,mMRC) was evaluated. Results:The GCLS score and GTLS scores of the pre- and post-treatment MET(p<.001)and control(p<.001) groups increased within the group. Glitre ADL performance scores decreased in MET(p<.001)and control(p=.003)groups before and after treatment were compared within the groups. The mean mMRC score statistically significantly of the MET group was lower. Conclusion: The data obtained in the study showed that MET is applicable in patients with COPD. It is seen that there is a significant improvement in pain thresholds, activities of daily living and dysnea perception with MET treatment applied to accessory respiratory muscles in these patients. It is recommended to be added to the pulmonary rehabilitation program.


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