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The Influence of Rib Raising on the Lung Function of Chronic Obstructive Pulmonary Disease Patients

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2010/06, Pages: 79, type of study: randomized controlled trial

Free full text   (https://www.osteopathicresearch.org/s/orw/item/2902)

Keywords:

COPD [25]
lung function [13]
OMT [2951]
osteopathic manipulative treatment [2973]
plethysmography [2]
rib raising [16]
WSO [433]

Abstract:

Study Design The study on hand has the experimental research design. Outline/Problem Definition The Rib Raising is described in the osteopathic literature as technology for the treatment of lung malfunctions and diseases, such as pneumonias. Scientific proofs to the effectiveness of this technique are not available. It is objective of the study to analyze whether the application of the osteopathic technique of the Rib Raising the lung function related to the lung function parameter VC and FEV 1 as well as the relationship influences FEV1/ VC in patients with COPD. Research Question & Objective Can the parameters of the lung function FEV1, VC and the relationship FEV1/ VC of the COPD patients with the Rib Raising be influenced? Hypothesis Null hypothesis: The application of the osteopathic technique of the Rib Raising with COPD patients does not influence the lung function related to the parameters VC and FEV1 as well as the relationship FEV1/ VC. Alternative hypothesis: The application of the osteopathic technique of the Rib Raising with COPD patients influences the lung function related to the parameters VC and FEV1 as well as the relationship FEV1/ VC. Relevance for the Patients According to Sommerfeld (2006) the success can be made foreseeable better for future patients and a treat patients inexpedient avoided be with that. In addition, the choice {election} of an adequate therapy can contribute to the reduction from medical costs. Relevance for Osteopathy The clarification of the asked question contributes in my opinion to increase the predictability with respect to efficiency and safety of the clinical intervention of osteopathic techniques. Methodology The study on hand has the experimental research design. The patients simply become blinded and in the Matching distributed on experimental and placebo group. The receptionists who execute the measuring of the lung function are with regard to the group assignment blindet. A sample height of 20 patients per group is striven for. After determination of the one and exclusion criteria 51 COPD patients were questioned to a participation in the study. At long last, 20 patients per group took part in the study. After the initials' measurement of the lung function the patients became the experimental group with the Rib Raising which osteopath treats for the placebo group with the placebo treatment of one. The final measurement of the lung function is carried out after the medical control appointment. In the statistical evaluation the test was carried out next to on homogeneity of the groups with regard to the Matching variable. With respect to the variable COPD degree the groups are only conditionally homogeneous. The Kolmogorov-Smirnov test yielded a normal distribution of the features. The t-test could then be used to determine the difference of the values of the lung function parameters baseline and posttreatment. Results The null hypothesis must accepted the alternative hypothesis be rejected. The values of the lung function parameters after the treatment did not show any significant difference compared with these before the treatment. Critical Reflection/Perspectives/Conclusions There is no influence of the Rib Raising on the lung function of the COPD patients of this sample. On the parent population of the COPD patients you cannot generalize since the sample of this study is voted and therefore not representative only from the patient pool of the pulmonary doctor's office.


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