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Effects of manual therapy on the diaphragm in asthmatic patients: A randomized pilot study

Journal: International Journal of Osteopathic Medicine Date: 2018/09, 29Pages: 26-31. doi: Subito , type of study: randomized controlled trial


Keywords:

athma [1]
respiratory function [15]
thoracic mobility [1]
diaphragm [73]
stretching [20]
physiotherapy [48]
rehabilitation [55]
allergic asthmatic patients [1]
non-allergic asthmatic patients [1]
randomized controlled trial [710]

Abstract:

Background: Stretching of respiratory muscles is included in what is known as manual therapy techniques. A diaphragm stretching technique has shown beneficial effects on respiratory function and thoracic and spinal mobility in healthy subjects. However, its effects on asthmatic patients have not been evaluated. Objective: To evaluate the effects of manual therapy on the diaphragm in allergic and non-allergic asthmatic patients regarding respiratory pressures and chest mobility. Design: Single-blinded randomized pilot study. Setting: Faculty of Health Sciences of Granada, Spain. Methods: Thirty-two participants were randomized into two groups: an intervention group in which a diaphragm stretching technique was performed and a placebo group. Respiratory pressures, thoracic and lumbar mobility, and flexibility were evaluated before the technique was performed, immediately afterwards, and at 5 and 20 min. Participants: Allergic and non-allergic asthmatic patients. Results: Our results support the immediate effectiveness of the technique in maximal inspiratory pressure at 5 min of diaphragm stretching (p = 0.031). Significant results were also shown in mobility and flexibility, with a significant improvement in the subaxillary and abdominal perimeter as well as in the finger-floor test and the Schober test (p < 0.05). Conclusions: The results may show that a diaphragm stretching technique in asthmatic patients leads to an improvement in the following parameters: maximum inspiratory pressures 5 min after the technique; and flexibility and mobility of the rib cage at 5 min, which remains at 20 min. Further work is required to test the reproducibility of these results in a definitive trial.


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