Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease: A pilot study

Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease: A pilot study

Summary Objectives Few and contrastingly data are available about use of osteopathic manipulative treatment (OMT) in patients with chronic obstructive pulmonary disease (COPD). Design Comparing the effects of the combination of pulmonary rehabilitation and OMT compared with pulmonary rehabilitation...

Full description

Saved in:
Bibliographic Details
Published in:Complementary therapies in medicine Vol. 20; no. 1; pp. 16 - 22
Main Authors: Zanotti, Ercole, Berardinelli, Pasqualino, Bizzarri, Catiuscia, Civardi, Andrea, Manstretta, Andrea, Rossetti, Sabina, Fracchia, Claudio
Format: Journal Article
Language:English
Published: Scotland Elsevier Ltd 01-02-2012
Elsevier Limited
Subjects:
Aged
Body mass index
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease (COPD)
Counseling
Exercise Test
Exercise Therapy
Female
Forced Expiratory Volume
Humans
Internal Medicine
Lung - physiopathology
Male
Manipulation, Osteopathic
Medical Education
Middle Aged
Osteopathic manipulative treatment
Osteopathic medicine
Patient Education as Topic
Physical Fitness
Pilot Projects
Pulmonary Disease, Chronic Obstructive - physiopathology
Pulmonary Disease, Chronic Obstructive - rehabilitation
Pulmonary Disease, Chronic Obstructive - therapy
Pulmonary rehabilitation
Quality of life
Rehabilitation
Residual Volume
Respiratory failure
Respiratory Function Tests
Severity of Illness Index
Treatment Outcome
Walking
Osteopathic manipulative treatment
Chronic obstructive pulmonary disease (COPD)
Pulmonary rehabilitation
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Summary Objectives Few and contrastingly data are available about use of osteopathic manipulative treatment (OMT) in patients with chronic obstructive pulmonary disease (COPD). Design Comparing the effects of the combination of pulmonary rehabilitation and OMT compared with pulmonary rehabilitation (PR) in patients with severely impaired COPD. Setting Rehabilitative pulmonary department. Interventions Patients underwent exercise training, OMT, educational support and nutritional and psychological counselling. Main outcomes measures Exercise capacity through 6 min walk test (6MWT – primary outcome) and pulmonary function test (secondary outcomes) were evaluated at the beginning and at the end of the training. Patients were randomly assigned to receive PR + soft manipulation (G1) or OMT + PR (G2) for 5 days/week for 4 weeks. Results 20 stable COPD patients (5 female – mean age, 63.8 ± 5.1 years; FEV1 26.9 ± 6.3% of predicted) referred for in-patient pulmonary rehabilitation were evaluated. Respect to the baseline, 6 MWT statistically improved in both group. In particular, G2 group gained 72.5 ± 7.5 m ( p = 0.01) and G1 group 23.7 ± 9.7 m. Between group comparison showed a difference of 48.8 m (95% CI: 17 to 80.6 m, p = 0.04). Moreover, in G2 group we showed a decrease in residual volume (RV – from 4.4 ± 1.5 l to 3.9 ± 1.5 l, p = 0.05). Between group comparison showed an important difference (−0.44 l; 95% CI: −0.26 to −0.62 l, p = 0.001). Furthermore, only in G2 group we showed an increase in FEV1. Conclusions This study suggests that OMT + PR may improve exercise capacity and reduce RV in severely impaired COPD patients with respect to PR alone.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-News-1
ObjectType-Feature-3
content type line 23
ISSN:0965-2299
1873-6963
DOI:10.1016/j.ctim.2011.10.008