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Short-term effects of a course of manual therapy and exercise in people with moderate chronic obstructive pulmonary disease: a preliminary clinical trial.
J Manipulative Physiol Ther 2013; 36(8):490-6JM

Abstract

OBJECTIVE

The purpose of this preliminary study was to demonstrate the feasibility of a study that measures the short-term effects of a course of manual therapy (MT) and exercise (Ex) in people with moderate chronic obstructive pulmonary disease (COPD).

METHODS

Fifteen participants (9 males; mean age, 56.1 years), with moderate COPD (mean % predicted forced expiratory volume in the first second [FEV1% predicted], 61.8%), were randomly allocated to 1 of 3 groups: soft tissue therapy only (ST); ST and spinal manipulation (SM); or ST, SM, and Ex. The intervention continued for 4 weeks. Outcome measures included FEV1, forced vital capacity (FVC), chronic respiratory questionnaire (CRQ-SAS) scores, distance walked in a 6-minute walking test, and monitoring for adverse events.

RESULTS

There was an increase in FVC for the SM + ST + Ex group compared with ST only and ST + SM (1.01 and 1.00 L, respectively). Distance walked increased in the ST + SM and ST + SM + Ex groups compared with ST only (120.0 and 168.0 m, respectively). Dyspnea levels decreased in the ST + SM and ST + SM + Ex groups compared with ST only (0.64 and 0.44, respectively). There were no major or moderate adverse events reported following ST or SM interventions.

CONCLUSIONS

For this small group of patients, combining MT with Ex produced short improvements in FVC, distance walked, and dyspnea levels, with no major or moderate adverse events. This preliminary study showed that a larger study evaluating the clinical outcomes of MT for people with moderate COPD appears feasible.

Authors+Show Affiliations

Lecturer, Department of Chiropractic, Macquarie University, NSW, Australia. Electronic address: roger.engel@mq.edu.au.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24053900

Citation

Engel, Roger M., et al. "Short-term Effects of a Course of Manual Therapy and Exercise in People With Moderate Chronic Obstructive Pulmonary Disease: a Preliminary Clinical Trial." Journal of Manipulative and Physiological Therapeutics, vol. 36, no. 8, 2013, pp. 490-6.
Engel RM, Vemulpad SR, Beath K. Short-term effects of a course of manual therapy and exercise in people with moderate chronic obstructive pulmonary disease: a preliminary clinical trial. J Manipulative Physiol Ther. 2013;36(8):490-6.
Engel, R. M., Vemulpad, S. R., & Beath, K. (2013). Short-term effects of a course of manual therapy and exercise in people with moderate chronic obstructive pulmonary disease: a preliminary clinical trial. Journal of Manipulative and Physiological Therapeutics, 36(8), pp. 490-6. doi:10.1016/j.jmpt.2013.05.028.
Engel RM, Vemulpad SR, Beath K. Short-term Effects of a Course of Manual Therapy and Exercise in People With Moderate Chronic Obstructive Pulmonary Disease: a Preliminary Clinical Trial. J Manipulative Physiol Ther. 2013;36(8):490-6. PubMed PMID: 24053900.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short-term effects of a course of manual therapy and exercise in people with moderate chronic obstructive pulmonary disease: a preliminary clinical trial. AU - Engel,Roger M, AU - Vemulpad,Subramanyam R, AU - Beath,Ken, Y1 - 2013/09/17/ PY - 2012/08/15/received PY - 2013/04/11/revised PY - 2013/05/17/accepted PY - 2013/9/24/entrez PY - 2013/9/24/pubmed PY - 2015/2/5/medline KW - Chiropractic KW - Chronic Obstructive Pulmonary Disease KW - Manual Therapy SP - 490 EP - 6 JF - Journal of manipulative and physiological therapeutics JO - J Manipulative Physiol Ther VL - 36 IS - 8 N2 - OBJECTIVE: The purpose of this preliminary study was to demonstrate the feasibility of a study that measures the short-term effects of a course of manual therapy (MT) and exercise (Ex) in people with moderate chronic obstructive pulmonary disease (COPD). METHODS: Fifteen participants (9 males; mean age, 56.1 years), with moderate COPD (mean % predicted forced expiratory volume in the first second [FEV1% predicted], 61.8%), were randomly allocated to 1 of 3 groups: soft tissue therapy only (ST); ST and spinal manipulation (SM); or ST, SM, and Ex. The intervention continued for 4 weeks. Outcome measures included FEV1, forced vital capacity (FVC), chronic respiratory questionnaire (CRQ-SAS) scores, distance walked in a 6-minute walking test, and monitoring for adverse events. RESULTS: There was an increase in FVC for the SM + ST + Ex group compared with ST only and ST + SM (1.01 and 1.00 L, respectively). Distance walked increased in the ST + SM and ST + SM + Ex groups compared with ST only (120.0 and 168.0 m, respectively). Dyspnea levels decreased in the ST + SM and ST + SM + Ex groups compared with ST only (0.64 and 0.44, respectively). There were no major or moderate adverse events reported following ST or SM interventions. CONCLUSIONS: For this small group of patients, combining MT with Ex produced short improvements in FVC, distance walked, and dyspnea levels, with no major or moderate adverse events. This preliminary study showed that a larger study evaluating the clinical outcomes of MT for people with moderate COPD appears feasible. SN - 1532-6586 UR - https://www.unboundmedicine.com/medline/citation/24053900/Short_term_effects_of_a_course_of_manual_therapy_and_exercise_in_people_with_moderate_chronic_obstructive_pulmonary_disease:_a_preliminary_clinical_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-4754(13)00198-X DB - PRIME DP - Unbound Medicine ER -