Effects of adding respiratory training to osteopathic manipulative treatment on exhaled nitric oxide level and cardiopulmonary function in patients with pulmonary arterial hypertension

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dc.authorid0000-0003-0762-6228en_US
dc.contributor.authorBaha, Naci
dc.contributor.authorDemir, Rengin
dc.contributor.authorSinan, Ümit Yaşar
dc.contributor.authorKüçükoğlu, Mehmet Serdar
dc.contributor.authorÖnder, Ömer Önder
dc.date.accessioned2021-12-24T11:57:28Z
dc.date.available2021-12-24T11:57:28Z
dc.date.issued2022en_US
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümüen_US
dc.description.abstractLimited research exists regarding nonpharmacologic management of pulmonary arterial hypertension (PAH), except for exercise training. The objective of this study was to investigate the effects of osteopathic manipulative treatment (OMT) alone and combined with respiratory training on fractional exhaled nitric oxide (FeNO), and cardiopulmonary function in patients with PAH. This single-blind, prospective, randomized controlled study included 54 patients with PAH who were randomly allocated to OMT, combined intervention, and control groups. The OMT group (n = 16) and combined intervention group (n = 16) received OMT and yoga respiratory training plus OMT, respectively, twice a week for 8 weeks. The control group (n = 16) received no intervention. All patients undertook an educational lecture. FeNO level, pulmonary function, 6-minute walk distance (6MWD), maximal inspiratory and expiratory pressures, and handgrip strength were assessed at baseline and 8 weeks. Combined intervention and OMT groups significantly improved all outcome measures after 8 weeks of treatment (p <0.01), except mean forced expiratory flow between 25% and 75% of forced vital capacity, which did not change in the OMT group (p >0.05). The control group showed significant deteriorations in 6MWD, inspiratory and peripheral muscle strength, and pulmonary function except peak expiratory flow at 8 weeks (p <0.05). The combined intervention group revealed significantly greater improvements of FeNO, 6MWD, respiratory and peripheral muscle strength, and pulmonary function except mean forced expiratory flow between 25% and 75% of forced vital capacity compared with the OMT group (p <0.05). All outcomes significantly improved in both intervention groups versus the control group (p <0.05). Our study demonstrated that adding respiratory training to OMT provided further benefit to FeNO level and cardiopulmonary function compared with OMT alone and that the OMT might be a useful and safe intervention for patients who cannot attend cardiac rehabilitation programs.en_US
dc.identifier.citationNaci, B., Demir, R., Önder, Ö. Ö., Sinan, U. Y., & Küçükoğlu, M. S. (2022). Effects of adding respiratory training to osteopathic manipulative treatment on exhaled nitric oxide level and cardiopulmonary function in patients with pulmonary arterial hypertension. The American Journal of Cardiology, 162, pp. 184-190. https://doi.org/10.1016/j.amjcard.2021.09.023en_US
dc.identifier.doi10.1016/j.amjcard.2021.09.023en_US
dc.identifier.endpage190en_US
dc.identifier.pmidPMID: 34706819en_US
dc.identifier.scopus2-s2.0-85117766062en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage184en_US
dc.identifier.urihttps://doi.org/10.1016/j.amjcard.2021.09.023
dc.identifier.urihttps://hdl.handle.net/20.500.13055/115
dc.identifier.volume162en_US
dc.identifier.wosWOS:000731300600027en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expandeden_US
dc.institutionauthorÖnder, Ömer Önder
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofThe American Journal of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleEffects of adding respiratory training to osteopathic manipulative treatment on exhaled nitric oxide level and cardiopulmonary function in patients with pulmonary arterial hypertensionen_US
dc.typeArticleen_US
dspace.entity.typePublication

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