Effects of osteopathic manipulative treatment alone or in combination with respiratory training on chest wall expansion, functional mobility, and dyspnea level in patients with pulmonary arterial hypertension

Basit Öğe Kaydı
dc.authorid0000-0003-0762-6228en_US
dc.authorscopusid57310612300en_US
dc.authorwosidFPV-8299-2022en_US
dc.contributor.authorNaci, Baha
dc.contributor.authorDemir, Rengin
dc.contributor.authorÖnder, Ömer Önder
dc.contributor.authorSinan, Ümit Yaşar
dc.contributor.authorKüçükoğlu, Mehmet Serdar
dc.date.accessioned2024-05-13T07:49:45Z
dc.date.available2024-05-13T07:49:45Z
dc.date.issued2024en_US
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümüen_US
dc.description.abstractRATIONALE: While exercise training has been extensively investigated for nonpharmacologic treatment of pulmonary arterialhypertension (PAH), osteopathic manipulative treatment (OMT) has not been adequately examined. The purpose of this study wasto explore the efficacy of OMT alone or in association with respiratory training on chest wall expansion, functional mobility, anddyspnea level in patients with PAH. METHODS: 48 patients under PAH-targeted medical therapy for at least 3 months, betweenthe ages 20-74 (mean [SD] age: 48.4 [12.1] years) and with the World Health Organization functional class I to III were involved inthe study. Chest wall expansion was evaluated with a cloth tape measure at maximal inhalation and exhalation at 3 levels of the ribcage (axillary line, xiphoid process, lateral lower edge of the tenth costae) by subtracting the end-expiratory diameter from theend-inspiratory diameter. Functional mobility was assessed using 5-repetition sit-to-stand test. Dyspnea level was determinedwith the modified Medical Research Council scale. Patients were divided into OMT, combined intervention, and control groups,with 18 patients in each group. Rib raising, diaphragm release, suboccipital decompression, first rib mobilization, mediastinummobilization and thoracic inlet myofascial release techniques were applied to the OMT group twice weekly for 8 weeks. In additionto OMT, a yoga respiratory training session including nadishodhana, ujjayi, and bhramari pranayama was undertaken by thecombined intervention group. The breathing exercises were also performed once daily for the remaining days as home exercises.Control group received no additional intervention. All patients received an educational lecture. For between-group comparisonsand within-group differences of baseline with 8 weeks, one-way ANOVA with between-subject factor and the paired samples t testwere used, respectively. Pairwise multiple comparisons were conducted using Bonferroni post hoc tests.RESULTS: All outcomemeasures improved significantly in both intervention groups (p<0.01), whereas the control group showed no significant difference(p>0.05). Improvements for functional mobility and all the chest wall expansion data were significantly higher in combinedintervention group than other groups, and also in OMT group than control group (p<0.05) (Table 1). Improvement for dyspnea levelwas significantly higher in both intervention groups compared with the control group (p<0.05) (Table 1). CONCLUSION: This studydemonstrated that the addition of respiratory training to OMT revealed further benefit to chest wall expansion and functionalmobility compared to OMT alone and that the OMT might be an effective therapeutic method for dyspneic patients havingdifficulties in participating cardiopulmonary rehabilitation programs.en_US
dc.identifier.citationNaci, B., Demir, R., Önder, Ö. Ö., Sinan, Ü. Y., & Küçükoğlu, M. S. (2024). Effects of osteopathic manipulative treatment alone or in combination with respiratory training on chest wall expansion, functional mobility, and dyspnea level in patients with pulmonary arterial hypertension. American Thoracic Society 2024 International Conference, 209. https://doi.org/10.1164/ajrccm-conference.2024.209.1_MeetingAbstracts.A2764en_US
dc.identifier.doi10.1164/ajrccm-conference.2024.209.1_MeetingAbstracts.A2764en_US
dc.identifier.issn1987-2024
dc.identifier.urihttps://doi.org/10.1164/ajrccm-conference.2024.209.1_MeetingAbstracts.A2764
dc.identifier.urihttps://hdl.handle.net/20.500.13055/704
dc.identifier.volume209en_US
dc.institutionauthorÖnder, Ömer Önder
dc.language.isoenen_US
dc.publisherAmerican Thoracic Societyen_US
dc.relation.ispartofAmerican Thoracic Society 2024 International Conferenceen_US
dc.relation.publicationcategoryKonferans Öğesi - Ulusal - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPulmonary Arterial Hypertensionen_US
dc.subjectOsteopathic Manipulative Treatmenten_US
dc.subjectChest Wallen_US
dc.titleEffects of osteopathic manipulative treatment alone or in combination with respiratory training on chest wall expansion, functional mobility, and dyspnea level in patients with pulmonary arterial hypertensionen_US
dc.typeConference Objecten_US
dspace.entity.typePublication

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Effects of osteopathic manipulative treatment alone or in combination with respiratory training on chest wall expansion, functional mobility, and dyspnea le.pdf
Boyut:
218 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
İndir
Lisans paketi
Listeleniyor 1 - 1 / 1
Kapalı Erişim
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama:
İndir

Koleksiyon

Fizyoterapi ve Rehabilitasyon Bölümü Koleksiyonu