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The Role of Manual Therapy in Patients with COPD

Chronic obstructive pulmonary disease (COPD) is a respiratory condition associated with altered chest wall mechanics and musculoskeletal changes. In this narrative review, we describe the underlying musculoskeletal abnormalities in COPD, the reasons for applying manual therapy techniques, their meth...

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Detalles Bibliográficos
Autores principales: Clarke, Stephanie, Munro, Prue E., Lee, Annemarie L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473650/
https://www.ncbi.nlm.nih.gov/pubmed/30717269
http://dx.doi.org/10.3390/healthcare7010021
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author Clarke, Stephanie
Munro, Prue E.
Lee, Annemarie L.
author_facet Clarke, Stephanie
Munro, Prue E.
Lee, Annemarie L.
author_sort Clarke, Stephanie
collection PubMed
description Chronic obstructive pulmonary disease (COPD) is a respiratory condition associated with altered chest wall mechanics and musculoskeletal changes. In this narrative review, we describe the underlying musculoskeletal abnormalities in COPD, the reasons for applying manual therapy techniques, their method of application and clinical effects. A variety of manual therapy techniques have been applied in individuals with COPD, including soft tissue therapy, spinal and joint manipulation and mobilisation, and diaphragmatic release techniques. These have been prescribed in isolation and in conjunction with other treatments, including exercise therapy. When applied in isolation, transient benefits in respiratory rate, heart rate and symptoms have been reported. Combined with exercise therapy, including within pulmonary rehabilitation, benefits and their corresponding clinical relevance have been mixed, the extent to which may be dependent on the type of technique applied. The current practical considerations of applying these techniques, including intense therapist–patient contact and the unclear effects in the long term, may limit the broad use of manual therapy in the COPD population. Further high quality research, with adequate sample sizes, that identifies the characteristic features of those with COPD who will most benefit, the optimal choice of treatment approach and the longevity of effects of manual therapy is required.
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spelling pubmed-64736502019-05-02 The Role of Manual Therapy in Patients with COPD Clarke, Stephanie Munro, Prue E. Lee, Annemarie L. Healthcare (Basel) Review Chronic obstructive pulmonary disease (COPD) is a respiratory condition associated with altered chest wall mechanics and musculoskeletal changes. In this narrative review, we describe the underlying musculoskeletal abnormalities in COPD, the reasons for applying manual therapy techniques, their method of application and clinical effects. A variety of manual therapy techniques have been applied in individuals with COPD, including soft tissue therapy, spinal and joint manipulation and mobilisation, and diaphragmatic release techniques. These have been prescribed in isolation and in conjunction with other treatments, including exercise therapy. When applied in isolation, transient benefits in respiratory rate, heart rate and symptoms have been reported. Combined with exercise therapy, including within pulmonary rehabilitation, benefits and their corresponding clinical relevance have been mixed, the extent to which may be dependent on the type of technique applied. The current practical considerations of applying these techniques, including intense therapist–patient contact and the unclear effects in the long term, may limit the broad use of manual therapy in the COPD population. Further high quality research, with adequate sample sizes, that identifies the characteristic features of those with COPD who will most benefit, the optimal choice of treatment approach and the longevity of effects of manual therapy is required. MDPI 2019-02-01 /pmc/articles/PMC6473650/ /pubmed/30717269 http://dx.doi.org/10.3390/healthcare7010021 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Clarke, Stephanie
Munro, Prue E.
Lee, Annemarie L.
The Role of Manual Therapy in Patients with COPD
title The Role of Manual Therapy in Patients with COPD
title_full The Role of Manual Therapy in Patients with COPD
title_fullStr The Role of Manual Therapy in Patients with COPD
title_full_unstemmed The Role of Manual Therapy in Patients with COPD
title_short The Role of Manual Therapy in Patients with COPD
title_sort role of manual therapy in patients with copd
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473650/
https://www.ncbi.nlm.nih.gov/pubmed/30717269
http://dx.doi.org/10.3390/healthcare7010021
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