Is manual therapy of the diaphragm effective for people with obstructive lung diseases? A systematic review

被引：1

作者：

Tsimouris, Dimitrios ^{[1
]}

Arvanitidis, Michail ^{[2
]}

Moutzouri, Maria ^{[1
]}

Koumantakis, George A. ^{[1
]}

Gioftsos, George ^{[1
]}

Papandreou, Maria ^{[1
]}

Grammatopoulou, Eirini ^{[1
]}

机构：

[1] Univ West Attica, Physiotherapy Dept, Lab Adv Physiotherapy LAd Phys, Athens, Greece

[2] Univ Birmingham, Coll Life & Environm Sci, Sch Sport Exercise & Rehabil Sci, Ctr Precis Rehabil Spinal Pain CPR Spine, Birmingham, England

来源：

RESPIRATORY MEDICINE AND RESEARCH | 2023年 / 83卷

关键词：

Obstructive lung diseases; Manual therapy; Diaphragm; Pulmonary rehabilitation; QUALITY-OF-LIFE; PULMONARY-DISEASE; PHYSICAL-ACTIVITY; HYPERINFLATION; EXERCISE; SIMILARITIES; MOBILITY; DYSPNEA; ASTHMA;

D O I：

10.1016/j.resmer.2023.101002

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Background: Diaphragm dysfunction is common among people with obstructive lung disease (OLD). The effectiveness of manual therapy (MT) techniques specifically targeting this region remains unclear. The scope of this systematic review is to investigate the effectiveness of MT on the zone of apposition (ZOA) of the diaphragm in lung function, diaphragm excursion (DE), chest expansion, exercise capacity (EC), maximal inspiratory pressure (PImax) and dyspnea in people suffering from OLD.Methods: Key databases were systematically searched. Two independent reviewers screened the papers for inclusion. Methodological quality and the quality of evidence were assessed using the PEDro scale and the GRADE approach, respectively.Results: Two studies were included. One showed that diaphragmatic stretching and the manual diaphragm release technique (MDRT) improved DE and CE (p<0.001, p<0.05, respectively). The other showed that MDRT improved DE and EC (p<0.05, p<0.05, respectively).Conclusion: This systematic review provides preliminary evidence on the effectiveness of MT on the ZOA of the diaphragm in people with COPD. Further research is needed in order for definitive conclusions to be drawn.Registration number in Prospero: CRD42022308595 & COPY; 2023 SPLF and Elsevier Masson SAS. All rights reserved.

引用

页数：10

共 47 条

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