Soft Tissue Manipulation versus Traditional Physiotherapy Program on Spirometric Indices and Diaphragmatic Excursion in Asthmatic Patients

Mostafa M. Shams El Deen; Khaled M. Kamel; Hala M. Ezz El Deen; Mariam El-Sayed Mohamed

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Soft Tissue Manipulation versus Traditional Physiotherapy Program on Spirometric Indices and Diaphragmatic Excursion in Asthmatic Patients

Author(s)

Mostafa M. Shams El Deen Department of Physical Therapy, Medical Care Unite Radio and Television Union, Cairo, Egypt

Khaled M. Kamel Departments of Chest Diseases, Faculty of Medicine, Cairo University, Egypt.

Hala M. Ezz El Deen Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Egypt.

Mariam El-Sayed Mohamed Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Egypt.

Abstract

Asthma is an important worldwide health problem. This study aimed to investigate the effect of soft tissue manipulation versus traditional physiotherapy program on a diaphragmatic excursion in asthmatic patients. Forty subjects ranged from 20 to 40 years were randomly assigned into two groups, Group I (n=20) received soft tissue manipulation of the upper cervical region (C0-1), upper dorsal region (T3-4), and thoracolumbar junction followed by muscle energy once weekly for 3 weeks and Group II (n=20) received traditional physiotherapy program (pursed-lip breathing exercise, diaphragmatic breathing exercise) ten repetitions each exercise per session three times a week for 3 weeks. The mean values of FEV1, maximum inspiratory pressure PEF, and diaphragmatic excursion (RT,LT) were significantly (p<0.001) increased from 2.80±0.16, 117.6±10.27, and 199.8±20.92, (RT 3.48±0.43, LT3.78±0.28) to 2.92±0.08, 134.75±5.81, and 259±61.6 (RT 4.33±0.27, LT 4.41±0.27), respectively in Group I, and from 2.66 ±0.12, 112.8±9.61, and 198.2±19.53 (RT3.36±0.41, LT 3.58±0.37) to2.75±0.13, 119.7±8.31, and 204.8±20.97 (RT3.52±0.44, LT 3.92±0.58), respectively in Group II, with an advantage in Group I. These findings suggested that soft tissue manipulation is more effective than traditional physiotherapy program on the diaphragmatic excursion and lung function in mild asthmatic patients.

Publication Details

Page(s) 108-114

DOI DOI not available

Published Journal: Archives of Pharmacy Practice, Volume: 11, Issue: 3, Year: 2020

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Keywords

FEV1, Asthma, Diaphragmatic Excursion, Spinal manipulation

References

Accordini S,Corsico AG,Braggion M .2013 .The cost of persistent asthma in Europe: an international population-based study in adults. International Archives of Allergy and Immunology Journal, 160(1) : 93-101.

Magdy M.,Zedan M.,MagdyAbd El Moneim M. .2018 .Bronchial asthma: clinical phenotypes and endotypes and their relation with glucocorticoids circadian rhythm and parasympathetic activity. Egyptian Journal of Bronchology, 12(2) : 154-159.

Bijanzadeh M,Padukudru A.,Mahesh A.,Nallur B.,Ramachandra B. .2011 .An understanding of the genetic basis of asthma. The Indian Journal of MedicalResearch, 134(2) : 149-161.

Ober C.,Yao T. .2011 .The genetics of asthma and allergic disease: a 21st century perspective. Immunological Reviews Journal, 242(1) : 10-30.

Del Giudice M,Allegorico A,Parisi G,Galdo F,Alterio E,Coronella A .2014 .Risk factors for asthma. Italian Journal of Pediatrics, 40(1) : A77.

Tadayon S,Jafarzadeh Z,L Z .2018 .The Effect of Secondhand Smoke Exposure on Level of Maternal Thyroid Hormones. Int. J. Pharm. Phytopharm. Res, 8(5) : 53-8.

Varsha B P,Shweta K P,Sanjivani S K P .2014 .. A Brief Introduction on Asthma.Pharma Science Monitor Journal, 5(2) : 194-213.

Badr NM,Elrefaey BH,El-Hadidy HA,Moussa HA .2019 .Correlation of forced expiratory volume in one second and COPD Assessment Test Scores in chronic obstructive pulmonary disease patients. J. Adv. Pharm. Educ. Res, 9(1) : 49-52.

Kim H.,Mazza J.,Asthma J. .2011 .. Asthma and Clinical Immunology Journal, 7(1) : 1-9.

Lougheed LC,Dell S D,Ducharme F M R,Licskai C,Rowe B H,Bowie D,Becker A,Boulet L P. Canadian Thoracic A .2010 .Society asthma management continuum: consensus summary forchildren six years of age and over, and adults. Canadian Respiratory Journal, 17(1) : 15-24.

Canning B J,Woo A,Mazzone A .2012 .Neuronal Modulation of Airway and Vascular Tone and Their Influence on Nonspecific Airways Responsiveness in Asthma. Journal of Allergy, : 1-7.

Buels K S and Fryer A D. .2012 .Muscarinic receptor antagonists: effects on pulmonary function. Handbook of experimental pharmacology Journal, : 317-41.

Kommuru H,Jothi S,Bapuji P,Sree D L P,Antony J. Thoracic P .2014 .Part of Sympathetic Chain and its Branching Pattern Variations in South Indian Cadavers. Journal of Clinical, 8(12) : 9-12.

Robertson ,Biaggioni Low .P. A.,Paton J. F.R.,Pp J. F.R. .2012 .Primer on the Autonomic Nervous System (Third Edition). ISBN 9780123865250, 201 : 204.

Saad S,Nusaibath S,Shaik A R .2016 .Padmakumar S. Comparison of effectiveness of diaphragmatic breathing and pursedlip expiration exercises in improving the forced expiratory flow rate and chest expansion in patients with bronchial asthma. International Journal of Physiotherapy, 3(2) : 154-158.

Aliverti A,Kayser B,Macklem PT B .2007 .A human model of the pathophysiology of chronic obstructive pulmonary disease. Respirology, 12(4) : 478-485.

Pepin V,Saey D,Laviolette L,Maltais F .2007 .Exercise capacity in chronic obstructive pulmonary disease: mechanisms of limitation. COPD, 4(3) : 195-204.

Borges B L,Bortolazzo G L and Neto H P. B L .2018 .Effects of spinal manipulation and myofascial techniques on heart rate variability: A systematic review. Journal of Bodywork & Movement Therapies, 22(1) : 203-208.

Bolton P S and Budgell B. .2012 .Visceral responses to spinal manipulation. Journal of Electromyography and Kinesiology, 22(5) : 777-784.

Sampath K K R,Cotter J D and Tumilty S R .2015 .Measureable changes in the neuro-endocrinal mechanism following spinal manipulation. Medical Hypotheses Journal, 85(6) : 819-24.

Painter F M. THE .2017 .Reduction of Asthma Symptoms and Medication After Chiropractic Care. Chiropractic Journal of Australia, 45(2) : 138-143.

Franke H,Fryer G,Ostelo R W and Kamper S J. G .2015 .Muscle energy technique for non-specific low-back pain. Cochrane Database of Systematic Reviews, 27(2) : 1-74.

Fryer G .2011 .Muscle energy technique: An evidence-informed approach. International Journal of Osteopathic Medicine, 14(1) : 3-9.

Shalaby MN,T. MN .2018 .Protein and body composition. Int. J. Pharm. Res. Allied Sci, 7(1) : 126-32.

Mike T .2014 .Breathing exercises for asthma. breathe journal, 10(4) : 322.

Engel R,Vemulpad S. .2011 .The role of spinal manipulation, soft-tissue therapy, and exercise in chronic obstructive pulmonary disease: a review of the literature and proposal of an anatomical explanation. Journal of Alternative and Complementary Medicine, 17(9) : 797-801.

Engel R M J,Gonski P,SubramanyamVemulpad. P .2017 .The effect of combining manual therapy with exercise for mild chronic obstructive pulmonary disease: study protocol for a randomised controlled trial. Trails Journal, 18(1) : 282.

Schalow P R. Upper Cervical Chiropractic Care And Pulmonary Function A Case,Study A Case .2017 .. The Internet Journal of Chiropractic, 6(1) : 1-5.

Da Silva P H Behne G R ,Vazatta M P And Carvalho A R. .2013 .Maximum respiratory pressure alterations after spinal manipulation. European Journal of Physiotherapy, 15(2) : 64-69.

Deakins K M. .2014 .Year in review 2014: Asthma. Respiratory Care Journal, 60(5) : 744-8.

Montecinos C,Godoy O D P,Torres C R,Miret V L,Engel RM. .2017 .The immediate effect of soft tissue manual therapy intervention on lung function in severe chronic obstructive pulmonary disease. International Journal of Chronic Obstructive Pulmonary Disease, 12 : 691-696.

Joo S,Lee Y,Song C H. Immediate Y .2018 .Effects of Thoracic Spinal Manipulation on Pulmonary Function in Stroke Patients: A Preliminary Study. Journal of Manipulative and Physiological Therapeutics, 41(7) : 602-608.

Shin D C and Lee Y W. .2016 .The immediate effects of spinal thoracic manipulation on respiratory functions. Journal of physical therapy science, 28(9) : 2547-2549.

Maji B,Goyal M,Kumar S M .2018 .Immediate effects of thoracic spine thrust manipulation on chest expansion and lung function in healthy subjects a pre-test and post-test experimental desiegn. International Journal of Current Advanced Research, 7(9) : 15616-15621.

Kaminskyj A,Frazier M,Johnstone K,Gleberzon BJ K .2010 .Chiropractic care for patients with asthma: A systematic review of the literature. The Journal of the Canadian Chiropractic Association, 54(1) : 24-32.

Fryette H. H. Occiput-Atlas-Axis. J Am Osteopath Assoc .1936 .. , 35 : 353-4.

López L G and Vaca O P. Atlanto-Occipital Joint .2012 .Sub occipital Inhibition Technique in the Osteopathic Treatment of Patients with Tension-Type Headache European Journal Osteopathy. , 7(1) : 10-21.

Rob S,Joshua C,Madeleine H .2010 .Immediate effects of a thoracic spine thrust manipulation on the autonomic nervous system: a randomized clinical trial. Journal of Manual and Manipulative Therapy, 18(4) : 181-190.

Henrique L,Daniela D,Graziela R,Vazatta M P and Alberito R. .2013 .Maximum respiratory pressure alterations after spinal manipulation. European Journal of Physiotherapy, 15(2) : 64-69.

Krupa D. Tank .2017 .To Study The Effect Of Muscle Energy Technique Versus Mulligan Snags On Pain, Range Of Motion And Functional Disability For Individuals With Mechanical Neck Pain: A Comparative Study. Int J Physiother Res, 10(1) : 2582-2587.

Lisa .2011 .. Lippincott Williams and Wilkins, : 186-222.

Cabral ,D'Elia ,Marins ,Zin W.A.andGuimarães .F.S. .2014 .Pursed lip breathing improves exercise tolerance in COPD: a randomized crossover study. European Journal of Physical and Rehabilitation Medicine, 51(1) : 79-88.

Bankenahally R .2019 .KrovvidiH.Autonomic nervous system: anatomy, physiology, and relevance in anaesthesia and critical care medicine. BJA Education Journal, 16(11) : 381-387.

Rechberger V,Biberschick V,Porthun J. .2019 .Effectiveness of an osteopathic treatment on the autonomic nervous system: a systematic review of the literature. European Journal of Medical Research, 24(36) : 1-14.

Yelvar Y,Çirak Y,Demir YP,Dalkilinç M .2016 .Immediate effect of manual therapy on respiratory functions and inspiratory muscle strength in patients with COPD. International Journal of Chronic Obstructive Pulmonary Disease, 11 : 1353-1357.

Win N,Jorgensen A M,Chen Y S,Haneline M T. Y S .2015 .Effects of Upper and Lower Cervical Spinal Manipulative Therapy on Blood Pressure and Heart Rate Variability in Volunteers and Patients With Neck Pain: A Randomized Controlled, Cross-Over, Preliminary Study. Journal of Chiropractic Medicine, 14(1) : 1-9.

Ward J,Tyer K,Coats J,Williams G,Kulcak K. .2015 .Immediate effects of upper thoracic spine manipulation on hypertensive individuals. Journal of Manual and Manipulative Therapy, 23(1) : 43-50.

Na-naS L,Perez R,Jun Y. .2012 .The vagus nerve and pulmonary disease. Fudan university journal of medical sciences, 39(2) : 117-122.

Picchiottino M,Yde C L,Gagey O,Hallman D M. O .2019 .The acute effects of joint manipulative techniques on markers of autonomic nervous system activity: a systematic review and meta-analysis of randomized sham-controlled trials. Chiropractic and Manual TherapiesJournal, 27(17) : 1-21.

Pickar J G and Bolton B S. Spinal Manipulative .2012 .Therapy and Somatosensory Activation. Journal of Electromyography and Kinesiology, 22(5) : 785-794.

Dougherty PE,Engel RM,Vemulpad S,Burke J .2011 .Spinal manipulative therapy for elderly patients with chronic obstructive pulmonary disease: a case series. Journal of Manipulative and Physiological Therapeutic, 34(6) : 413-7.

Shin D C and Lee Y W. .2016 .The immediate effects of spinal thoracic manipulation on respiratory functions. Journal of physical therapy science, 28(9) : 2547-2549.

Da Silva P H Behne G R ,Vazatta M P and Carvalho A R. .2013 .Maximum respiratory pressure alterations after spinal manipulation. European Journal of Physiotherapy, 15(2) : 64-69.

Deakins K M. .2014 .Year in review 2014: Asthma. Respiratory Care Journal, 60(5) : 744-8.

Cruz M C,Godoy O D B F,Gutiérrez P,Torres C R,Miret V L,Engel RM. .2017 .The immediate effect of soft tissue manual therapy intervention on lung function in severe chronic obstructive pulmonary disease. International Journal of Chronic Obstructive Pulmonary Disease, 12 : 691-696.

Heneghan NR,Adab P,Balanos G,Jordan RE .2011 .Manual therapy for chronic obstructive airways disease: A systematic review of current evidence. Manual Therapy Journal, 17(6) : 507-518.

Wall B A,Peiffer J J,Losco B,Hebert J J. B .2016 .The effect of manual therapy on pulmonary function in healthy adults. Scientific reports Journal, 6 : 33244.

Galletti J,Mcheileh G,Hahne A,Lee AL. .2018 .The Clinical Effects of Manipulative Therapy in People with Chronic Obstructive Pulmonary Disease. Journal of Alternative Complement Medicine, 24(7) : 677-683.

Bronfort G,Haas M,Evans R,Leininger B,Triano J. .2010 .Effectiveness of manual therapies: the UK evidence report. Chiropractic and Osteopathy Journal, (1746) : 1340-18.

Clar C,Tsertsvadze A,Court R,Hundt G L,Clarke A .2014 .Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report. Chiropractic& Manual Therapies, 22(12) : 1-34.

Shawa B.S. Shaw B,Brown G.A. .2010 .Role of diaphragmatic breathing and aerobic exercise in improving pulmonary function and maximal oxygen consumption in asthmatics. Science and Sports Journal, 25(3) : 139-145.

Karam M,Kaur BP,Baptist AP BP .2017 .A modified breathing exercise program for asthma is easy to perform and effective. Journal of Asthma, 54(2) : 217-222.

Sachdeva S,Pawaria S,Kalra S. .2018 .Effectiveness of Pursed Lip Breathing Versus Mouth Mask on Dyspnea and Functional Capacity in Acute Exacerbation of Chronic Obstructive Pulmonary Disease. International Journal of Health Sciences and Research, 8(9) : 94-101.

Chavda M V,Shah H M. M V .2016 .Research articleto compare the efficacy of pursed lip breathing and buteykobreathingtechnique to reduce the symptoms of exercise induced asthma inobesechildren. international journal of current research, 8(7) : 35058-35064.

Saee K,Ronika A,Barthwal M Sand Devashri S. A Randomized Control A .2014 .Trial of Treatment of Bronchial Asthma with Inhaled Salbutamol Combined with Pursed Lip Breathing. Indian Journal of Physiotherapy and Occupational Therapy, 8(1) : 215-220.

Yamaguti W P,Claudino RC,Neto AP,Chammas MC,Gomes AC .2012 .Diaphragmatic breathing training program improves abdominal motion during natural breathing in patients with chronic obstructive pulmonary disease: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation Journal, 93(4) : 571-7.

Wedri N M, ,Sulisnadewi N .2018 .Effect of diaphragmatic breathing exercise on peak expiratory flow (PEF) in individual with asthma. Indian Journal of Public Health Research and Development, 9(5) : 429-435.

Agarwal D,Parkash G,Sood S. .2017 .Improvement in pulmonary functions and clinical parameters due to addition of breathing exercises in asthma patients receiving optimal treatment. indian journal ofallergy ,asthma and immunology, 31(2) : 61-68.

Lowhagen O,Bergqvist P. .2014 .Physiotherapy in asthma using the new Lotorp method. Complementary Therapies in Clinical Practice Journal, 20(4) : 276-279.

Sakhaei S,Ebrahimpour S,Zinalpoor S,Khorami M.,Motaarefi H. .2018 .The Impact of Pursed-lips Breathing Maneuver on Cardiac, Respiratory, and Oxygenation Parameters in COPD Patients. Journal of Medical Sciences, 6(10) : 1851-1856.

Ubolnuar N,Tantisuwat A,Thaveeratitham P,Lertmaharit S,Kruapanich C.,Mathiyakom W. .2019 .Effects of Breathing Exercises in Patients With Chronic Obstructive Pulmonary Disease:Systematic Review and Meta-Analysis. annals of rehabilitation medicine journal, 43(4) : 509-523.

Mehta A .2018 .The historical perspective on pursed lip breathing exercises and its role in pulmonary rehabilitation programs. Journal of Medical Research Archives, 6(8) : 1-9.