Engel Roger M, Vemulpad Subramanyam
Department of Health and Chiropractic, Macquarie University, Sydney, New South Wales 2109, Australia.
J Manipulative Physiol Ther. 2007 Sep;30(7):509-13. doi: 10.1016/j.jmpt.2007.07.006.
The objective of this study was to explore the effect of combining manual therapy with exercise on respiratory function in normal individuals.
The study design was a randomized control trial. Forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1) were measured in 20 healthy, nonsmoking individuals before and after 3 interventions: exercise only, chiropractic manual therapy only, and manual therapy followed by exercise. The participants, 18 to 28 years of age, were randomly allocated to a control and 3 intervention groups. Each participant underwent 6 sessions of interventions over a 4-week period.
The exercise only group showed a significant decrease in FVC (P = .002, generalized linear model [GLM]) and FEV1 readings (P = .0002, GLM). The manual therapy only group showed a significant increase in FVC (P = .000, GLM) and FEV1 (P = .001, GLM). The group that received both manual therapy and exercise showed increases in FVC and FEV1 immediately after manual therapy followed by an additional increase after exercise. The overall increase in this group was not statistically significant. Participants in the control group showed no change in FVC or FEV(1).
Manual therapy appears to increase the respiratory function of normal individuals. The potential for this intervention administered before exercise to permit additional tolerance within the respiratory system that could allow an extended exercise program than was previously possible is discussed.
本研究旨在探讨手法治疗与运动相结合对正常个体呼吸功能的影响。
本研究设计为随机对照试验。在20名健康、不吸烟的个体中，于3种干预措施（仅运动、仅脊椎按摩手法治疗、手法治疗后运动）前后测量用力肺活量（FVC）和第1秒用力呼气量（FEV1）。参与者年龄在18至28岁之间，被随机分配到一个对照组和3个干预组。每位参与者在4周内接受6次干预。
仅运动组的FVC（P = 0.002，广义线性模型[GLM]）和FEV1读数（P = 0.0002，GLM）显著下降。仅手法治疗组的FVC（P = 0.000，GLM）和FEV1（P = 0.001，GLM）显著增加。接受手法治疗和运动的组在手法治疗后FVC和FEV1立即增加，运动后进一步增加。该组的总体增加无统计学意义。对照组参与者的FVC或FEV1无变化。
手法治疗似乎可增强正常个体的呼吸功能。讨论了在运动前进行这种干预以在呼吸系统内产生额外耐受性从而允许比以前更长时间运动计划的可能性。
