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整骨手法治疗对健康个体呼吸功能的短期影响。

Short-term effect of osteopathic manual techniques (OMT) on respiratory function in healthy individuals.

机构信息

Still Academy of Osteopathy, Warsaw, Poland.

Faculty of Physical Education and Health, Józef Pilsudski University of Physical Education in Warsaw, Biała Podlaska, Poland.

出版信息

PLoS One. 2020 Jun 30;15(6):e0235308. doi: 10.1371/journal.pone.0235308. eCollection 2020.

Abstract

BACKGROUND

Respiratory system diseases are some of the most common pathologies worldwide. Although osteopathic manual therapy (OMT) is used predominantly to treat other pathologies, certain OMT techniques have been shown to improve patients' respiratory function.

OBJECTIVES

The aim of this study was to assess the influence of osteopathic techniques on breathing.

METHODS

Tests were performed with the use of a spirometer and the results were expressed as Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 second (FEV1), and Peak Expiratory Flow (PEF). Thirty healthy males and females between the age of 18 and 50 took part in the research. Fifteen individuals were randomly assigned to the experimental group and fifteen persons were assigned to the placebo group. The participants from the experimental group were treated with such osteopathic techniques aimed at the pulmonary system as the thoracic thrust (manipulations of vertebral joints and ribs), the sternal pump technique and stretching of the diaphragm. The placebo group was treated with soft tissue therapy (STT) techniques for the masseter muscle.

RESULTS

The described set of osteopathic techniques exerts an influence on PEF in healthy individuals; however, it does not affect FVC and FEV1.

CONCLUSION

Osteopathic techniques do not seem to improve lung health, as reflected in FEV1 and FVC, but they improve the respiratory function aspects reflected by PEF in the participants without any history of lung disease.

摘要

背景

呼吸系统疾病是全球最常见的疾病之一。虽然整骨疗法(OMT)主要用于治疗其他疾病,但某些 OMT 技术已被证明可以改善患者的呼吸功能。

目的

本研究旨在评估整骨技术对呼吸的影响。

方法

使用肺活量计进行测试,结果表示为用力肺活量(FVC)、1 秒用力呼气量(FEV1)和呼气峰流量(PEF)。30 名年龄在 18 岁至 50 岁之间的健康男性和女性参加了这项研究。15 人被随机分配到实验组,15 人被分配到安慰剂组。实验组的参与者接受了针对肺部的整骨技术治疗,如胸椎推力(椎关节和肋骨的手法)、胸骨泵技术和膈肌拉伸。安慰剂组接受咀嚼肌软组织治疗(STT)技术。

结果

描述的一组整骨技术对健康个体的 PEF 有影响;然而,它并不影响 FVC 和 FEV1。

结论

整骨技术似乎不会改善 FEV1 和 FVC 所反映的肺部健康状况,但它们可以改善无肺部疾病史的参与者的呼吸功能方面,如 PEF。

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