胸部和膈肌手法治疗对脑瘫患者肺功能参数的影响：一项初步研究。
Influence of Chest and Diaphragm Manual Therapy on the Spirometry Parameters in Patients with Cerebral Palsy: A Pilot Study.
机构信息
Institute of Physiotherapy and Health Sciences, Musculoskeletal Elastography and Ultrasonography Laboratory, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.
Department of Physical Education, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.
出版信息
Biomed Res Int. 2021 Feb 12;2021:6263973. doi: 10.1155/2021/6263973. eCollection 2021.
OBJECTIVE
To evaluate the influence of manual therapy of the chest and diaphragm on the spirometry parameters in patients with cerebral palsy (CP).
METHOD
The study was carried out on 20 youths with CP. All participated in 6 sessions (3 sham and 3 actual), with measurements of spirometry at baseline, postsham therapies 1 and 3, before actual therapy, and postactual therapy sessions 1 and 3. Two manual techniques were included: soft tissue mobilization of the chest and the diaphragm.
RESULTS
After the first actual therapy, there was a significant ( < 0.01) improvement in forced vital capacity (FVC) by 0.23 L (8% of the average predicted value) and forced expiratory volume in one second (FEV) by 0.18 L (7% of the average predicted value) as compared to results before the therapy. Change in FVC parameter was clinically significant, whereas change in FEV was not clinically significant. After sham therapy, there was no improvement in spirometry parameters as compared to baseline results.
CONCLUSION
Single-time manual therapy of the chest and diaphragm has a positive effect on FVC and FEV.
目的
评估胸和膈膜手法治疗对脑瘫（CP）患者肺功能参数的影响。
方法
该研究纳入了 20 名 CP 青少年。所有患者均接受了 6 次治疗（3 次假治疗和 3 次真治疗），在基线、假治疗后第 1 次和第 3 次、实际治疗前和实际治疗后第 1 次和第 3 次时测量肺功能。包括 2 种手法技术：胸和膈膜的软组织松解。
结果
与治疗前相比，第 1 次实际治疗后用力肺活量（FVC）显著增加（<0.01），增加了 0.23 L（平均预测值的 8%），第 1 秒用力呼气量（FEV）也显著增加（<0.01），增加了 0.18 L（平均预测值的 7%）。FVC 参数的变化具有临床意义，而 FEV 的变化则无临床意义。与基线结果相比，假治疗后肺功能参数没有改善。
结论
单次胸和膈膜手法治疗对 FVC 和 FEV 有积极影响。
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