胸椎后凸非吸烟者脊柱手法松动结合运动（MWM）对肺功能的短期影响：一项随机单盲对照试验。
Short term effect of spinal mobilization with movement (MWM) on pulmonary functions in nonsmokers with thoracic hyperkyphosis: a randomized single-blinded controlled trial.
机构信息
Department of Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Physical Therapy Department, Sherbin General Hospital, Dakahlia, Egypt.
出版信息
J Man Manip Ther. 2023 Apr;31(2):64-71. doi: 10.1080/10669817.2022.2075203. Epub 2022 May 26.
OBJECTIVES
To investigate the effect of mobilization with movement (MWM) on pulmonary functions in subjects with thoracic hyperkyphosis.
METHODS
This randomized single-blinded controlled trial included a sample of 50 subjects (age 18 - 25 years old) with thoracic hyperkyphosis. Subjects were randomly allocated into two groups; the Real MWM group (n = 25) which received thoracic MWM plus standard postural correction exercises, and the Sham MWM group (n = 25) which received sham MWM plus standard postural correction exercises. Digital X-ray and handheld spirometer were used to measure selected pulmonary function tests (FVC, FEV1/FVC ratio, MVV) respectively.
RESULTS
Within-group comparisons demonstrated a statistically significant improvement in all outcome measures in both groups. The between-group comparisons demonstrated significant improvement in the MWM compared to the Sham group regarding the value of FVC, FEV1/FVC ratio, and MVV (P < .05).
CONCLUSION
In young adults with thoracic hyperkyphosis, MWM plus postural exercise produces better improvements in FVC, FEV1, FEV1/FVC, and MVV compared to sham MWM plus postural exercise.
目的
研究运动式手法松动术（MWM）对胸椎后凸患者肺功能的影响。
方法
这是一项随机单盲对照试验，纳入了 50 例胸椎后凸患者（年龄 18-25 岁）作为研究对象。将受试者随机分为两组：真实 MWM 组（n=25）接受胸椎 MWM 加标准姿势矫正练习，假 MWM 组（n=25）接受假 MWM 加标准姿势矫正练习。数字 X 射线和手持式肺活量计分别用于测量选定的肺功能测试（FVC、FEV1/FVC 比值、MVV）。
结果
组内比较显示两组所有结局指标均有统计学意义的改善。组间比较显示，MWM 组与假 MWM 组相比，FVC、FEV1/FVC 比值和 MVV 值均有显著改善（P<.05）。
结论
在年轻的胸椎后凸患者中，MWM 联合姿势锻炼比假 MWM 联合姿势锻炼在 FVC、FEV1、FEV1/FVC 和 MVV 方面的改善更显著。
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