Jonely Holly, Jayaseelan Dhinu, Costello Ellen, Signorino Joseph, Wooten Liana, Murray Donal, Woolstenhulme Josh
The School of Medicine & Health Sciences, Physical Therapy & Health Care Sciences, The George Washington University: 2000 Pennsylvania Ave, NW, Suite 2000, Washington, DC 20006, USA.
Division of Physical Therapy, Shenandoah University, USA.
J Phys Ther Sci. 2023 Jul;35(7):492-496. doi: 10.1589/jpts.35.492. Epub 2023 Jul 1.
[Purpose] Pulmonary function pathology is primarily treated pharmacologically, with a range of medication side effects. Few studies have systematically examined non-pharmacologic approaches such as joint manipulation effects on pulmonary function. This study examined the immediate and short-term effects of thoracic manipulation on pulmonary function. [Participants and Methods] Twenty-one physically inactive otherwise healthy participants aged 50 years or older were randomly assigned to either receive three sessions of thoracic manipulation (n=10) or three sessions of "sham intercostal training" (n=11). Outcome measures included forced vital capacity, maximal voluntary ventilation and thoracic excursion during maximal inhalation and exhalation. [Results] There was a statistically significant difference in maximal voluntary ventilation in the manipulation group, when measured within a week of the third intervention session and immediate effects in thoracic excursion during exhalation in the sham group following a single intervention session. There were no significant changes in other measures. [Conclusion] Spinal manipulation had no immediate effect on pulmonary function, however, affected an improvement in maximal voluntary ventilation within 7 days following a third session. The sham intervention showed a change in thoracic excursion during exhalation after the first session. Future research is necessary to further explore the relationship between thoracic manipulation and pulmonary function.
[目的] 肺功能病理主要通过药物治疗，但存在一系列药物副作用。很少有研究系统地考察诸如关节手法治疗对肺功能的非药物方法。本研究考察了胸廓手法治疗对肺功能的即时和短期影响。[参与者与方法] 21名年龄在50岁及以上、身体活动不足但健康的参与者被随机分为两组，一组接受三次胸廓手法治疗（n = 10），另一组接受三次“假肋间训练”（n = 11）。结果测量包括用力肺活量、最大自主通气量以及最大吸气和呼气时的胸廓活动度。[结果] 在第三次干预 session 后一周内测量时，手法治疗组的最大自主通气量有统计学显著差异，且假手术组在单次干预 session 后呼气时胸廓活动度有即时效应。其他测量指标无显著变化。[结论] 脊柱手法治疗对肺功能无即时影响，但在第三次 session 后7天内可使最大自主通气量得到改善。假手术干预在第一次 session 后呼气时胸廓活动度出现变化。未来有必要进一步研究胸廓手法治疗与肺功能之间的关系。
