Is manual therapy of the diaphragm effective for people with obstructive lung diseases? A systematic review - 06/06/23
, Michail Arvanitidis b, Maria Moutzouri a, George A. Koumantakis a, George Gioftsos a, Maria Papandreou a, Eirini Grammatopoulou aHighlights |
• | This is the first systematic review investigating the effectiveness of manual therapy on the zone of apposition of the diaphragm in people suffering from obstructive lung diseases. |
• | Preliminary evidence supports that manual therapy on the zone of apposition of the diaphragm can effectively improve diaphragm excursion, chest expansion and exercise capacity in people suffering from chronic obstructive pulmonary disease. |
• | Manual therapy techniques' effect on the zone of apposition of the diaphragm in people with asthma remains unclear. |
Abstract |
Background |
Diaphragm dysfunction is common among people with obstructive lung disease (OLD). The effectiveness of manual therapy (MT) techniques specifically targeting this region remains unclear. The scope of this systematic review is to investigate the effectiveness of MT on the zone of apposition (ΖΟΑ) of the diaphragm in lung function, diaphragm excursion (DE), chest expansion, exercise capacity (EC), maximal inspiratory pressure (PImax) and dyspnea in people suffering from OLD.
Methods |
Key databases were systematically searched. Two independent reviewers screened the papers for inclusion. Methodological quality and the quality of evidence were assessed using the PEDro scale and the GRADE approach, respectively.
Results |
Two studies were included. One showed that diaphragmatic stretching and the manual diaphragm release technique (MDRT) improved DE and CE (p<0.001, p<0.05, respectively). The other showed that MDRT improved DE and EC (p<0.05, p<0.05, respectively).
Conclusion |
This systematic review provides preliminary evidence on the effectiveness of MT on the ZOA of the diaphragm in people with COPD. Further research is needed in order for definitive conclusions to be drawn.
Registration number in Prospero |
CRD42022308595
Le texte complet de cet article est disponible en PDF.Keywords : Obstructive lung diseases, Manual therapy, Diaphragm, Pulmonary rehabilitation
Plan
Vol 83
Article 101002- juin 2023 Retour au numéro
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