Torakal manipülasyonun torakal mobilite, solunum fonksiyonları ve fonksiyonel kapasite üzerine etkisi: pilot çalışma

Abstract

Amaç: Torakal manipülasyonun pulmoner fonksiyon üzerine etkisini araştıran çalışmalar sınırlı sayıdadır ve mevcut çalışmaların sonuçları çelişkilidir. Çalışmamızın amacı tek seans uygulanan torakal manipülasyonun göğüs duvarı mobilitesi, solunum fonksiyonları, solunum kas kuvveti ve fonksiyonel kapasite üzerine kısa dönem etkisini araştırmaktı.

Yöntem: Yirmi yaş üstü 78 sağlıklı erkek gönüllü birey çalışmaya dahil edildi. Katılımcılar randomize olarak 2 gruba ayrıldı. Grup 1’e torakal manipülasyon (N=39) ve Grup 2’ye plasebo torakal manipülasyon (N=39) uygulandı. Uygulamalar deneyimli bir fizyoterapist tarafından yapıldı. Uygulama öncesi ve sonrasında olguların göğüs çevre ölçümleri, nötral, inspirasyon ve ekspirasyon sırasında aksillar, epigastrik ve subkostal seviyelerden mezura ile ölçüldü. Solunum fonksiyonları MIR Spirobank II, solunum kas kuvveti Carefusion Micro RPM cihazıyla ve fonksiyonel kapasiteleri 6 Dakika Yürüme Testiyle değerlendirildi.

Bulgular: Tek seans uygulanan torakal manipülasyon sonrasında göğüs çevre ölçümleri, solunum fonksiyonları ve solunum kas kuvveti ölçümü ve 6 dakika yürüme mesafesi değerleri açısından gruplar arasında fark bulunmadı (p>0,05).

Sonuç: Çalışmamızda, manipülasyonun torakal mobilite, solunum fonksiyonları ve fonksiyonel kapasite üzerinde minimal değişiklikler oluşturdu. Ancak bu değişiklikler klinik olarak anlamlı değildi. Manipülasyonun sıklığı, seans süreleri ve farklı teknikler ve tedavi yöntemleriyle birlikte uygulamalarının etkinliğini değerlendiren, kanıt düzeyi yüksek ileri çalışmalara ihtiyaç vardır.

Keywords

• torakal manipulasyon
• göğüs duvarı mobilitesi
• solunum fonksiyonları
• rehabilitasyon

Effects of thoracic manipulation on thoracic mobility, pulmonary functions, and functional capacity: a pilot study

Abstract

Purpose: A limited number of studies have been investigated the effect of thoracic manipulation on pulmonary functions and the results of the current studies are contradictory. The aim of this study was to investigate the acute effects of single-session thoracic manipulation on chest wall mobility, respiratory function, respiratory muscle strength, and functional capacity.

Methods: Seventy-eight healthy men aged 20 and over were recruited in the study. The participants were randomly assigned to either the thoracic manipulation group (N=39) or the placebo group (N=39). A physical therapist who experienced in manual therapy administered thoracic manipulation and placebo intervention. Chest wall mobility assessed during neutral, inspiratory and expiration were measured at the axillary, epigastric and subcostal levels using a tape measure. Pulmonary function were assessed using Spirobank II. The Carefusion Micro RPM device and 6-Minute Walk Test (6MWT) were used to evaluate respiratory muscle strength and functional capacity, respectively.

Results: After single thoracic manipulation intervention, no significant difference was found in the measurements of chest circumference, pulmonary function, respiratory muscle strength, and 6MWT values between the groups (p>0.05).

Conclusion: In our study, thoracic manipulation produced minimal changes in thoracic mobility, respiratory function and functional capacity. However, these changes were not clinically significant. Further studies with a high level of evidence and evaluating the effectiveness of the frequency of manipulation, session duration and manipulation application combined with different techniques or treatment methods are needed.

Keywords

• thoracic manipulation
• chest wall mobility
• respiratory functions
• rehabilitation

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