Research Article
BibTex RIS Cite
Year 2022, Volume: 3 Issue: 3, 160 - 166, 15.12.2022
https://doi.org/10.53811/ijtcmr.1185377

Abstract

References

  • Triangto K, Widjanantie SC, Nusdwinuringtyas N. Biomechanical impacts of forward head posture on the respiratory function. J Phys Med Rehabil. 2019;8(02):S50-64.
  • Lorbergs AL, O'Connor GT, Samelson EJ. Severity of kyphosis and decline in lung function: The Framingham Study. J Gerontol B Psychol Sci Soc Sci. 2016;72(5):S689-94.
  • Koseki T, Kakizaki F, Hayashi S, et al. Effect of forward head posture on thoracic shape and respiratory function. J Phys Ther Sci. 2019;31(1):S63-68.
  • Cho J, Lee E, Lee S. Upper cervical and upper thoracic spine mobilization versus deep cervical flexors exercise in individuals with forward head posture: A randomized clinical trial investigating their effectiveness. J Back Musculoskelet Rehabil. 2019;32(4):S595-602.
  • Choi Y, HAN J. The effects of manipulation therapy on lumbar lordosis and thoracic kyphosis in ındividuals with flat back: pilot study. J Orthop Sports Phys Ther. 2020;16(2):S1-7.
  • Roh, Ji-Ae; Kım, Kwan-Il; Jung, Hee-Jae. The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review. PloS one. 2021;16(5):e0251291.
  • Hwangbo PN, Hwangbo G, Park J, et al. The effect of thoracic joint mobilization and self-stretching exercise on pulmonary functions of patients with chronic neck pain. J Phys Ther Sci. 2014; 26(11):S1783–1786.
  • Joo S, Lee Y, Song CH. Immediate effects of thoracic spinal manipulation on pulmonary function in stroke patients: A preliminary study. J Manipulative Physiol Ther. 2018;41(7):S602-608.
  • Park JJ, Chon SC. Effect of posterior-anterior mobilization of the thoracic spine on pain, respiratory function, and thoracic circumference in patients with chronic low back pain. Phys Ther Korea. 2018; 25(4):S37-45.
  • Nair A, Alaparthi GK, Krishnan S, et al. Comparison of diaphragmatic stretch technique and manual diaphragm release technique on diaphragmatic excursion in chronic obstructive pulmonary disease: a randomized crossover trial. Pulm Med. 2019;2019:S1-7.
  • Rocha T, Souza H, Brandão DC, et al. The manual diaphragm release technique improves diaphragmatic mobility, inspiratory capacity and exercise capacity in people with chronic obstructive pulmonary disease: a randomised trial. J Physiother. 2015;61(4):S182-189.
  • Shei RJ, Paris HL, Wilhite DP, et al. The role of inspiratory muscle training in the management of asthma and exercise-induced bronchoconstriction. Phys Sportsmed. 2016;44(4):S327-334.
  • Bostancı Ö, Mayda H, Yılmaz C, et al. Inspiratory muscle training improves pulmonary functions and respiratory muscle strength in healthy male smokers. Respir Physiol Neurobiol. 2019;264:S28-32.
  • Villanueva LU, Fernandes PC, Cano D, et al. The effectiveness of combining inspiratory muscle training with manual therapy and a therapeutic exercise program on maximum inspiratory pressure in adults with asthma: a randomized clinical trial. Clin Rehabil. 2018;32(6):S752-765.
  • Çırak Y, Yılmaz Yelvar GD, Parlak Demir Y. et al. Effects of additional manual therapy over inspiratory muscle training in patients with chronic obstructive pulmonary disease: A randomized controlled trial. Eur Respir. J 2015;46:S738.
  • Park, Shin Jun. Effects of ınspiratory muscles training plus rib cage mobilization on chest expansion, ınspiratory accessory muscles activity and pulmonary function in stroke patients. Appl Sci. 2020;10(15):S5178.
  • Alvarez LB, Fernández PC, Corral TD, et al. Effect of manual therapy, motor control exercise, and ınspiratory muscle training on maximum ınspiratory pressure and postural measures in moderate smokers: a randomized controlled trial. J Manipulative Physiol Ther. 2018;41(5):S372-382.
  • Dareh-Deh HR, Hadadnezhad M, Letafatkar A, et al. Effects of adding respiratory exercises to the therapeutic routine in smartphone users with forward head posture and non-specific chronic neck pain: A Randomised Controlled Trial. Res Sq. 2020.
  • Sağlam M, Arıkan H, Savcı S, et al. Internatıonal physıcal actıvıty questıonnaıre: reliability and validity of the turkish version. Percept Mot Ski. 2010;111(1):S278-284.
  • Graham BL, Steenbruggen I, Miller MR, et al. An Official American Thoracic Society and European Respiratory Society Technical Statement: Standardization of spirometry 2019 Update. Am J Respir Crit Care Med. 2019;200(8):70-88.
  • Amatachaya P, Wongsa S, Sooknuan T, et al. Validity and reliability of a thoracic kyphotic assessment tool measuring distance of the seventh cervical vertebra from the wall. Hong Kong Med J. 2016;35:S30-36.
  • Garrett TR, Youdas LW, Madson T. Reliability of measuring forward head posture. J Orthop Sports Phys Ther. 1993;17(3):S155-160.
  • Vogelmeıer CF, Criner GJ, Martinez FJ, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary. Am J Respir Crit Care Med. 2017;195(5):S557-582.
  • National Asthma Education and Prevention Program. Expert panel report 3 (EPR-3): guidelines for the diagnosis and management of asthma-summary report 2007. J Allergy Clin Immunol. 2007;120(5):S94-138.
  • Wall BA, Peiffer JJ, Losco B, et al. The effect of manual therapy on pulmonary function in healthy adults. Sci Rep. 2016;6(1):S1-4.
  • Nunes Júnıor AO, Donzeli MA, Novais Shimano SG, et al. Effects of high-intensity inspiratory muscle training in rugby players. Rev Bras Med Esporte. 2018;24:S216-19.
  • Ramos I, Barreıra S, Viana R. Inspiratory muscle training on lung function of male roller hockey players: a randomized controlled trial pilot study. Porto Biomed J. 2020;5(5):S1-5.
  • Hajghanbari B, Yamabayashi C, Buna TR, et al. Effects of respiratory muscle training on performance in athletes: a systematic review with meta-analyses. J Strength Cond Res. 2013;27(6):S1643-1663.
  • Shei RJ, Paris HL, Sogard AS, et al. Time to move beyond a “one-size fits all” approach to ınspiratory muscle training. Front Physiol. 2022;12:S2452.
  • Obayashi H, Urabe Y, Yamanaka Y, et al. Effects of respiratory- muscle exercise on spinal curvature. J Sport Rehabil. 2012;21(1):S63-68.
  • Haghighi M, Hamledari A, Ghasemikahrizsangi G. The effect of ınspiratory muscle training on the thoracic spine curve, ınspiratory volume and cardio-respiratory endurance in boys with hyper-kyphosis. Int J Health Sci. 2020;6(2):S24-27.

The Effects of Manual Therapy and Inspiratory Muscle Training on Respiratory Parameters in Young Adults with Postural Problems: A Randomized Trial

Year 2022, Volume: 3 Issue: 3, 160 - 166, 15.12.2022
https://doi.org/10.53811/ijtcmr.1185377

Abstract

Objective: It was aimed to compare the effects of manual therapy (MT) and Inspiratory Muscle Training (IMT) on respiratory functions and postural problems of young adults in this study.
Material-Method: Thirty-five volunteers were randomly allocated into IMT and MT groups. All participants received twenty minutes of IMT twice a week for four weeks. Eight sessions of manual therapy were applied to the MT group in addition to IMT. Forced Expiratory Volume in 1 Second (FEV1), Forced Vital Capacity (FVC), FEV1/FVC ratio, Peak Expiratory Flow (PEF), forward head posture (FHP), and thoracic hyperkyphosis were evaluated before and after the treatments.
Results: Although there were significant improvements in the FEV1, FVC, FEV1/FVC ratio, and PEF scores of the MT group (p<0.05), no significant difference was found in the IMT group at the post-treatment (p>0.05). The comparisons of post-treatment scores of the FEV1, FVC, FEV1/FVC ratio, and PEF between the groups revealed greater improvements in the MT group than IMT group (p<0.05). Significant changes were demonstrated in postural problems in the two groups (p<0.05). However, no significant differences were analyzed between the group in the comparison of the post-treatment postural changes (p>0.05).
Conclusion: We observed in our study that IMT and MT might be effective in correcting FHP and thoracic hyperkyphosis in young adults. It was recommended to add MT to IMT for the young adults with thoracic hyperkyphosis and FHP, due to greater improvements shown in the respiratory functions in our study.

References

  • Triangto K, Widjanantie SC, Nusdwinuringtyas N. Biomechanical impacts of forward head posture on the respiratory function. J Phys Med Rehabil. 2019;8(02):S50-64.
  • Lorbergs AL, O'Connor GT, Samelson EJ. Severity of kyphosis and decline in lung function: The Framingham Study. J Gerontol B Psychol Sci Soc Sci. 2016;72(5):S689-94.
  • Koseki T, Kakizaki F, Hayashi S, et al. Effect of forward head posture on thoracic shape and respiratory function. J Phys Ther Sci. 2019;31(1):S63-68.
  • Cho J, Lee E, Lee S. Upper cervical and upper thoracic spine mobilization versus deep cervical flexors exercise in individuals with forward head posture: A randomized clinical trial investigating their effectiveness. J Back Musculoskelet Rehabil. 2019;32(4):S595-602.
  • Choi Y, HAN J. The effects of manipulation therapy on lumbar lordosis and thoracic kyphosis in ındividuals with flat back: pilot study. J Orthop Sports Phys Ther. 2020;16(2):S1-7.
  • Roh, Ji-Ae; Kım, Kwan-Il; Jung, Hee-Jae. The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review. PloS one. 2021;16(5):e0251291.
  • Hwangbo PN, Hwangbo G, Park J, et al. The effect of thoracic joint mobilization and self-stretching exercise on pulmonary functions of patients with chronic neck pain. J Phys Ther Sci. 2014; 26(11):S1783–1786.
  • Joo S, Lee Y, Song CH. Immediate effects of thoracic spinal manipulation on pulmonary function in stroke patients: A preliminary study. J Manipulative Physiol Ther. 2018;41(7):S602-608.
  • Park JJ, Chon SC. Effect of posterior-anterior mobilization of the thoracic spine on pain, respiratory function, and thoracic circumference in patients with chronic low back pain. Phys Ther Korea. 2018; 25(4):S37-45.
  • Nair A, Alaparthi GK, Krishnan S, et al. Comparison of diaphragmatic stretch technique and manual diaphragm release technique on diaphragmatic excursion in chronic obstructive pulmonary disease: a randomized crossover trial. Pulm Med. 2019;2019:S1-7.
  • Rocha T, Souza H, Brandão DC, et al. The manual diaphragm release technique improves diaphragmatic mobility, inspiratory capacity and exercise capacity in people with chronic obstructive pulmonary disease: a randomised trial. J Physiother. 2015;61(4):S182-189.
  • Shei RJ, Paris HL, Wilhite DP, et al. The role of inspiratory muscle training in the management of asthma and exercise-induced bronchoconstriction. Phys Sportsmed. 2016;44(4):S327-334.
  • Bostancı Ö, Mayda H, Yılmaz C, et al. Inspiratory muscle training improves pulmonary functions and respiratory muscle strength in healthy male smokers. Respir Physiol Neurobiol. 2019;264:S28-32.
  • Villanueva LU, Fernandes PC, Cano D, et al. The effectiveness of combining inspiratory muscle training with manual therapy and a therapeutic exercise program on maximum inspiratory pressure in adults with asthma: a randomized clinical trial. Clin Rehabil. 2018;32(6):S752-765.
  • Çırak Y, Yılmaz Yelvar GD, Parlak Demir Y. et al. Effects of additional manual therapy over inspiratory muscle training in patients with chronic obstructive pulmonary disease: A randomized controlled trial. Eur Respir. J 2015;46:S738.
  • Park, Shin Jun. Effects of ınspiratory muscles training plus rib cage mobilization on chest expansion, ınspiratory accessory muscles activity and pulmonary function in stroke patients. Appl Sci. 2020;10(15):S5178.
  • Alvarez LB, Fernández PC, Corral TD, et al. Effect of manual therapy, motor control exercise, and ınspiratory muscle training on maximum ınspiratory pressure and postural measures in moderate smokers: a randomized controlled trial. J Manipulative Physiol Ther. 2018;41(5):S372-382.
  • Dareh-Deh HR, Hadadnezhad M, Letafatkar A, et al. Effects of adding respiratory exercises to the therapeutic routine in smartphone users with forward head posture and non-specific chronic neck pain: A Randomised Controlled Trial. Res Sq. 2020.
  • Sağlam M, Arıkan H, Savcı S, et al. Internatıonal physıcal actıvıty questıonnaıre: reliability and validity of the turkish version. Percept Mot Ski. 2010;111(1):S278-284.
  • Graham BL, Steenbruggen I, Miller MR, et al. An Official American Thoracic Society and European Respiratory Society Technical Statement: Standardization of spirometry 2019 Update. Am J Respir Crit Care Med. 2019;200(8):70-88.
  • Amatachaya P, Wongsa S, Sooknuan T, et al. Validity and reliability of a thoracic kyphotic assessment tool measuring distance of the seventh cervical vertebra from the wall. Hong Kong Med J. 2016;35:S30-36.
  • Garrett TR, Youdas LW, Madson T. Reliability of measuring forward head posture. J Orthop Sports Phys Ther. 1993;17(3):S155-160.
  • Vogelmeıer CF, Criner GJ, Martinez FJ, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary. Am J Respir Crit Care Med. 2017;195(5):S557-582.
  • National Asthma Education and Prevention Program. Expert panel report 3 (EPR-3): guidelines for the diagnosis and management of asthma-summary report 2007. J Allergy Clin Immunol. 2007;120(5):S94-138.
  • Wall BA, Peiffer JJ, Losco B, et al. The effect of manual therapy on pulmonary function in healthy adults. Sci Rep. 2016;6(1):S1-4.
  • Nunes Júnıor AO, Donzeli MA, Novais Shimano SG, et al. Effects of high-intensity inspiratory muscle training in rugby players. Rev Bras Med Esporte. 2018;24:S216-19.
  • Ramos I, Barreıra S, Viana R. Inspiratory muscle training on lung function of male roller hockey players: a randomized controlled trial pilot study. Porto Biomed J. 2020;5(5):S1-5.
  • Hajghanbari B, Yamabayashi C, Buna TR, et al. Effects of respiratory muscle training on performance in athletes: a systematic review with meta-analyses. J Strength Cond Res. 2013;27(6):S1643-1663.
  • Shei RJ, Paris HL, Sogard AS, et al. Time to move beyond a “one-size fits all” approach to ınspiratory muscle training. Front Physiol. 2022;12:S2452.
  • Obayashi H, Urabe Y, Yamanaka Y, et al. Effects of respiratory- muscle exercise on spinal curvature. J Sport Rehabil. 2012;21(1):S63-68.
  • Haghighi M, Hamledari A, Ghasemikahrizsangi G. The effect of ınspiratory muscle training on the thoracic spine curve, ınspiratory volume and cardio-respiratory endurance in boys with hyper-kyphosis. Int J Health Sci. 2020;6(2):S24-27.
There are 31 citations in total.

Details

Primary Language English
Subjects Traditional, Complementary and Integrative Medicine
Journal Section Research Articles
Authors

Şeyda Yıldız 0000-0002-3917-2286

Leyla Ataş Balcı 0000-0002-3302-3722

Seçil Özkurt 0000-0002-7135-1938

Early Pub Date December 15, 2022
Publication Date December 15, 2022
Submission Date October 7, 2022
Published in Issue Year 2022 Volume: 3 Issue: 3

Cite

APA Yıldız, Ş., Ataş Balcı, L., & Özkurt, S. (2022). The Effects of Manual Therapy and Inspiratory Muscle Training on Respiratory Parameters in Young Adults with Postural Problems: A Randomized Trial. International Journal of Traditional and Complementary Medicine Research, 3(3), 160-166. https://doi.org/10.53811/ijtcmr.1185377

Creative Commons License
This journal is licensed under a Creative Commons Attribution 4.0 International License.