Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Effect of Thoracic Lymphatic Pump Technique on Pulmonary Function in COPD Patients


Affiliations
1 Pad.Dr.D.Y.Patil University, Dept of Physiotherapy, Nerul, Navi-Mumbai, India
     

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Introduction: Chronic Obstructive Pulmonary Disease (COPD) is characterized by chronic airflow limitation, range of pathological changes in the lung, some significant extra-pulmonary effects, and important co-morbidities and risk factors which may contribute to the severity of the disease in individual patients. Once developed, COPD and its co-morbidities cannot be cured, so must be treated continuously. Treatment options include not only pharmacological & surgical therapies but also use of osteopathic manipulative treatment (OMT). If OMT can reduce pain & immobility associated with pulmonary disease, then it should increase thoracic excursion.

Aim: To analyze whether the application of the Thoracic Lymphatic Pump without activation on COPD patients influences their lung function parameters.

Methodology: An Experimental Cross Sectional Study with 50 COPD diagnosed patients with COPD grade I - III according to GOLD guidelines were divided in two groups, 25 in Experimental Group(A) & 25 in Control Group(B). Pulmonary function test(Measuring VC, FEV1, FVC, FEV1/FVC RATIO, PEF and FEF) was the outcome measure. Group A was given the TLP manipulation and 10 mins nebulization. Group B was given only nebulization.

Results: There were significant improvements in the VC, FVC, FEV1, FEV1/FVC values of both the groups. The FEF values showed significant improvements in experimental group as compared to control group. The means of the difference between the pre and post values of both the groups showed no statistical significance.


Keywords

Thoracic Lymphatic Pump Technique Without Activation, Pulmonary Function Tests
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  • Donald R Noll, Jane C Johnson, Robert W Baer and Eric J Snider; The immediate effect of individual manipulation techniques on pulmonary function measures in persons with COPD; Osteopathic Medicine and Primary Care;October 2009;3:9.

  • Donald R. Noll, Brian F. Degenhardt, Jane C. Johnson, Selina A. Burt; Immediate Effects of OMT in Elderly Patients With COPD;The Journal of American Osteopathic Association; May 2008; 108(5); 251-259.

  • Mark T. Dransfield; Diagnosis of COPD and the GOLD Guidelines; Atlas of COPD; 2011;9-18.

  • Global Strategy for the Diagnosis, Management & Prevention of COPD; Global Initiative for COPD;2010;1-94.

  • Susann Friedrich; The Influence of Rib Raising on the Lung Function of COPD Patients; Donua Krems University – Centre for Chinese and Complimentary Medicine;June 2010.

  • Guidelines for Management of COPD in India: A guide for Physicians (2003); Indian Journal of Chest Diseases and Allied Sciences. 2004,46: 137- 153 And Lung India 2004,21:11-26.

  • Bernadette Price;Pulmonary Pharmacology; Scot Irwin; Cardiopulmonary Physical Therapy;2004;243.

  • Donald R Noll et al; Efficacy of osteopathic manipulation as an adjunctive treatment for hospitalized patients with pneumonia: a randomized controlled trial; Osteopathic Medicine and Primary Care 2010, 4:2.

  • Gilbert E. D.Alonza, Samuel Krachman; Respiratory system; Robert. C. Ward; Foundations for Osteopathic Medicine, Baltimore;441-456.

  • Leon Chaitow; Osteopathic Assessment and treatment of thoracic and respiratory dysfunction; Multidisciplinary Approaches to Breathing pattern Disorders; 131-171.

  • Donna Frownfelter; Cardiovascular and Pulmonary Physical Therapy;4th Edition,508-510.

  • Sidhart. N. Shah; API textbook of medicine; 7th Edition.

  • Respiratory System Drugs; KD Tripathi; Essentials of medical Pharmacology; 5th edition; 2003; 200.

  • Julie Starr, The Thorox & Chest wall; Pamela. K. Levangie & Cynthia Norkins; Joint structure & Function;4th edition; Noida 193-212.

  • E. Bancalari, J. Clausen; Pathophysiology of changes in absolute lung volumes; European Respiratory Journal; 1998; 12: 248–258.

  • Kevin Lee Farmer(2003); Effect of Chest Wall Constriction on chest wall during exercise; University of Kanas.

  • Dilek Durmuþ, Gamze Alaylý, Oðuz Uzun, Berna Tander, Ferhan Cantürk,Yüksel Bek, Levent Erkan; Effects of two exercise interventions on pulmonary functions in the patients with ankylosing spondylitis; Joint Bone & Spine; March 2009;76;(2); 150-155.

  • Kyoung Kim, Denis.W. Fell, Jeon Hyeong Lee; Feedback Respiratory training to enhance Chest Expansion and Pulmonary Function in Chronic Strokes:A Double Blind Randomised Control; Journal of Physical Therapy Science; 2011; 23; 75-79.

  • Rosalba Courtney; The functions of breathing and its dysfunctions and their relationship to breathing therapy; International Journal of Osteopathic Medicine; (2009);12; 78–85.

  • Sharon Wendy Hosking; The effect of osteopathic manipulative techniques on diaphragm movement and respiratory function in asymptomatic subjects;2009.

  • ELF (European Lung Foundation):http:// www.de.european-lung-foundation.org/ index.php?id= 218.

  • WHO (World Health Organisation):http:// www.who.int/respiratory/copd/en/ index.html.

  • Vogelmeier et al. (2007): Guideline of the German Airway League and the German Society for Pneumology and Respiratory Medicine in the diagnosis and treatment of patients with chronic obstructive bronchitis and emphysema (COPD). Online publication Stuttgart: Thieme.

  • Howell RK, Allen TW, Kappler RE: The influence of osteopathic manipulative therapy in the management of patients with COPD. J Am Osteopath Assoc 1975, 74:757-760.


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  • Effect of Thoracic Lymphatic Pump Technique on Pulmonary Function in COPD Patients

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Authors

Steffi P. Mascarenhas
Pad.Dr.D.Y.Patil University, Dept of Physiotherapy, Nerul, Navi-Mumbai, India
Unnati Pandit
Pad.Dr.D.Y.Patil University, Dept of Physiotherapy, Nerul, Navi-Mumbai, India
Sujata Yardi
Pad.Dr.D.Y.Patil University, Dept of Physiotherapy, Nerul, Navi-Mumbai, India

Abstract


Introduction: Chronic Obstructive Pulmonary Disease (COPD) is characterized by chronic airflow limitation, range of pathological changes in the lung, some significant extra-pulmonary effects, and important co-morbidities and risk factors which may contribute to the severity of the disease in individual patients. Once developed, COPD and its co-morbidities cannot be cured, so must be treated continuously. Treatment options include not only pharmacological & surgical therapies but also use of osteopathic manipulative treatment (OMT). If OMT can reduce pain & immobility associated with pulmonary disease, then it should increase thoracic excursion.

Aim: To analyze whether the application of the Thoracic Lymphatic Pump without activation on COPD patients influences their lung function parameters.

Methodology: An Experimental Cross Sectional Study with 50 COPD diagnosed patients with COPD grade I - III according to GOLD guidelines were divided in two groups, 25 in Experimental Group(A) & 25 in Control Group(B). Pulmonary function test(Measuring VC, FEV1, FVC, FEV1/FVC RATIO, PEF and FEF) was the outcome measure. Group A was given the TLP manipulation and 10 mins nebulization. Group B was given only nebulization.

Results: There were significant improvements in the VC, FVC, FEV1, FEV1/FVC values of both the groups. The FEF values showed significant improvements in experimental group as compared to control group. The means of the difference between the pre and post values of both the groups showed no statistical significance.


Keywords


Thoracic Lymphatic Pump Technique Without Activation, Pulmonary Function Tests

References