Acute effects of manual therapy on respiratory parameters in thoracic outlet syndrome

Fırat, Tüzün; Sağlam, Melda; Yağlı, Naciye Vardar; Tunç, Yasin; Çalık-Kütükçü, Ebru; Delioğlu, Kıvanç; Arıkan, Hülya; Yenigün, Bülent Mustafa

doi:10.5606/tgkdc.dergisi.2019.17375

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…The main finding from this study is that a single session of thoracic manipulation does not change PF, however, changes in MVV were observed within seven days following a third treatment session. Previous research supports the authors’ findings following a single session 10 , 28 , 29 ) . Only one study noted a change in peak expiratory flow in young healthy females following a single thoracic manipulation 30 ) .…”

Section: Discussionsupporting

confidence: 85%

Changes in pulmonary function following thoracic spine manipulation in a healthy inactive older adult population—a pilot study

et al. 2023

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[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.

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Section: Discussionsupporting

confidence: 85%

Changes in pulmonary function following thoracic spine manipulation in a healthy inactive older adult population—a pilot study

et al. 2023

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“…For example, the forced expiratory volume in 1 second (FEV1), which is a respiratory value obtained from spirometry, is not necessarily related to the presence of dyspnea, physical performance of patients with chronic obstructive pulmonary disease, or to the functionality of the respiratory muscles [ 13 - 14 ]. The manual treatment of the thoracic outlet for thoracic outlet syndrome has been reported to improve respiratory parameters [ 15 ]. Furthermore, it is important to remember that dyspnea and breathlessness are not always related to a real lung problem but can derive from psychological dysfunction or from a lesion of the central nervous system, which creates a vicious cycle that negatively influences respiratory function and interoceptive neurocognitive mechanisms [ 16 - 17 ].…”

Section: Introductionmentioning

confidence: 99%

Palpation of the Respiratory System in Osteopathic Manual Medicine: From the Trachea to the Lungs

Bordoni¹,

Escher²

2021

Cureus

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There is a lack of published literature in osteopathic manual medicine on how to perform palpation of the lower respiratory tree such as the trachea, main bronchi, and lungs. Several authors have studied the osteopathic effect and respiratory response of palpation but have failed to demonstrate how to perform palpation of the visceral areas involved in breathing, either in the context of a clinical trial or as a case report. This paper reviews the innervation of these anatomical areas, the mechano-metabolic weight of the passage of fluids and air in the respiratory tract, the anatomical topography, and the movements involved in respiration. Drawing from current knowledge, this article illustrates, for the first time, how to place the hands for an effective osteopathic assessment of the tracheal, bronchial, and pulmonary structures. Understanding how to perform palpation of the lower areas is a fundamental tool in the clinic and potential therapy in osteopathic manual medicine.

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Upper Vascular Thoracic Outlet Syndrome: A Case Study

Wierciak-Rokowska,

Sliwka,

Maga

et al. 2024

Biomedicines

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Thoracic outlet syndrome (TOS) is recognised in approximately 8% of the population. Vascular presentation is rare and diagnosis is often elusive due to its rarity. As episodes of TOS in the upper extremities are rare, proven protocols for rehabilitation management are lacking. The purpose of our article is to present a clinical examination protocol and a treatment protocol for patients after an episode of venous thrombosis in the upper limb (VTOS). We report the case of a middle-aged woman with right venous TOS with pain in the right upper extremity, accompanied by oedema and mild violet discolouration. The results after 10 sessions of physiotherapy were as follows: a reduction in symptoms of approximately 40%, an improvement of approximately 15% in sports performance, and an improvement of approximately 25% in work. There was also an improvement in the results of TOS provocation tests, i.e., a 50–100% improvement in pulse rate and about 30% less discolouration in the extremity. Additionally, there was a significant improvement in posture between the two sides of the upper quadrant. The results after 10 physiotherapy sessions are surprising due to chronic disease after the thrombosis episode. It appears that even after a long period of time since diagnosis, improvement is possible.

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Acute effects of manual therapy on respiratory parameters in thoracic outlet syndrome

Cited by 4 publications

References 30 publications

Changes in pulmonary function following thoracic spine manipulation in a healthy inactive older adult population—a pilot study

Changes in pulmonary function following thoracic spine manipulation in a healthy inactive older adult population—a pilot study

Palpation of the Respiratory System in Osteopathic Manual Medicine: From the Trachea to the Lungs

Upper Vascular Thoracic Outlet Syndrome: A Case Study

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