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This study focused on improving breathing mechanics by using various osteopathic manipulative therapy (OMT) techniques. The investigators randomly assigned participants to a control group who received sham treatment and a treatment group who received OMT. The investigators measured variable pre- and post- treatment on both groups. The investigators observed an improvement in breathing mechanics in the treatment group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Group | Experimental |
| |
| Sham Group | Sham Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Osteopathic Manipulative Medicine | Other | Manipulative therapies based on Osteopathic principles. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in chest wall excursion | M1 and M2 measurements with a soft tape measure. M1: Level of sternal notch (in centimeters), M2: Level of xiphoid process (in centimeters). | Measure assessing a change from baseline chest wall excursion within 5 minutes of treatment completion. |
| Change in forced vital capacity (FVC) | Measurement of Forced Vital Capacity (FVC) as measured via pulmonary function testing. | Measure assessing a change from baseline FVC value via pulmonary function testing within 5 minutes of treatment completion. |
| Change in forced expiratory volume at 1 second (FEV1) | Measurement of Forced Expiratory Volume at 1 second (FEV1) as measured via pulmonary function testing. | Measure assessing a change from baseline in forced expiratory volume at 1 second via pulmonary function testing within 5 minutes of treatment completion. |
| Change in FEV1/FVC ratio | Measurement of a ratio between FEV1 and FVC values that are obtained through pulmonary function testing. | Measure assessing a change from baseline FEV1/FVC ratio value via pulmonary function testing within 5 minutes of treatment completion. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in respiratory rate | Measurement with a timer-based breath count with the units of breaths per minute. | Measure assessing a change from baseline respiratory rate within 5 minutes of treatment completion. |
| Change in heart rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mikhail Volokitin, MD, DO | Touro College of Osteopathic Medicine | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Touro College of Osteopathic Medicine | New York | New York | 10027 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15083985 | Background | Noll DR, Degenhardt BF, Stuart M, McGovern R, Matteson M. Effectiveness of a sham protocol and adverse effects in a clinical trial of osteopathic manipulative treatment in nursing home patients. J Am Osteopath Assoc. 2004 Mar;104(3):107-13. No abstract available. | |
| 22305244 | Background | Zanotti E, Berardinelli P, Bizzarri C, Civardi A, Manstretta A, Rossetti S, Fracchia C. Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease: a pilot study. Complement Ther Med. 2012 Feb-Apr;20(1-2):16-22. doi: 10.1016/j.ctim.2011.10.008. Epub 2011 Nov 27. |
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| ID | Term |
|---|---|
| D012131 | Respiratory Insufficiency |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C005703 | salicylhydroxamic acid |
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| Sham | Other | Light touch techniques to mimic to osteopathic treatment. |
|
Measurement with a noninvasive finger pulse-oximeter device with the units of beats per minute (bpm).
| Measure assessing a change from baseline heart rate within 5 minutes of treatment completion. |
| Oxygen Saturation (spO2) | Measurement with a noninvasive finger pulse-oximeter with the unit of spO2. | Measure assessing a change from baseline oxygen saturation within 5 minutes of treatment completion. |
| 15710659 | Background | Guiney PA, Chou R, Vianna A, Lovenheim J. Effects of osteopathic manipulative treatment on pediatric patients with asthma: a randomized controlled trial. J Am Osteopath Assoc. 2005 Jan;105(1):7-12. |
| 27794081 | Background | Kaneko H, Shiranita S, Horie J, Hayashi S. Reduced Chest and Abdominal Wall Mobility and Their Relationship to Lung Function, Respiratory Muscle Strength, and Exercise Tolerance in Subjects With COPD. Respir Care. 2016 Nov;61(11):1472-1480. doi: 10.4187/respcare.04742. Epub 2016 Oct 18. |
| 30741314 | Background | Lorenzo S, Nicotra CM, Mentreddy AR, Padia HJ, Stewart DO, Hussein MO, Quinn TA. Assessment of Pulmonary Function After Osteopathic Manipulative Treatment vs Standard Pulmonary Rehabilitation in a Healthy Population. J Am Osteopath Assoc. 2019 Feb 11. doi: 10.7556/jaoa.2019.026. Online ahead of print. |