The Effect of Instrument Assisted Soft Tissue Mobilization on Respiratory Functions in Chronic Obstructive Pulmonary Disease

Effect of Instrument Assisted Soft Tissue Mobilization in Chronic Obstructive Pulmonary Disease

The aim of this study is to investigate the effect of instrument-assisted soft tissue mobilization applied to the hamstring muscle on respiratory function in patients with COPDThe patients to be included in the study will be divided into two groups by simple randomization. A group will be given breathing exercises (pursed lip breathing, diaphragmatic breathing and thoracic expansion exercises) as a home program. The other group will be given breathing exercises in the form of a home program in addition to 1 session of EDYM per week. Both groups will be evaluated before and 4 weeks after treatment.

Inclusion Criteria:

• Diagnosed with GOLD stage I-II COPD
• Between the ages of 40-65
• COPD in stable period
• No other respiratory disease that impairs respiratory functions such as asthma
• Knee flexion angle of 15 degrees and above in the hamstring muscle shortness test,
• Individuals without musculoskeletal problems in their lower extremities were included.

Exclusion Criteria:

• COPD patients who receive home oxygen therapy or who need oxygen therapy frequently
• COPD exacerbation, hospitalization with acute exacerbation in the last 15 days
• Pregnancy
• Kyphoscoliosis, advanced postural disorder
• Prior thoracic surgery
• Advanced heart failure
• Patients with primary pulmonary hypertension or have had a pulmonary embolism,
• Having serious neurological diseases such as Parkinson's, hemiplegia, multiple sclerosis,
• Neuromuscular disease
• Having dementia, Alzheimer's or advanced cognitive problems,
• Diagnosed with lung cancer or other malignancy,
• People with morbid obesity will not be included in the study.