A pilot study into the effects of mid-thoracic spinal manipulation and diaphragmatic inhibition on pulmonary function. A randomized control trial.
Item
- Title
- A pilot study into the effects of mid-thoracic spinal manipulation and diaphragmatic inhibition on pulmonary function. A randomized control trial.
- Author(s)
- Claringbold, B
- Abstract
- Backqround: Manual therapy has traditionally been included among the therapeutic approaches to respiratory pathologies Treatment aims to improve function and reduce pain, however there is no evidence to date into the effect of osteopathic manipulative treatment to the mid-.thoracic spine and the effects this may have on pulmonary function in the asymptomatic population. Quantitative research into the effect of this technique is lacking with no published scientific evidence in existence. Objective: To investigate the effect of a high velocity low amplitude thrust of T5 and diaphragmatic inhibition on pulmonary function. Design: Randomised control trial Method: Subjects from the European School of Osteopathy cohort were recruited The participants were randomly divided into three groups of equal size, one receiving a HVLAT of T5, another receiving a diaphragmatic inhibition and a control group Three spirometer readings were taken from each participant pre and post intervention and an average of these readings was recorded Data was analysed using Analyse-it, and was tested for normality of distribution using the Shapiro-Woks test, and for equality of variance using the Lavena's test. FVC readings were analysed with the Kruskal-Wallis to determine differences between groups. Results: 40 participants were initially recruited, 10 did not meet the inclusion criteria which left 30 subjects to be trialled The Kruskal-Wallis test (p=0.31) showed no significant difference in subjects FVC in HVLAT and diaphragmatic inhibition groups compared to control. Discussion: Neither technique increased FVC in asymptomatic individuals The only significant change was recorded in the control group Research into subjects with thoracic spinal restrictions needs to be investigated This study suggests that HVLAT of T5 and diaphragmatic inhibition may not produce substantial physiological effects on asymptomatic individuals. Conclusion: Neither technique produced a significant effect on pulmonary function in asymptomatic individuals Further research is recommended on a symptomatic population.
- presented at
- European School of Osteopathy
- Date Accepted
- 2016
- Date Submitted
- 2.12.2016 17:29:04
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15938
- Inst-Identifier
- 1229
- Keywords
- Diaphragmatic inhibition, Forced vital capacity, High velocity Low Amplitude Thrust, Pulmonary function.
- Recommended
- 0
- Item sets
- Thesis
Claringbold, B, “A pilot study into the effects of mid-thoracic spinal manipulation and diaphragmatic inhibition on pulmonary function. A randomized control trial.”, Osteopathic Research Web, accessed April 28, 2024, https://www.osteopathic-research.com/s/orw/item/543