Effects of Adding Respiratory Training to Osteopathic Manipulative Treatment on Exhaled Nitric Oxide Level and Cardiopulmonary Function in Patients With Pulmonary Arterial Hypertension
| Autor: | Rengin Demir, Omer O. Onder, Baha Naci, Mehmet Serdar Küçükoğlu, Ümit Yaşar Sinan |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
Male medicine.medical_specialty Vital capacity medicine.medical_treatment Walk Test Breathing Exercises Pulmonary function testing law.invention Randomized controlled trial law Internal medicine Outcome Assessment Health Care medicine Humans Single-Blind Method In patient Muscle Strength Prospective Studies Respiratory system Pulmonary Arterial Hypertension Rehabilitation business.industry Yoga Recovery of Function Cardiopulmonary function Middle Aged Manipulation Osteopathic Respiratory Function Tests Fractional Exhaled Nitric Oxide Testing Exhaled nitric oxide Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The American Journal of Cardiology. 162:184-190 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/j.amjcard.2021.09.023 |
| Popis: | Limited research exists regarding nonpharmacologic management of pulmonary arterial hypertension (PAH), except for exercise training. The objective of this study was to investigate the effects of osteopathic manipulative treatment (OMT) alone and combined with respiratory training on fractional exhaled nitric oxide (FeNO), and cardiopulmonary function in patients with PAH. This single-blind, prospective, randomized controlled study included 54 patients with PAH who were randomly allocated to OMT, combined intervention, and control groups. The OMT group (n = 16) and combined intervention group (n = 16) received OMT and yoga respiratory training plus OMT, respectively, twice a week for 8 weeks. The control group (n = 16) received no intervention. All patients undertook an educational lecture. FeNO level, pulmonary function, 6-minute walk distance (6MWD), maximal inspiratory and expiratory pressures, and handgrip strength were assessed at baseline and 8 weeks. Combined intervention and OMT groups significantly improved all outcome measures after 8 weeks of treatment (p0.01), except mean forced expiratory flow between 25% and 75% of forced vital capacity, which did not change in the OMT group (p0.05). The control group showed significant deteriorations in 6MWD, inspiratory and peripheral muscle strength, and pulmonary function except peak expiratory flow at 8 weeks (p0.05). The combined intervention group revealed significantly greater improvements of FeNO, 6MWD, respiratory and peripheral muscle strength, and pulmonary function except mean forced expiratory flow between 25% and 75% of forced vital capacity compared with the OMT group (p0.05). All outcomes significantly improved in both intervention groups versus the control group (p0.05). Our study demonstrated that adding respiratory training to OMT provided further benefit to FeNO level and cardiopulmonary function compared with OMT alone and that the OMT might be a useful and safe intervention for patients who cannot attend cardiac rehabilitation programs. |
| Databáze: | OpenAIRE |
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