The effects of manual therapy intervention on respiratory disorders: a structured literature review.
Item
- Title
- The effects of manual therapy intervention on respiratory disorders: a structured literature review.
- Author(s)
- Koole, A
- Abstract
- Background Manual therapy (MT) is known to be able to affect muscles and postural changes associated with respiratory dysfunction (Ali et al. 2015; Tomlinson & Archer 2014; Heredia-Rizo et al. 2013). However, respiratory disorders have had inconclusive evidence in the past regarding the use of MT as a treatment. New research has been conducted, which could potentially change the level of evidence. Objective This study was conducted to critically evaluate the available research regarding the effects MT has on respiratory disorders. Furthermore, a change in the level of evidence was evaluated since the studies of Clar et al. (2014) and Bronfort et al. (2010) regarding the use of MT and respiratory disorders, and therefore the validity and implication for clinical practice. Design Structured literature review Methods Six databases were searched for relevant research published between 2011 and 2016 using the relevant search terms. Search returns were filtered for studies involving MT and respiratory disorders as per the inclusion/exclusion criteria. Data from the included studies was extracted regarding study design, number and type of participants, type of intervention and control, outcome measures, results and adverse effects. lncluded studies were assessed on quality using SORT, JADAD and PEDro sconng systems. This data was analysed by comparing both the outcome measures and quality scores. A summary of scores was produced reporting median and mode scores. Results Nine studies were included within this review, from which 66% featured chronic obstructive pulmonary disease (COPD) and 66% featured either physiotherapy or musculoskeletal techniques. Most studies compared against conventional treatment. Overall 66% of studies favoured MT for the treatment of respiratory disorders. The SORT and JADAD scoring systems found median and mode scores of 28 and 415 overall. PEDro found a median score of 8/10 and a mode score of 9/10. Discussion None of the studies conducted on participants with cystic fibrosis (CF) reached a conclusion. lt is therefore doubtful MT can positively influence CF. Studies involving participants with COPD gained positive results for MT when combined with exercise. lt is more likely to be rated favourable inconclusive, rather than the previous rating of unclear. Furthermore, the new evidence gathered on asthma does not change the previous level of evidence. Studies involving sham control also found intervention lead to statistically significant results, whereas sham control did not. Conclusion This review highlighted MT can positively affect COPD in the short term. However, CF could not be affected and not enough evidence was found to change the level of evidence regarding asthma. Furthermore, a treatment plan should include forms of MT and exercise. This review also highlighted that MT might work solely due to the techniques administered rather than the placebo effect.
- presented at
- European School of Osteopathy
- Date Accepted
- 2017
- Date Submitted
- 4.12.2017 17:06:21
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16042
- Inst-Identifier
- 1229
- Keywords
- Level of Evidence, Literature Review, Manual Therapy, Respiratory Disorder
- Recommended
- 0
- Item sets
- Thesis
Koole, A, “The effects of manual therapy intervention on respiratory disorders: a structured literature review.”, Osteopathic Research Web, accessed May 4, 2025, https://www.osteopathicresearch.org/s/orw/item/494