PDF(Pubmed)
Abstract：
This study aimed to investigate the immediate effects of manual therapy (MT) on the respiratory functions of healthy young individuals. The study included 104 participants, consisting of university students (87 females, 17 males, mean age 20.1 ± 2.2). Participants were randomly assigned to the MT (experimental; n = 52) and sham-MT (control; n = 52) groups. The experimental group underwent thoracic manipulations and mobilizations along with diaphragm mobilization. In the control group, the hands were placed on the same regions, but no specific intervention was applied. All participants underwent respiratory function testing before and after the intervention using a portable spirometer (PEF- Peak expiratory flow; FEV 1- Forced expiratory volume in 1 s; FVC- Forced vital capacity and FEV1/FVC- Tiffeneau index). In the experimental group, there was a significant increase in the mean PEF value following MT application from 296.3 ± 110.8 to 316.1 ± 119.1 (p = 0.018). Conversely, the mean PEF value in the control group showed a slight decrease from 337.1 ± 93.3 to 324.5 ± 89.2 (p = 0.002). No significant changes were observed in FVC, FEV1, or FEV1/FVC values pre- and post-intervention in either groups. A single MT session led to a significant improvement in PEF in healthy young individuals. Further research is needed to explore the long-term effects of MT on respiratory functions and its potential implications in clinical practice.Trial registration ClinicalTrials.gov: NCT05934240 (06/07/2023).
摘要：
这项研究旨在研究手动治疗（MT）对健康年轻人呼吸功能的直接影响。这项研究包括104名参与者，由大学生组成(87名女性，17名男性，平均年龄20.1±2.2)。参与者被随机分配到MT（实验；n=52）和假MT（对照组；n=52）组。实验组进行了胸部操作和动员以及隔膜动员。在对照组中，手放在相同的区域，但没有具体的干预措施。所有参与者在干预前后均使用便携式肺活量计（PEF-峰值呼气流量；FEV1-1s内用力呼气量；FVC-用力肺活量和FEV1/FVC-Tiffeneau指数）进行呼吸功能测试。在实验组中,应用MT后平均PEF值从296.3±110.8显著增加至316.1±119.1(p=0.018).相反，对照组的平均PEF值从337.1±93.3略微下降至324.5±89.2(p=0.002).在FVC中没有观察到显著的变化,两组干预前后的FEV1或FEV1/FVC值。单个MT会话导致健康年轻人PEF的显着改善。需要进一步的研究来探索MT对呼吸功能的长期影响及其在临床实践中的潜在意义。试验注册ClinicalTrials.gov：NCT05934240（2023年6月7日）。
