Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease: A pilot study

Ercole Zanotti, Pasqualino Berardinelli, Catiuscia Bizzarri, Andrea Civardi, Andrea Manstretta, Sabina Rossetti, Claudio Fracchia

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Objectives: Few and contrastingly data are available about use of osteopathic manipulative treatment (OMT) in patients with chronic obstructive pulmonary disease (COPD). Design: Comparing the effects of the combination of pulmonary rehabilitation and OMT compared with pulmonary rehabilitation (PR) in patients with severely impaired COPD. Setting: Rehabilitative pulmonary department. Interventions: Patients underwent exercise training, OMT, educational support and nutritional and psychological counselling. Main outcomes measures: Exercise capacity through 6. min walk test (6MWT - primary outcome) and pulmonary function test (secondary outcomes) were evaluated at the beginning and at the end of the training. Patients were randomly assigned to receive PR. +. soft manipulation (G1) or OMT. +. PR (G2) for 5 days/week for 4 weeks. Results: 20 stable COPD patients (5 female - mean age, 63.8. ±. 5.1 years; FEV1 26.9. ±. 6.3% of predicted) referred for in-patient pulmonary rehabilitation were evaluated. Respect to the baseline, 6 MWT statistically improved in both group. In particular, G2 group gained 72.5. ±. 7.5. m (p = 0.01) and G1 group 23.7. ±. 9.7. m. Between group comparison showed a difference of 48.8. m (95% CI: 17 to 80.6. m, p=. 0.04). Moreover, in G2 group we showed a decrease in residual volume (RV - from 4.4. ±. 1.5. l to 3.9. ±. 1.5. l, p=. 0.05). Between group comparison showed an important difference (-0.44. l; 95% CI: -0.26 to -0.62. l, p=. 0.001). Furthermore, only in G2 group we showed an increase in FEV1. Conclusions: This study suggests that OMT. +. PR may improve exercise capacity and reduce RV in severely impaired COPD patients with respect to PR alone.

Original languageEnglish
Pages (from-to)16-22
Number of pages7
JournalComplementary Therapies in Medicine
Volume20
Issue number1-2
DOIs
Publication statusPublished - Feb 2012

Fingerprint

Osteopathic Manipulation
Chronic Obstructive Pulmonary Disease
Rehabilitation
Lung
Exercise
Residual Volume
Nutritional Support
Respiratory Function Tests
Counseling
Outcome Assessment (Health Care)
Psychology

Keywords

  • Chronic obstructive pulmonary disease (COPD)
  • Osteopathic manipulative treatment
  • Pulmonary rehabilitation

ASJC Scopus subject areas

  • Complementary and alternative medicine
  • Advanced and Specialised Nursing
  • Complementary and Manual Therapy

Cite this

Zanotti, E., Berardinelli, P., Bizzarri, C., Civardi, A., Manstretta, A., Rossetti, S., & Fracchia, C. (2012). Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease: A pilot study. Complementary Therapies in Medicine, 20(1-2), 16-22. https://doi.org/10.1016/j.ctim.2011.10.008

Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease : A pilot study. / Zanotti, Ercole; Berardinelli, Pasqualino; Bizzarri, Catiuscia; Civardi, Andrea; Manstretta, Andrea; Rossetti, Sabina; Fracchia, Claudio.

In: Complementary Therapies in Medicine, Vol. 20, No. 1-2, 02.2012, p. 16-22.

Research output: Contribution to journalArticle

Zanotti, E, Berardinelli, P, Bizzarri, C, Civardi, A, Manstretta, A, Rossetti, S & Fracchia, C 2012, 'Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease: A pilot study', Complementary Therapies in Medicine, vol. 20, no. 1-2, pp. 16-22. https://doi.org/10.1016/j.ctim.2011.10.008
Zanotti, Ercole ; Berardinelli, Pasqualino ; Bizzarri, Catiuscia ; Civardi, Andrea ; Manstretta, Andrea ; Rossetti, Sabina ; Fracchia, Claudio. / Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease : A pilot study. In: Complementary Therapies in Medicine. 2012 ; Vol. 20, No. 1-2. pp. 16-22.
@article{bd41d0efbca1403aa02187326bde8dbe,
title = "Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease: A pilot study",
abstract = "Objectives: Few and contrastingly data are available about use of osteopathic manipulative treatment (OMT) in patients with chronic obstructive pulmonary disease (COPD). Design: Comparing the effects of the combination of pulmonary rehabilitation and OMT compared with pulmonary rehabilitation (PR) in patients with severely impaired COPD. Setting: Rehabilitative pulmonary department. Interventions: Patients underwent exercise training, OMT, educational support and nutritional and psychological counselling. Main outcomes measures: Exercise capacity through 6. min walk test (6MWT - primary outcome) and pulmonary function test (secondary outcomes) were evaluated at the beginning and at the end of the training. Patients were randomly assigned to receive PR. +. soft manipulation (G1) or OMT. +. PR (G2) for 5 days/week for 4 weeks. Results: 20 stable COPD patients (5 female - mean age, 63.8. ±. 5.1 years; FEV1 26.9. ±. 6.3{\%} of predicted) referred for in-patient pulmonary rehabilitation were evaluated. Respect to the baseline, 6 MWT statistically improved in both group. In particular, G2 group gained 72.5. ±. 7.5. m (p = 0.01) and G1 group 23.7. ±. 9.7. m. Between group comparison showed a difference of 48.8. m (95{\%} CI: 17 to 80.6. m, p=. 0.04). Moreover, in G2 group we showed a decrease in residual volume (RV - from 4.4. ±. 1.5. l to 3.9. ±. 1.5. l, p=. 0.05). Between group comparison showed an important difference (-0.44. l; 95{\%} CI: -0.26 to -0.62. l, p=. 0.001). Furthermore, only in G2 group we showed an increase in FEV1. Conclusions: This study suggests that OMT. +. PR may improve exercise capacity and reduce RV in severely impaired COPD patients with respect to PR alone.",
keywords = "Chronic obstructive pulmonary disease (COPD), Osteopathic manipulative treatment, Pulmonary rehabilitation",
author = "Ercole Zanotti and Pasqualino Berardinelli and Catiuscia Bizzarri and Andrea Civardi and Andrea Manstretta and Sabina Rossetti and Claudio Fracchia",
year = "2012",
month = "2",
doi = "10.1016/j.ctim.2011.10.008",
language = "English",
volume = "20",
pages = "16--22",
journal = "Complementary Therapies in Medicine",
issn = "0965-2299",
publisher = "Churchill Livingstone",
number = "1-2",

}

TY - JOUR

T1 - Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease

T2 - A pilot study

AU - Zanotti, Ercole

AU - Berardinelli, Pasqualino

AU - Bizzarri, Catiuscia

AU - Civardi, Andrea

AU - Manstretta, Andrea

AU - Rossetti, Sabina

AU - Fracchia, Claudio

PY - 2012/2

Y1 - 2012/2

N2 - Objectives: Few and contrastingly data are available about use of osteopathic manipulative treatment (OMT) in patients with chronic obstructive pulmonary disease (COPD). Design: Comparing the effects of the combination of pulmonary rehabilitation and OMT compared with pulmonary rehabilitation (PR) in patients with severely impaired COPD. Setting: Rehabilitative pulmonary department. Interventions: Patients underwent exercise training, OMT, educational support and nutritional and psychological counselling. Main outcomes measures: Exercise capacity through 6. min walk test (6MWT - primary outcome) and pulmonary function test (secondary outcomes) were evaluated at the beginning and at the end of the training. Patients were randomly assigned to receive PR. +. soft manipulation (G1) or OMT. +. PR (G2) for 5 days/week for 4 weeks. Results: 20 stable COPD patients (5 female - mean age, 63.8. ±. 5.1 years; FEV1 26.9. ±. 6.3% of predicted) referred for in-patient pulmonary rehabilitation were evaluated. Respect to the baseline, 6 MWT statistically improved in both group. In particular, G2 group gained 72.5. ±. 7.5. m (p = 0.01) and G1 group 23.7. ±. 9.7. m. Between group comparison showed a difference of 48.8. m (95% CI: 17 to 80.6. m, p=. 0.04). Moreover, in G2 group we showed a decrease in residual volume (RV - from 4.4. ±. 1.5. l to 3.9. ±. 1.5. l, p=. 0.05). Between group comparison showed an important difference (-0.44. l; 95% CI: -0.26 to -0.62. l, p=. 0.001). Furthermore, only in G2 group we showed an increase in FEV1. Conclusions: This study suggests that OMT. +. PR may improve exercise capacity and reduce RV in severely impaired COPD patients with respect to PR alone.

AB - Objectives: Few and contrastingly data are available about use of osteopathic manipulative treatment (OMT) in patients with chronic obstructive pulmonary disease (COPD). Design: Comparing the effects of the combination of pulmonary rehabilitation and OMT compared with pulmonary rehabilitation (PR) in patients with severely impaired COPD. Setting: Rehabilitative pulmonary department. Interventions: Patients underwent exercise training, OMT, educational support and nutritional and psychological counselling. Main outcomes measures: Exercise capacity through 6. min walk test (6MWT - primary outcome) and pulmonary function test (secondary outcomes) were evaluated at the beginning and at the end of the training. Patients were randomly assigned to receive PR. +. soft manipulation (G1) or OMT. +. PR (G2) for 5 days/week for 4 weeks. Results: 20 stable COPD patients (5 female - mean age, 63.8. ±. 5.1 years; FEV1 26.9. ±. 6.3% of predicted) referred for in-patient pulmonary rehabilitation were evaluated. Respect to the baseline, 6 MWT statistically improved in both group. In particular, G2 group gained 72.5. ±. 7.5. m (p = 0.01) and G1 group 23.7. ±. 9.7. m. Between group comparison showed a difference of 48.8. m (95% CI: 17 to 80.6. m, p=. 0.04). Moreover, in G2 group we showed a decrease in residual volume (RV - from 4.4. ±. 1.5. l to 3.9. ±. 1.5. l, p=. 0.05). Between group comparison showed an important difference (-0.44. l; 95% CI: -0.26 to -0.62. l, p=. 0.001). Furthermore, only in G2 group we showed an increase in FEV1. Conclusions: This study suggests that OMT. +. PR may improve exercise capacity and reduce RV in severely impaired COPD patients with respect to PR alone.

KW - Chronic obstructive pulmonary disease (COPD)

KW - Osteopathic manipulative treatment

KW - Pulmonary rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=84856539373&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84856539373&partnerID=8YFLogxK

U2 - 10.1016/j.ctim.2011.10.008

DO - 10.1016/j.ctim.2011.10.008

M3 - Article

C2 - 22305244

AN - SCOPUS:84856539373

VL - 20

SP - 16

EP - 22

JO - Complementary Therapies in Medicine

JF - Complementary Therapies in Medicine

SN - 0965-2299

IS - 1-2

ER -