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.
- 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