Efficacy of Diaphragm and Pectoral Muscle Release Combined with Traditional Breathing Exercises in COPD Patients: A Randomized Controlled Trial
Keywords:
COPD, COPD, Diaphragm Release, Diaphragm Release, Pectoral Muscle Release, Pectoral Muscle Release, Breathing Exercises, Breathing Exercises, Pulmonary Rehabilitation, Pulmonary Rehabilitation, Manual Therapy, Manual TherapyAbstract
Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory condition characterized by airflow limitation and significant respiratory muscle dysfunction. It leads to reduced pulmonary function, increased dyspnea, and impaired quality of life. Traditional physiotherapeutic approaches, especially breathing exercises, play a critical role in pulmonary rehabilitation. However, recent studies suggest that manual therapies, such as diaphragm and pectoral muscle release, may further enhance respiratory function.
Objective: This study aimed to evaluate the effectiveness of combining manual diaphragm and pectoral muscle release techniques with traditional breathing exercises, compared to the application of traditional breathing exercises alone, in improving pulmonary function in COPD patients.
Methods: A randomized controlled trial was conducted on 40 patients diagnosed with COPD, aged between 30 to 70 years. The participants were randomly assigned into two equal groups: Group A (n=20) received traditional breathing exercises only, while Group B (n=20) received manual diaphragm and pectoral muscle release along with traditional breathing exercises. The interventions were administered over a period of 12 weeks, with sessions conducted three times per week. Pulmonary function was assessed using spirometry (FVC, FEV1, PEFR), Borg Dyspnea Scale, and oxygen saturation levels (SpO2).
Results: After the 12-week intervention, Group B demonstrated statistically significant improvements in Forced Vital Capacity (FVC), Peak Expiratory Flow Rate (PEFR), and reductions in perceived exertion scores on the Borg Scale compared to Group A. Although improvements in Forced Expiratory Volume in 1 second (FEV1) and oxygen saturation were noted in both groups, the between-group differences were not statistically significant.
Conclusion: The addition of manual diaphragm and pectoral muscle release techniques to traditional breathing exercises enhances respiratory function and reduces dyspnea more effectively than breathing exercises alone. This integrated approach is both cost-effective and practical, particularly beneficial in resource-limited settings.
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