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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
[Chest physiotherapy techniques - can they reduce hyperinflation].
S Perez Bogerd1, B Selleron, R Hotton
1Service de Pneumologie et de Revalidation, CHU Saint-Pierre, Bruxelles, Belgique.
Revue Des Maladies Respiratoires
|December 25, 2009
Summary
Breathing exercises can alter respiratory mechanics, but many techniques do not improve diaphragmatic function. General muscular training, however, enhances exercise tolerance by reducing breathing demand.
Area of Science:
- Pulmonary rehabilitation
- Respiratory mechanics
- Physiotherapy
Context:
- Review of literature on respiratory system mechanical modifications.
- Focus on breathing retraining and chest physiotherapy interventions.
Purpose:
- To evaluate the effectiveness of various breathing techniques and physiotherapy interventions in altering respiratory system mechanics.
- To identify methods that offer mechanical advantages and improve exercise tolerance.
Summary:
- Breathing retraining with prolonged expiration increases work of breathing and does not aid diaphragmatic function; pursed lips breathing offers some mechanical benefits.
- Forward-seated positions may alleviate dyspnea without altering lung volumes, while dorsal decubitus positions can reduce hyperinflation but not dyspnea.
- General muscular training decreases ventilatory demand and end-expiratory lung volume, thereby improving exercise tolerance.
Impact:
- Provides insights into optimizing breathing strategies for respiratory patients.
- Highlights the limited benefits of certain breathing retraining techniques.
- Underscores the positive impact of general muscular training on exercise capacity in respiratory conditions.
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