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Physiotherapy in asthma using the new Lotorp method
1Department of Internal Medicine, Sahlgenska Academy, University of Göteborg, Sweden.
Background:
Physiotherapy in bronchial asthma has given various results.
Aim:
To test a new method focusing on breathing exercise and massage of the thoracic muscles.
Patients And Methods:
Twenty-eight adult patients with a physician-diagnosed asthma were studied during 6 weeks. All patients were prescribed asthma medication. The new method [active group, n = 17) was compared with physical training (control group, n = 12).
Results:
PEF was significantly improved (p = 0.001) in the active group, however, FEV1 showed no significant change. The symptoms "tightness of the chest", "difficult breathing in", "air hunger", and the individually dominating symptom (p = 0.001) were significantly reduced in the active group. Exercise-induced breathing troubles and chest expansion were also significantly reduced.
Conclusion:
Physiotherapy including breathing exercise and massage of the thoracic muscles (the Lotorp method) in patients with physician-diagnosed asthma resulted in significantly reduced respiratory symptoms during rest and exercise and increased chest expansion. The improvements may be due to an increased mobility of the chest and diaphragm.
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