Muscle stretching technique increases vital capacity and range of motion in patients with chronic obstructive pulmonary disease

Putt, Michael T., Watson, Michelle, Seale, Helen and Paratz, Jennifer D. (2008) Muscle stretching technique increases vital capacity and range of motion in patients with chronic obstructive pulmonary disease. Archives of Physical Medicine and Rehabilitation, 89 6: 1103-1107. doi:10.1016/j.apmr.2007.11.033


Author Putt, Michael T.
Watson, Michelle
Seale, Helen
Paratz, Jennifer D.
Title Muscle stretching technique increases vital capacity and range of motion in patients with chronic obstructive pulmonary disease
Journal name Archives of Physical Medicine and Rehabilitation   Check publisher's open access policy
ISSN 0003-9993
Publication date 2008-06-01
Year available 2008
Sub-type Article (original research)
DOI 10.1016/j.apmr.2007.11.033
Open Access Status Not yet assessed
Volume 89
Issue 6
Start page 1103
End page 1107
Total pages 5
Editor Jeffrey R. Basford
Michael A. Vasko
Place of publication Philadelphia, PA, USA
Publisher W.B. Saunders
Language eng
Subject C1
920115 Respiratory System and Diseases (incl. Asthma)
110317 Physiotherapy
Abstract Putt MT, Watson M, Seale H, Paratz JD. Muscle stretching technique increases vital capacity and range of motion in patients with chronic obstructive pulmonary disease. Objectives: To determine if a specific hold and relax stretching technique was capable of (1) reversing the effect of tight chest wall muscles by increasing chest expansion, vital capacity, and shoulder range of motion and (2) decreasing perceived dyspnea and respiratory rate in persons with chronic obstructive pulmonary disease (COPD). Design: Double-blind crossover trial. Setting: A physiotherapy department at a major metropolitan hospital. Participants: Fourteen stable patients with COPD who had recently completed a pulmonary rehabilitation program were enrolled, with 10 patients completing the study. Intervention: A hold and relax stretching technique of the pectoralis major and a sham technique each for 2 days. Main Outcome Measures: The primary outcome measure was vital capacity (VC), with secondary outcome measures being perceived dyspnea, axillary (ACE) and xiphisternal chest expansion (XCE), right and left shoulder horizontal extension, and respiratory rate. Results: The hold and relax technique to the pectoralis major compared with the sham technique produced significant effects on VC (P<.01), and right (P<.01) and left (P<.05) upper-limb range of motion. There was no significant effect on ACE, XCE, perceived dyspnea, or respiratory rate. There was no order effect for either technique. Conclusions: The hold and relax technique produces short-term benefits in patients with COPD and should be investigated further.
Formatted abstract
Objectives
To determine if a specific hold and relax stretching technique was capable of (1) reversing the effect of tight chest wall muscles by increasing chest expansion, vital capacity, and shoulder range of motion and (2) decreasing perceived dyspnea and respiratory rate in persons with chronic obstructive pulmonary disease (COPD).
Design
Double-blind crossover trial.
Setting
A physiotherapy department at a major metropolitan hospital.
Participants
Fourteen stable patients with COPD who had recently completed a pulmonary rehabilitation program were enrolled, with 10 patients completing the study.
Intervention
A hold and relax stretching technique of the pectoralis major and a sham technique each for 2 days.
Main Outcome Measures
The primary outcome measure was vital capacity (VC), with secondary outcome measures being perceived dyspnea, axillary (ACE) and xiphisternal chest expansion (XCE), right and left shoulder horizontal extension, and respiratory rate.
Results
The hold and relax technique to the pectoralis major compared with the sham technique produced significant effects on VC (P<.01), and right (P<.01) and left (P<.05) upper-limb range of motion. There was no significant effect on ACE, XCE, perceived dyspnea, or respiratory rate. There was no order effect for either technique.
Keyword muscle stretching exercise
Neuromuscular diseases
proprioception
Pulmonary Disease
Chronic Obstructive
rehabilitation
vital capacity
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Mon, 13 Apr 2009, 04:59:29 EST by Sia Athanasas on behalf of Anaesthesiology and Critical Care - RBWH