The Long-Term Benefit of Exercise With and Without Manual Therapy for Mild Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

Roger Mark Engel; Peter Gonski; Subramanyam Vemulpad; Petra L Graham

doi:10.1097/HCR.0000000000000871

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The Long-Term Benefit of Exercise With and Without Manual Therapy for Mild Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

Journal article

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The Long-Term Benefit of Exercise With and Without Manual Therapy for Mild Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

Roger Mark Engel, Peter Gonski, Subramanyam Vemulpad and Petra L Graham

Journal of cardiopulmonary rehabilitation and prevention, Vol.44(4), pp.257-265

07/2024

DOI: https://doi.org/10.1097/HCR.0000000000000871

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Abstract

chronic obstructive pulmonary disease

COPD

exercise

manual therapy

quality of life

Purpose: Chronic obstructive pulmonary disease (COPD) is characterized by decreasing exercise capacity and deteriorating quality of life (QoL). Recent evidence indicates that combining exercise with manual therapy (MT) delivers greater improvements in exercise capacity than exercise alone in moderate COPD. The aim of this study was to investigate whether this combination delivers similar results in mild COPD. Methods: A total of 71 participants aged 50-65 yr with mild COPD were randomly allocated to two groups: exercise only (Ex) or MT plus exercise (MT + Ex). Both groups received 16 wk of exercise with the MT + Ex group also receiving 8 MT sessions. Lung function (forced vital capacity [FVC] and forced expiratory volume in the 1st sec [FEV1]), exercise capacity (6-min walk test [6MWT]), and QoL (St George’s Respiratory Questionnaire [SGRQ] and Hospital Anxiety and Depression Scale [HADS]) were measured at baseline, 4, 8, 16, 24, 32, and 48 wk. Results: Although there was no difference in the mean effect over time between groups for lung function (FEV1, P= .97; FVC, P= .98), exercise capacity (6MWT, P= .98), and QoL (SGRQ, P= .41; HADS anxiety, P= .52; and HADS depression, P= .06), there were clinically meaningful improvements at 48 wk for 6MWT (30 m; 95% CI, 10-51 m; P< .001), SGRQ (6.3 units; 95% CI, 2.5-10.0; P< .001), and HADS anxiety (1.5 units; 95% CI, 0.3-2.8 units; P= .006) across the entire cohort. Conclusions: While adding MT to Ex did not produce any additional benefits, exercise alone did deliver sustained modest improvements in exercise capacity and QoL in mild COPD.

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Title: The Long-Term Benefit of Exercise With and Without Manual Therapy for Mild Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial
Creators: Roger Mark Engel - Macquarie University
Peter Gonski - Sutherland Hospital
Subramanyam Vemulpad - Macquarie University
Petra L Graham - Macquarie University
Publication Details: Journal of cardiopulmonary rehabilitation and prevention, Vol.44(4), pp.257-265
Publisher: Lippincott Williams & Wilkins
Identifiers: 991013201013802368
Copyright: Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND).
Academic Unit: Faculty of Health
Language: English
Resource Type: Journal article

The Long-Term Benefit of Exercise With and Without Manual Therapy for Mild Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

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