The effects of dry needling on respiratory parameters in a patient with medium severity

COPD is expected to be third leading cause of death by 2030. We aimed to investigate effectiveness of dry needling in a patient withmedium severity COPD in addition to respiration and posture exercises in relation to respiratory capacity.Case report: Demographic information was gathered from patient along with his smoking history. Respiratory function, posture,muscle shortness, muscle strength, respiration, chest circumference, distance between thyroid cartilage and sternum, six-minutewalking test were all recorded. Dyspnea was assessed according to modified Borg scale. Every two days, patient was given dryneedling treatment and respiratory exercises, along with ten sessions of posture and stretching exercises. We found differencesin FEV1/FVC values, saturation distance between thyroid and sternal notch, number of pushups and dyspnea. Patient complaintsdecreased.We believe further study is required to ascertain effectiveness of dry needling method for quality of life and respiratory problems inpatients with COPD.

PDF

___

1. Feng J, Wang X, Li X, et al. Acupuncture for chronic obstructive pulmonary disease (COPD) : A multicenter, randomized, sham-controlled trial. Medicine (Baltimore) 2016;95:4879.
2. Menzin J, Boulanger L, Marton J, et al. The economic burden of chronic obstructive pulmonary disease (COPD) in a US Medicare population. Respir Med 2008;102:1248-56.
3. Takabatake N, Nakamura H, Abe S, et al. The relationship between chronic hypoksemia and activation of the tumor necrosis factor-alpha system in patients with COPD. Am J Respir Crit Care Med 2000;161:1179-84.
4. Schroff P, Hitchcock J, Schumann C, et al. Pulmonary rehabilitation improves outcomes in chronic obstructive pulmonary disease independent of disease burden. Ann Am Thorac Soc 2017;14:26-32.
5. Unverzagt C, Berglund K, Thomas J. Dry Needling for myofascial trigger point pain: a clinical commentary. Int J Sport Physical Ther 2015;10;401-18.
6. Yüksel EG, Ursavaş A, Irdesel J, ve ark. Kronik Obstrüktif Akciğer Hastalığında Multidisipliner Pulmoner Rehabilitasyon Programının Etkinliği. Türkiye Klinikleri Akciğer Arşivi 2005;6:115-9.
7. Kleijnen J, ter Riet G Knipschild P. Accupunture and asthma a riview of controlledtrials. Thorax 1991;46:799- 802.
8. Faager G, Stahle A, Larsen FF. Influence of spontanous pursed lips breathing on walking endurance and oxygen saturation in patients with moderateto severe chronic obstructive pulmonary disease. Clin Rehabil 2008;22:675- 83.
9. Taytard A, Cousson F. Symptomsand life of patientswithchronicbronchitis. Preliminary results. Rev Pneumol Clin. 1996;52:379-85.
10. Kathiresan G, Jeyaraman SK, Jaganathan J. Effect of upper extremity exercise in people with COPD. J Thorac Dis 2010;2:223-36.