Melda SAĞLAM, Bülent Mustafa YENİGÜN, Tüzün FIRAT, Deniz İNAL İNCE, Ebru ÇALIK KÜTÜKÇÜ, Yasin TUNÇ, Hülya ARIKAN, Kıvanç DELİOĞLU, Naciye VARDAR YALI

Torasik çıkış sendromunda manuel tedavinin solunum değişkenleri üzerine akut etkileri

Amaç: Bu çalışmada torasik çıkış sendromlu hastalarda manuel tedavinin ağrı algısı ve solunum değişkenleri üzerine akut etkileri araştırıldı. Çalışma planı: Çalışmaya torasik çıkış sendromlu 10 hasta (1 erkek, 9 kadın; ort. yaş 31.3±9.0 yıl; dağılım, 20-43 yıl) dahil edildi. Hastalar servikal omurga ve toraksı kapsayan tek bir manuel tedavi seansına alındı. Manuel tedavi programı olarak skalen, üst trapez, sternokleidomastoid, rektus abdominis, kalça fleksör kaslarına germe; birinci kaburga, servikal ve torakal omurga, sakroiliyak eklem ve toraks mobilizasyonu uygulandı. Üst kol ve boynun ağrı algısı görsel analog ölçeği ile değerlendirildi. Ölçümler 30 dakikalık manuel tedavi seansının öncesinde ve hemen sonrasında gerçekleştirildi. Pulmoner fonksiyon testi spirometre ile yapıldı. Solunum kas kuvveti (inspiratuar ve ekspiratuar kas kuvveti; sırasıyla maksimum inspiratuar basınç ve maksimum ekspiratuar basınç) ölçüldü. Solunum kas enduransı, maksimal inspiratuar basıncın %35'inde, sabit eşik yükü kullanılarak kaydedildi. Bulgular: Manuel tedavi girişimi sonrasında pulmoner fonksiyon değişkenleri ve maksimum ekspiratuar basınçta anlamlı değişim yoktu (p>0.05). Buna karşın, maksimum inspiratuar basınç ve solunum kas enduransı arttı (p

Acute effects of manual therapy on respiratory parameters in thoracic outlet syndrome

Background: This study aims to investigate the acute effects of manualtherapy on pain perception and respiratory parameters in patients withthoracic outlet syndrome.Methods: The study included 10 patients with thoracic outlet syndrome(1 male, 9 females; mean age 31.3±9.0 years; range, 20 to 43 years).Patients were accepted in a single session of manual therapy involvingthe cervical spine and thorax. Stretching of scalene, upper trapezius,sternocleidomastoid, rectus abdominis, hip flexor muscles; and mobilizationof first rib, cervical and thoracic spine, sacroiliac joints and thorax wereapplied as manual therapy program. Pain perceptions of upper arm andneck were assessed with visual analog scale. Measurements were performedbefore and immediately after of a 30-minute session of manual therapy.Pulmonary function testing was performed with a spirometer. Respiratorymuscle strength (inspiratory and expiratory muscle strength, maximalinspiratory pressure and maximal expiratory pressure, respectively) wasmeasured. Respiratory muscle endurance was recorded using sustainedthreshold loading of 35% maximal inspiratory pressure.Results: There were no significant changes in any pulmonary functionparameters or maximal expiratory pressure following manual therapyintervention (p>0.05). However, maximal inspiratory pressure andrespiratory muscle endurance improved (p

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