The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review.

<h4>Background</h4>Manual therapy (MT) can be beneficial in the management of chronic obstructive pulmonary disease (COPD). However, evidence of the efficacy of MT for COPD is not clear. Therefore, we aimed to review the effects of MT, including Chuna, in people diagnosed with COPD.<h...

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Autores principales:	Ji-Ae Roh, Kwan-Il Kim, Hee-Jae Jung
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/605ce17bd4464691b7c1e11a7c101cc2
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spelling	oai:doaj.org-article:605ce17bd4464691b7c1e11a7c101cc22021-12-02T20:11:19ZThe efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review.1932-620310.1371/journal.pone.0251291https://doaj.org/article/605ce17bd4464691b7c1e11a7c101cc22021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251291https://doaj.org/toc/1932-6203<h4>Background</h4>Manual therapy (MT) can be beneficial in the management of chronic obstructive pulmonary disease (COPD). However, evidence of the efficacy of MT for COPD is not clear. Therefore, we aimed to review the effects of MT, including Chuna, in people diagnosed with COPD.<h4>Methods</h4>MEDLINE via PubMed, EMBASE, The Cochrane Central Register of Controlled Trials (CENTRAL), China National Knowledge Database (CNKI), KoreaMed, Korean Medical Database (KMbase), and Oriental Medicine Advanced Searching Integrated System (OASIS) were searched. Randomized controlled trials (RCTs) and crossover RCTs were included. The main inclusion criteria were COPD diagnosis (forced expiratory volume in the first second [FEV1]/forced vital capacity [FVC] < 0.70). The primary outcomes were lung function and exercise capacity. The secondary outcomes were symptoms, quality of life (QoL), and adverse event (AE)s. Studies reporting one or both of the primary outcomes were included. The Cochrane RoB 2.0 tool was used to assess the risk of bias. Data synthesis and analysis were conducted according to the trial design.<h4>Results</h4>Of the 2564 searched articles, 13 studies were included. For the primary outcomes, the effect of MT on pulmonary function and exercise capacity in COPD was partly significant but could not be confirmed due to the limited number of studies included in the subgroups. For the secondary outcomes, no definitive evidence regarding the improvement of symptoms and QoL was found, and some minor adverse effects were reported.<h4>Conclusions</h4>There is insufficient evidence to support the role of MT in the management of COPD. High-quality studies are needed to thoroughly evaluate the effect of MT on COPD.Ji-Ae RohKwan-Il KimHee-Jae JungPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251291 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ji-Ae Roh Kwan-Il Kim Hee-Jae Jung The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review.
description	<h4>Background</h4>Manual therapy (MT) can be beneficial in the management of chronic obstructive pulmonary disease (COPD). However, evidence of the efficacy of MT for COPD is not clear. Therefore, we aimed to review the effects of MT, including Chuna, in people diagnosed with COPD.<h4>Methods</h4>MEDLINE via PubMed, EMBASE, The Cochrane Central Register of Controlled Trials (CENTRAL), China National Knowledge Database (CNKI), KoreaMed, Korean Medical Database (KMbase), and Oriental Medicine Advanced Searching Integrated System (OASIS) were searched. Randomized controlled trials (RCTs) and crossover RCTs were included. The main inclusion criteria were COPD diagnosis (forced expiratory volume in the first second [FEV1]/forced vital capacity [FVC] < 0.70). The primary outcomes were lung function and exercise capacity. The secondary outcomes were symptoms, quality of life (QoL), and adverse event (AE)s. Studies reporting one or both of the primary outcomes were included. The Cochrane RoB 2.0 tool was used to assess the risk of bias. Data synthesis and analysis were conducted according to the trial design.<h4>Results</h4>Of the 2564 searched articles, 13 studies were included. For the primary outcomes, the effect of MT on pulmonary function and exercise capacity in COPD was partly significant but could not be confirmed due to the limited number of studies included in the subgroups. For the secondary outcomes, no definitive evidence regarding the improvement of symptoms and QoL was found, and some minor adverse effects were reported.<h4>Conclusions</h4>There is insufficient evidence to support the role of MT in the management of COPD. High-quality studies are needed to thoroughly evaluate the effect of MT on COPD.
format	article
author	Ji-Ae Roh Kwan-Il Kim Hee-Jae Jung
author_facet	Ji-Ae Roh Kwan-Il Kim Hee-Jae Jung
author_sort	Ji-Ae Roh
title	The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review.
title_short	The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review.
title_full	The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review.
title_fullStr	The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review.
title_full_unstemmed	The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review.
title_sort	efficacy of manual therapy for chronic obstructive pulmonary disease: a systematic review.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/605ce17bd4464691b7c1e11a7c101cc2
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The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review.

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