Article

The objective of this study was to evaluate whether the addition of
manual therapy and therapeutic exercise protocol to inspiratory muscle training
was more effective in improving maximum inspiratory pressure than inspiratory
muscle training in isolation. DESIGN: This is a single-blinded, randomized
controlled trial. SUBJECTS: In total, 43 patients with asthma were included in
this study. INTERVENTIONS:
The patients were allocated into one of the two
groups: (1) inspiratory muscle training ( n = 21; 20-minute session) or (2)
inspiratory muscle training (20-minute session) combined with a program of manual
therapy (15-minute session) and therapeutic exercise (15-minute session; n = 22).
All participants received 12 sessions, two days/week, for six weeks and performed
the domiciliary exercises protocol. MAIN MEASURES: The main measures such as
maximum inspiratory pressure, spirometric measures, forward head posture, and
thoracic kyphosis were recorded at baseline and after the treatment. RESULTS: For
the per-protocol analysis, between-group differences at post-intervention were
observed in maximum inspiratory pressure (19.77 cmH2O (11.49-28.04), P < .05; F =
22.436; P < .001; eta(2)p = 0.371) and forward head posture (-1.25 cm (-2.32 to
-0.19), P < .05; F = 5.662; P = .022; eta(2)p = 0.13). The intention-to-treat
analysis showed the same pattern of findings. CONCLUSION: The inspiratory muscle
training combined with a manual therapy and therapeutic exercise program is more
effective than its application in isolation for producing short-term maximum
inspiratory pressure and forward head posture improvements in patients with
asthma.

Langue : ANGLAIS