Cough augmentation in Duchenne muscular dystrophy.

Ishikawa Y, Bach JR, Komaroff E, Miura T, Jackson-Parekh R. The purpose of this study was to compare the relative importance of deep lung insufflation with the abdominal thrust and their combination in augmenting cough peak flows (CPF), in 61 patients with Duchenne muscular dystrophy (DMD). They found that air stacking was significantly more effective [...]

Lung insufflation capacity in neuromuscular disease.

Bach JR, Mahajan K, Lipa B, Saporito L, Goncalves M, Komaroff E. This study was a case series of 282 consecutive neuromuscular disease (NMD) clinic patients 7 yrs and older with vital capacity (VC) <70% of the predicted normal value. All patients meeting these criteria were prescribed thrice-daily air stacking and/or maximal passive lung insufflation [...]

Mobilizations of the asymptomatic cervical spine can reduce signs of shoulder dysfunction in adults

Lynda McClatchie, Judi Laprade, Shelley Martin, Susan B. Jaglal, Denyse Richardson and Anne Agur This study examined the immediate effects of cervical lateral glide mobilizations on pain intensity and shoulder abduction painful arc in subjects with shoulder pain. Twenty-one subjects received interventions of both cervical mobilization and placebo over two sessions. Evaluation of cervical mobilization [...]

Paradigm shift in manual therapy? Evidence for a central nervous system component in the response to passive cervical joint mobilisation

Annina Schmid, Florian Brunner, Anthony Wright, Lucas M. Bachmann This systematic review aims to assess the consistency of evidence supporting an involvement of supraspinal systems in mediating the effects of passive cervical joint mobilisation.  Fifteen studies met the inclusion criteria. The overall quality was high. Consistency for concurrent hypoalgesia, sympathetic nervous system excitation and changes [...]

Inclusion of thoracic spine thrust manipulation into an electro-therapy/thermal program for the management of patients with acute mechanical neck pain: A randomized clinical trial

Javier González-Iglesias, Cesar Fernández-de-las-Peñas, Joshua A. Cleland, Francisco Alburquerque-Sendín, Luis Palomeque-del-Cerro, Roberto Méndez-Sánchez The aim was to examine the effects of a seated thoracic spine distraction thrust manipulation included in an electrotherapy/thermal program on pain, disability, and cervical range of motion in patients with acute neck pain. 45 patients with acute neck pain were randomly [...]

The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome

Robert E. Boyles, Bradley M. Ritland, Brian M. Miracle, Daniel M. Barclay, Mary S. Faul, Josef H. Moore, Shane L. Koppenhaver, Robert S. Wainner The objective as to investige the short-term effects of thoracic spine thrust manipulations (TSTMs) on patients with shoulder impingement syndrome (SIS).  Fifty-six patients with SIS underwent a standardized shoulder examination, immediately [...]

Improvement in health status following bronchopulmonary hygiene physical therapy in patients with bronchiectasis

Kugathasan Mutalithas, Gillian Watkin, Briony Willig, Andrew Wardlaw, Ian D. Pavord, Surinder S. Birring This study evaluates the impact of Bronchopulmonary hygiene physical therapy on health-related quality of life in patients with non-cystic fibrosis bronchiectasis.  All of the 53 patients with bronchiectasis complained of cough as the major symptom and cough-related health status was reduced [...]

Position affects distribution of ventilation in the lungs of older people: an experimental study

Krieg S., Alison J.A., McCarren B., Cowell S. Ten healthy adults older than 65 years were assessed for the effect of sitting and right side lying on the distribution of ventilation during tidal volume breathing. In sitting 9% more ventilation went to the right lung while the cranial – caudal distribution was greatest in the [...]

Relative Therapeutic Efficacy of Some Vertebral Mobilization Techniques in the Management of Unilateral Cervical Spondylosis: A Comparative Study

Michael Ogbonnia Egwu This study compared the relative efficacy of Posterior-Anterior Unilateral Pressure (PAUP), Anterior-Posterior Unilateral Pressure (APUP), Cervical Oscillatory Rotation (COR) and Transverse Oscillatory Pressure (TOP) techniques of manual therapy in the management of unilateral cervical spondylosis. Twenty-four male subjects in each of four groups received treatment 3 times per week for four weeks. [...]

Sustained natural apophyseal glides (SNAGs) are an effective treatment for cervicogenic dizziness

Susan A. Reid, Darren A. Rivett, Michael G. Katekar and Robin Callister This study aimed to determine the efficacy of sustained natural apophyseal glides (SNAGs) in the treatment of cervicogenic dizziness.  34 received four to six treatments of SNAGs or a placebo of detuned laser. Compared to the placebo group at post-treatment and 6-week follow-up, [...]

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