PMID- 21807266
OWN - NLM
STAT- MEDLINE
DCOM- 20111206
LR  - 20110802
IS  - 1532-6586 (Electronic)
IS  - 0161-4754 (Linking)
VI  - 34
IP  - 6
DP  - 2011 Jul-Aug
TI  - Spinal manipulative therapy for elderly patients with chronic obstructive 
      pulmonary disease: a case series.
PG  - 413-7
LID - 10.1016/j.jmpt.2011.05.004 [doi]
AB  - OBJECTIVE: The objective of this case series is to report the results of spinal 
      manipulative therapy (SMT) for people with chronic obstructive pulmonary disease 
      (COPD) who were older than 65 years. METHODS: The study design was a prospective 
      case series. Six patients of a long-term care center who were older than 65 years 
      and having COPD underwent a course of 12 SMT sessions over a 4-week period. Each 
      SMT session consisted of manually applied spinal manipulation and 
      instrument-assisted spinal manipulation delivered by a doctor of chiropractic. 
      Lung function measurements were recorded at baseline and at 2 and 4 weeks. The 
      occurrence and type of any adverse events (AEs) related to SMT were recorded at 
      each SMT session. RESULTS: One male and 5 female patients took part in the study. 
      The average age was 79.1 years (range, 68-89 years). There was a clinically 
      significant increase in forced expiratory volume in the first second after SMT in 
      4 of the 6 patients at 2 weeks. This was sustained in only 1 patient at 4 weeks. 
      No clinically significant changes were observed for forced vital capacity at 2 or 
      4 weeks. One hundred forty-four manually applied spinal manipulations and 72 
      instrument-assisted spinal manipulations were administered during the 
      intervention period. No major or moderate AEs were reported. Only minor AEs were 
      reported after 29% of the intervention sessions, with 1 AE being reported for 
      each patient. All AEs resolved within 48 hours. CONCLUSIONS: This case series 
      offers preliminary evidence that SMT may have the potential to benefit lung 
      function in patients with COPD who are older than 65 years.
CI  - Copyright (c) 2011 National University of Health Sciences. Published by Mosby, Inc. 
      All rights reserved.
FAU - Dougherty, Paul E
AU  - Dougherty PE
AD  - New York Chiropractic College, Seneca Falls, NY 13148, USA. pdougherty@nycc.edu
FAU - Engel, Roger M
AU  - Engel RM
FAU - Vemulpad, Subramanyam
AU  - Vemulpad S
FAU - Burke, Jeanmarie
AU  - Burke J
LA  - eng
PT  - Journal Article
DEP - 20110624
PL  - United States
TA  - J Manipulative Physiol Ther
JT  - Journal of manipulative and physiological therapeutics
JID - 7807107
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Manipulation, Spinal/*methods
MH  - Pulmonary Disease, Chronic Obstructive/diagnosis/*therapy
MH  - Respiratory Function Tests
MH  - Risk Assessment
MH  - Sampling Studies
MH  - Severity of Illness Index
MH  - Treatment Outcome
EDAT- 2011/08/03 06:00
MHDA- 2011/12/13 00:00
CRDT- 2011/08/03 06:00
PHST- 2010/01/18 00:00 [received]
PHST- 2011/03/21 00:00 [revised]
PHST- 2011/04/04 00:00 [accepted]
PHST- 2011/08/03 06:00 [entrez]
PHST- 2011/08/03 06:00 [pubmed]
PHST- 2011/12/13 00:00 [medline]
AID - S0161-4754(11)00093-5 [pii]
AID - 10.1016/j.jmpt.2011.05.004 [doi]
PST - ppublish
SO  - J Manipulative Physiol Ther. 2011 Jul-Aug;34(6):413-7. doi: 
      10.1016/j.jmpt.2011.05.004. Epub 2011 Jun 24.