PMID- 34391222
OWN - NLM
STAT- MEDLINE
DCOM- 20210818
LR  - 20240402
IS  - 1532-9283 (Electronic)
IS  - 1360-8592 (Print)
IS  - 1360-8592 (Linking)
VI  - 27
DP  - 2021 Jul
TI  - Physical therapy for the treatment of respiratory issues using Systemic Manual 
      Therapy protocols.
PG  - 113-126
LID - S1360-8592(21)00032-2 [pii]
LID - 10.1016/j.jbmt.2021.02.009 [doi]
AB  - BACKGROUND: The emergence of the Coronavirus (COVID-19) pandemic increased the 
      need for an effective treatment for respiratory conditions exponentially. To meet 
      this challenge, we reevaluated the effectiveness of our physical therapy 
      protocols for respiratory conditions. Protocols of interest were categorized as 
      decongestive, neurogenic, mechanical, and immune modulating. OBJECTIVE: The 
      objective of this study is to evaluate which of our existing treatment protocols 
      or protocol combinations produce the best outcome. To do so, we analyzed which 
      ones can meet the following criteria when compared to all other treatments: test 
      statistic (>2.0) in parametric and non-parametric tests, [statistical 
      significance (p < 0.05)], effect size larger than 0.2, difference in the Patient 
      Identified Problem Scale (PIP) score above Minimal Clinically Important 
      Difference (MCID), and sample size minimum 15 treatments. DESIGN: Retrospective 
      multivariate analysis using a modified adaptive platform design. METHODS: A 
      computerized sampling using respiratory related key words from a blinded dataset 
      yielded 178 patients with respiratory complaints or pain in the chest area. 
      Additional statistical analysis using parametric and non-parametric tests 
      evaluated the difference between each treatment protocol and the rest of the 
      treatments provided. RESULTS: Several protocol combinations and one individual 
      protocol passed the study criteria. Cardiac vascular venous thoracic (CVVT) 
      protocol was used most frequently within these combinations (7), followed by 
      Urinary Drainage (UD) (4). Other protocols in this group were Cardiac Cervical 
      Cranial Vascular (CCCV), Venous Thoracic Cardiopulmonary (VTCP), and Diaphragm 
      Cranial Sinus (DCS). Among the respiratory specific protocols, CVVT was 
      significantly better than VTCP (0.40, p < 0.001). DISCUSSION AND CONCLUSION: For 
      the patient population studied, CVVT appears to be the primary protocol to 
      consider, followed by UD, CCCV, VTCP, and DCS. Combining CVVT with Barral 
      Abdominal Motility protocol (Barral) or VTCP with Lower Abdominal Urogenital 
      (LAUG) on the same day might be required with acute patients.
CI  - Copyright (c) 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.
FAU - Halili, Adi
AU  - Halili A
AD  - Halili Physical Therapy, 268 E River Rd. #130, Tucson, AZ, 85704, USA. Electronic 
      address: halilipt@msn.com.
LA  - eng
PT  - Journal Article
DEP - 20210311
PL  - United States
TA  - J Bodyw Mov Ther
JT  - Journal of bodywork and movement therapies
JID - 9700068
SB  - IM
MH  - *COVID-19
MH  - Humans
MH  - *Musculoskeletal Manipulations
MH  - Physical Therapy Modalities
MH  - Retrospective Studies
MH  - SARS-CoV-2
MH  - Treatment Outcome
PMC - PMC7946828
EDAT- 2021/08/16 06:00
MHDA- 2021/08/19 06:00
PMCR- 2021/03/11
CRDT- 2021/08/15 01:00
PHST- 2020/08/05 00:00 [received]
PHST- 2021/02/28 00:00 [revised]
PHST- 2021/02/28 00:00 [accepted]
PHST- 2021/08/15 01:00 [entrez]
PHST- 2021/08/16 06:00 [pubmed]
PHST- 2021/08/19 06:00 [medline]
PHST- 2021/03/11 00:00 [pmc-release]
AID - S1360-8592(21)00032-2 [pii]
AID - 10.1016/j.jbmt.2021.02.009 [doi]
PST - ppublish
SO  - J Bodyw Mov Ther. 2021 Jul;27:113-126. doi: 10.1016/j.jbmt.2021.02.009. Epub 2021 
      Mar 11.