The Somatic Connection. J Am Osteopath Assoc 2011;111(4):197–202. doi: https://doi.org/.
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...in the context of an acute exacerbation of COPD, where even small transient adverse changes may have serious consequences, these techniques should be considered contraindicated. Further, the TLP with activation and myofascial release techniques may be relatively contraindicated even in persons with stable COPD since these techniques may increase RV.
Despite the adverse changes in pulmonary function measures, the four osteopathic techniques appear to be reasonably safe for persons with stable COPD. The four techniques were shown to be `safe' in the sense that none of the study participants reported an acute exacerbation of symptoms which required a change in medical treatment or resulted in hospitalization. Also, the majority of subjects reported feeling and breathing better after treatment.
A custom-made wooden and padded treatment plinth securely screwed on a nonconductive force platform (Advanced Mechanical Technology Inc, Watertown, MA) was used to quantify the magnitude of [posteroanterior] force applied to the spine.... An electromagnetic tracking system (Fastrak; Polhemus Navigation, Colchester, VT), recording at 100 Hz, was used to measure spinal angular displacement during force application for the calculation of bending stiffness and to measure lumbar flexion and extension ROM.
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