Respiratory and functional benefits of manual diaphragmatic release for cleaning-laborers exposed to occupational hazards.

IF 1.5 Q3 REHABILITATION

Physiotherapy Research International Pub Date : 2024-10-01 DOI:10.1002/pri.70001

Alshimaa R Azab, Ragab K Elnaggar, Dalia G Hamouda, Ghfren S Aloraini, Alaa S Alhegaili, Ahmed S Ahmed, Maged A Basha, Ashwag S Alsharidah, FatmaAlzahraa H Kamel, Ahmed A Elshehawy

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引用次数: 0

Abstract

Background and purpose: To examine the respiratory and functional benefits of manual diaphragmatic release for Cleaning-Laborers Exposed to Occupational Hazards.

Methods: A randomized controlled trial of 36 participants aged 35-45 years was randomly allocated into two groups. The experimental group (n = 18); received manual diaphragm release along with respiratory training exercises, and the control group (n = 18); received respiratory training exercises only. Three times/week for 12 consecutive weeks. The serum immunoglobulin E level, pulmonary functions [forced expiratory volume in one second (FEV₁), forced vital capacity (FVC), FEV₁/FVC, and peak expiratory flow (PEF) rate (PEF)], chest wall mobility, and 6 min walk-test performance were assessed pre- and post-intervention.

Results: There was a greater decline in serum immunoglobulin levels (p = 0.003; Partial η² = 0.23) and enhancement in pulmonary functions [FEV₁ (p = 0.025, Partial η2 = 0.14), FVC (p = 0.017, Partial η² = 0.16), FEV₁/FVC (p = 0.028, Partial η² = 0.13), and PEF (p = 0.012, Partial η2 = 0.17) in the experimental group. Further, there was a greater increase in chest mobility at the xiphoid level (p = 0.002, Partial η² = 0.25) in the experimental group, but this was not the case at the axillary level (p = 0.29, Partial η² = 0.03). Still, the 6 min walk-test performance improved more significantly in the experimental group (p = 0.002, Partial η² = 0.24).

Conclusion: The diaphragmatic release technique may offer a promising approach for mitigating distressing respiratory symptoms, enhancing immune function, and improving 6 min walk-test performance among cleaning laborers with work-related respiratory hazards.

Trial registration: The study was retrospectively registered at XXX (ID: NCT05802355).

查看原文本刊更多论文

人工释放横膈膜对接触职业危害的清洁工人的呼吸和功能有好处。

背景和目的：研究手动横膈膜松解术对暴露于职业危害的清洁工人的呼吸和功能益处：一项随机对照试验将 36 名 35-45 岁的参与者随机分为两组。实验组（18 人）接受人工横膈膜松解术和呼吸训练，对照组（18 人）仅接受呼吸训练。每周三次，连续 12 周。对干预前后的血清免疫球蛋白 E 水平、肺功能[一秒用力呼气容积（FEV1）、用力肺活量（FVC）、FEV1/FVC 和呼气峰流速（PEF）]、胸壁活动度和 6 分钟步行测试成绩进行评估：结果：血清免疫球蛋白水平下降幅度更大（p = 0.003; Partial η2 = 0.23），肺功能[FEV1（p = 0.025, Partial η2 = 0.14）、FVC（p = 0.017，Partial η2 = 0.16）、FEV1/FVC（p = 0.028，Partial η2 = 0.13）和 PEF（p = 0.012，Partial η2 = 0.17）。此外，实验组剑突水平的胸部活动度增加较多（p = 0.002，部分η2 = 0.25），但腋窝水平的胸部活动度增加较少（p = 0.29，部分η2 = 0.03）。尽管如此，实验组的 6 分钟步行测试成绩改善更明显（p = 0.002，部分η2 = 0.24）：结论：横膈膜松解技术为缓解呼吸道不适症状、增强免疫功能、提高有呼吸道相关工作危险的清洁工人的 6 分钟步行测试成绩提供了一种很有前景的方法：该研究已在 XXX 进行了回顾性注册（ID：NCT05802355）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.