Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 7 ( 2017 ) > List of Articles

CASE REPORT

Efficacy of Osteopathic Manipulative Treatment Approach in the Patient with Pulmonary Fibrosis in Critical Care Outpatient Department

Manu Goyal, Kanu Goyal, Kanimozhi Narkeesh, Asir John Samuel, Narkeesh Arumugam, Subhasish Chatterjee, Sorabh Sharma

Keywords : lung fibrosis, manual therapy, pulmonary fibrosis, visceral osteopathy,Dyspnea

Citation Information : Goyal M, Goyal K, Narkeesh K, Samuel AJ, Arumugam N, Chatterjee S, Sharma S. Efficacy of Osteopathic Manipulative Treatment Approach in the Patient with Pulmonary Fibrosis in Critical Care Outpatient Department. Indian J Crit Care Med 2017; 21 (7):469-472.

DOI: 10.4103/0972-5229.210648

License: CC BY-ND 3.0

Published Online: 00-07-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The purpose of the present case study was to explore the efficacy of osteopathic manipulative treatment (OMT) in patient with pulmonary fibrosis (PF) in the critical care outpatient department. Here, we present a 48-year-old male case with breathlessness, increased frequency of defecation, and pain in and around the nape of neck with diagnosed pulmonary fibrosis. He scored 3 on a patient-reported modified Medical Research Council (mMRC) dyspnea scale. Osteopathic examination reveals multiple somatic findings across the chest and abdominal region and treated by OMT. Pre- and post-intervention changes were assessed by the 13-item shortness of breath with daily activities (13iSOBDA). 27.2, 22, 16.4, and 11.8 were noted at the end of 1st, 2nd, 3rd, and 4th week of intervention, respectively, on 13iSOBDA while mMRC decreased from 3 to 1. OMT may be a feasible option in decreasing the symptoms of the PPF in the critical care outpatient department.


PDF Share
  1. Raghu G, Weycker D, Edelsberg J, Bradford WZ, Oster G. Incidence and prevalence of idiopathic pulmonary fibrosis. Am J Respir Crit Care Med 2006;174:810-6.
  2. Allen TW. Management of acute exacerbations of chronic obstructive pulmonary disease. J Am Osteopath Assoc 1971;71:330-3.
  3. Ward R. Foundation of Osteopathic Medicine. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 2002.
  4. Branyon B. Healing hands: Using osteopathic manipulative treatment to address visceral structures through somatovisceral reflexes: A case study in gastroesophageal reflux disease. Am Acad Osteopath J 2008;18:29-31.
  5. Blumenfeld H. Neuroanatomy Through Clinical Cases. 2nd ed. Sunderland, MA: Sinauer Associates Inc.; 2010.
  6. Rocha T, Souza H, Brandão DC, Rattes C, Ribeiro L, Campos SL, et al. The manual diaphragm release technique improves diaphragmatic mobility, inspiratory capacity and exercise capacity in people with chronic obstructive pulmonary disease: A randomised trial. J Physiother 2015;61:182-9.
  7. Stretanski MF, Kaiser G. Osteopathic philosophy and emergent treatment in acute respiratory failure. J Am Osteopath Assoc 2001;101:447-9.
  8. Guiney PA, Chou R, Vianna A, Lovenheim J. Effects of osteopathic manipulative treatment on pediatric patients with asthma: A randomized controlled trial. J Am Osteopath Assoc 2005;105:7-12.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.