Short term effect of spinal mobilization with movement (MWM) on pulmonary functions in nonsmokers with thoracic hyperkyphosis: a randomized single-blinded controlled trial

• Published in: The Journal of manual & manipulative therapy Vol. 31; no. 2; pp. 64 - 71
• Main Authors: El Gendy, Mohamed H., Mohamed, Shaimaa R, Taman, Saher E, Hussein, Hisham M., Abu El Kasem, Shimaa T.
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 04.03.2023
• Subjects: Adolescent; Adult; Humans; Kyphosis; Lung; mobilization with movement; Non-Smokers; respiratory function tests; Respiratory Physiological Phenomena; Spine; Young Adult; respiratory function tests; mobilization with movement; Kyphosis
• ISSN: 1066-9817; 2042-6186; 2042-6186
• DOI: 10.1080/10669817.2022.2075203

To investigate the effect of mobilization with movement (MWM) on pulmonary functions in subjects with thoracic hyperkyphosis. This randomized single-blinded controlled trial included a sample of 50 subjects (age 18 − 25 years old) with thoracic hyperkyphosis. Subjects were randomly allocated into two groups; the Real MWM group (n = 25) which received thoracic MWM plus standard postural correction exercises, and the Sham MWM group (n = 25) which received sham MWM plus standard postural correction exercises. Digital X-ray and handheld spirometer were used to measure selected pulmonary function tests (FVC, FEV1/FVC ratio, MVV) respectively. Within-group comparisons demonstrated a statistically significant improvement in all outcome measures in both groups. The between-group comparisons demonstrated significant improvement in the MWM compared to the Sham group regarding the value of FVC, FEV1/FVC ratio, and MVV (P < .05). In young adults with thoracic hyperkyphosis, MWM plus postural exercise produces better improvements in FVC, FEV1, FEV1/FVC, and MVV compared to sham MWM plus postural exercise.