Asthma is a common respiratory condition that can be difficult to control despite the use of medications such as inhalers, oral steroids or even injectable medications. Osteopathic Manipulative Treatment (OMT) is a hands-on technique used to improve the chest structure and function and may help in improving breathing. Previous research showed that OMT in asthma patients, can improve the movement of the ribs and improve the "peak flow" which is the maximum rate at which a person can exhale air after taking a deep breath. However, no studies have evaluated the impact of OMT on lung inflammation. This single-site research study at University Hospitals aims to evaluate whether Osteopathic Manipulative Treatment (OMT) can reduce lung inflammation and improve breathing and lung function in adult patients with asthma. The lung function will be evaluated by Spirometry which is a test that measures how much air you can breathe in and out of your lungs, as well as how quickly and easily you can exhale air. The lung inflammation will be measured using a device that can detect how much you are breathing out Nitric Oxide which is a gas produced by inflamed cells in the lungs, this test is called: Fractional exhaled Nitric Oxide or FeNO. Approximately 100 participants will be enrolled.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Patients in the treatment group will undergo OMT using sub-occipital release, rib raising, doming the diaphragm, thoracic inlet release and myofascial techniques.
Patients in the control group will undergo light touch in similar locations to OMT.
Allergy Immunology Associates
Mayfield Heights, Ohio, United States
Change in Fractionated Exhaled Nitric Oxide (FeNO) values as measured by NIOX FeNO device
Time frame: Baseline, after OMT treatment (up to 30 minutes), day 10
Change in Peak Expiratory Flow values as measured by EasyOne Air Spirometer device
Time frame: Baseline, after OMT treatment (up to 30 minutes), day 10
Change in Ease of breathing as measured by Post-OMT Questionnaire
The post\_OMT Questionnaire scores ease of breathing on a Likert scale of 1-0 with 1 being difficult to breathe and 10 being easy to breath
Time frame: Baseline and day 10
Change in Rib Cage mobility as measured by Post-OMT Questionnaire
The post\_OMT Questionnaire scores Rib Cage mobility on a Likert scale of 1-0 with 1 being stiff and 10 being mobile
Time frame: Baseline and day 10
Change in chest tightness as measured by Post-OMT Questionnaire
The post\_OMT Questionnaire scores chest tightness on a Likert scale of 1-0 with 1 being tight and 10 being loose
Time frame: Baseline and day 10
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