Features of the choice of functional criteria for assessing the direct effect of manual exposure

Abstract

35 patients with bronchial asthma were examined in order to determine the optimal criteria for evaluating the effectiveness of a separate manual procedure (medical massage). It was established that changes in the respiration function after the massage procedure, according to the indicators obtained by the methods of general plethysmography and spirometry, were multidirectional. Bronchial resistance (Raw) significantly decreased, and bronchial specific conductance (Sgaw) increased (-19.50.52 and +23.93.9%, respectively; p < 0.05), with a simultaneous decrease in functional residual capacity by 8.500.98%. The subjective sensation of shortness of breath also significantly decreased (VAS= - 14.810.8%; p < 0.01). Bronchodilation response after medical massage in terms of SGaw correlated with VAS dynamics (r=0.642, p<0.05). At the same time, the traditionally determined indicators of the respiratory function decreased (PEF -12.01.8%, FEV1 = -9.65.1%), and it is interpreted as a deterioration in the respiratory function according to the generally accepted assessment. Therefore, a direct assessment of manual exposure should be based on clinical and functional indicators that reflect the targeted manual impact on the pathogenetic mechanisms of the disease.