Project information
- Category: Case Report
- Researchers:: Greenberg, S., Moriarty, S., Perera, I., Kasper, H., Kasper, B., Moriarty, H.
Abstract
Idiopathic pulmonary fibrosis (IPF) is a type of interstitial lung disease that results in fibrotic lung tissue leading to symptoms of dyspnea, nonproductive cough, decreased mobility and fatigue. This article presents a well-documented case of a 73-year-old female presenting to a chiropractic and rehabilitation center seeking care after failing medication therapy. The patient presented hypoxic on room air with decreased mobility throughout her cervical, thoracic, and lumbar spine. Three manual therapy techniques were performed at the rehabilitation clinic aimed at improving range of motion of the impacted joints and surrounding tissue. The patient was also given manual therapy exercises to perform at home. Pre- and post-intervention assessments showed an improvement in oxygenation saturation on room air, increased mobility, and stabilization of the patients pulmonary function test (PFT) values. This case demonstrates the importance of considering manual therapy in patients that have failed standard of care or are unable to tolerate the medications used to treat IPF.
References
1. Zisman DA, Keane MP, Belperio JA, Strieter RM, Lynch JP 3rd: Pulmonary fibrosis.
Methods Mol Med. 2005, 117:3-44. 10.1385/1-59259-940-0: 003
2. Krishna R, Chapman K, Ullah S: Idiopathic Pulmonary Fibrosis. StatPearls [Internet]
(ed): StatPearls Publishing, Treasure Island, FL; 2023.
3. Zaman T, Lee JS: Risk Factors for the Development of Idiopathic Pulmonary Fibrosis: a
Review. Curr Pulmonol Rep. 2018, 7:118-125. 10.1007/s13665-018-0210-7
4. Wolters PJ, Blackwell TS, Eickelberg O, et al.: Time for a change: is idiopathic
pulmonary fibrosis still idiopathic and only fibrotic?. Lancet Respir Med. 2018,
6:154-160. 10.1016/S2213-2600(18)30007-9
5. Kolb M, Collard HR: Staging of idiopathic pulmonary fibrosis: past, present and
future. Eur Respir Rev. 2014, 23:220-224. 10.1183/09059180.00002114
6. Pleasants R, Tighe RM: Management of Idiopathic Pulmonary Fibrosis. Ann Pharmacother.
2019, 53:1238-1248. 10.1177/1060028019862497
7. Pulmonary fibrosis. (2021). Accessed: 24 July 2023:
https://my.clevelandclinic.org/health/diseases/10959-pulmonary-fibrosis.
8. Vainshelboim B: Exercise training in idiopathic pulmonary fibrosis: is it of
benefit?. Breathe (Sheff). 2016, 12:130-8. 10.1183/20734735.006916
9. Swigris JJ, Brown KK, Make BJ, Wamboldt FS: Pulmonary rehabilitation in idiopathic
pulmonary fibrosis: a call for continued investigation. Respir Med. 2008, 102:1675-80.
10.1016/j.rmed.2008.08.014
10. Shariat C, Garvey C, Rigler J, Collard HR: Pulmonary rehabilitation improves
functional capacity in patients with interstitial lung disease. Chest. 2007, 132:458.
10.1378/chest.132.4_MeetingAbstracts.458
11. Dowman L, Hill CJ, May A, Holland AE: Pulmonary rehabilitation for interstitial lung
disease. Cochrane Database Syst Rev. 2021, 2:CD006322.
10.1002/14651858.CD006322.pub4
12. Naji N, Connor M, Donnelly S, et al.: Effectiveness of Pulmonary Rehabilitation in
Restrictive Lung Disease. J Cardiopulm Rehabil. 2006, 26:237-43.
10.1097/00008483-200607000-00007
13. Cheng L, Tan B, Yin Y, et al.: Short- and long-term effects of pulmonary
rehabilitation for idiopathic pulmonary fibrosis: a systematic review and meta-analysis.
Clini Rehabil. 2018, 32:1299-1307. 10.1177/0269215518779122
14. Arnold MT, Dolezal BA, Cooper CB: Pulmonary Rehabilitation for Chronic Obstructive
Pulmonary Disease: Highly Effective but Often Overlooked. Tuberc Respir Dis (Seoul).
2020, 83:257-267. 10.4046/trd.2020.0064
15. Liu W, Mu X, Wang X, Zhang P, Zhao L, Li Q: Effects of comprehensive pulmonary
rehabilitation therapy on pulmonary functions and blood gas indexes of patients with
severe pneumonia. Exp Ther Med. 2018, 16:1953-1957. 10.3892/etm.2018.6396
16. Mahler B, Croitoru A: Pulmonary rehabilitation and tuberculosis: a new approach for
an old disease.. Pneumologia. 2019, 68:107-113. 10.2478/pneum-2019-0024