Flex Therapist CEUs

COPD Manual Diaphragm Manipulation

1. The musculoskeletal changes inherent to the aging process:

A. Hinder rib cage expansion. B. Increase the work of breathing. C. Reduce functional capacity. D. All of the above.

2. In the present study, the Manual Diaphragm Release Technique produced statistically significant improvements in all of the following in people with COPD, except for:

A. Maximum expiratory pressure B. Diaphragmatic mobility C. 6-minute walking distance D. Inspiratory capacity

3. Cumulative but not immediate benefits were noted in vital capacity, maximum expiratory pressure, and sniff nasal inspiratory pressure.

A. True B. False

4. Direct measurements support that the manual action on the underside of the last four costal cartilages allows the traction of the lower rib cage in a cranial direction and that the manual compression of the tissues in the area of insertion of the anterior costal diaphragm fibers lengthens the diaphragm in its insertional zone.

A. True B. False

5. Change in abdominal volume in people with COPD have been shown to account for, on average, _____ of diaphragmatic displacement in the zone of apposition during quiet breathing in the seated position.

A. 89% B. 76% C. 22% D. 1%

6. The Manual Diaphragm Release Technique applies manual pressure under the costal margin, with the intention of stretching the lower thoracic cage and the insertional fibers of the anterior diaphragm.

A. True B. False


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