31 Jan 2025- The role of manual therapy in the management of chronic obstructive pulmonary disease | Health Sciences University

CPD | London

31 Jan 2025- The role of manual therapy in the management of chronic obstructive pulmonary disease

CPD

A practical course outlining how manual therapy (MT) has the potential to improve the outcomes for people with COPD by focusing on two key extra-pulmonary symptoms: chest tightness and dyspnoea.

Course Title 31 Jan 2025- The role of manual therapy in the management of chronic obstructive pulmonary disease
Qualification CPD
Duration 1 days
Institution Code A65
Start Date 31 January 2025
Location London Campus

Overview


1 Day

Registration: 09:00-09:30

Course Schedule: 09:30-17:30

 

Course Details


The course is designed for osteopaths, chiropractors and physiotherapists who manage patients with chronic obstructive pulmonary disease (COPD) as a comorbidity. The course will outline how manual therapy (MT) has the potential to improve the outcomes for people with COPD by focusing on two key extra-pulmonary symptoms: chest tightness and dyspnoea. The disease is also characterised by declining exercise capacity, a prognostic indicator for long-term survival in people with COPD. As exercise-limiting dyspnoea is a key driver in decreasing exercise capacity, applying MT to improve chest tightness can delay the onset of dyspnoea during exercise which creates the opportunity for improving exercise performance and capacity.

The course will cover the prevalence, staging and current management goals of COPD, the pathomechanics of breathing with COPD, choice of manual therapy (MT) techniques in COPD, how these techniques address changes in breathing mechanics, practical applications of these techniques, the benefits of exercise, and how combining MT with exercise has the potential to improve the prognosis for patients with COPD.

Pre-reading (recommended)

Engel R, Vemulpad S. The effect of combining spinal manipulation with exercise on the respiratory function of normal individuals: a randomized control trial. Journal of Manipulative Physiological Therapeutics. 2007;30: 509-13.

Engel RM, Vemulpad S, Beath K. Short term effects of combining manual therapy and exercise in people with moderate chronic obstructive pulmonary disease: a preliminary clinical trial. Journal of Manipulative Physiological Therapeutics. 2013; 36:490-496.

Engel RM, Gonski P, Beath K, Vemulpad S. Medium term effects of including manual therapy in a pulmonary rehabilitation program for chronic obstructive pulmonary disease (COPD): a randomized controlled pilot trial. Journal of Manual and Manipulative Therapy. 2016; 24: 80-89.

Engel RM, de Luca K, Graham PL, Farshchi MK, Vemulpad S, Byles J. Predictors of chronic obstructive pulmonary disease in women who never smoked: A cohort study. ERJ Open. 2022; 8:00532-2021.

Engel RM, Gonski P, Vemulpad S, Graham P. The long-term effect of exercise with and without manual therapy for mild chronic obstructive pulmonary disease: a randomized controlled trial. Journal of Cardiopulmonary Rehabilitation and Prevention. 2024;44: 257-265.

Engel RM, Baxter D, Muddle L, Vaughan B, Grace S. The use of respiratory patient reported outcome measures (PROMs) in the management of COPD: Perceptions of Australian osteopaths. Complementary Therapies in Clinical Practice. [Published online: 11 October 2024] DOI: 10.1016/j.ctcp.2024.101918

Course suitability
The course is suitable for osteopaths, physiotherapists, chiropractors and third and fourth year students

Time Table & Course Content

Learning objectives

By the end of the course, you will be able to:

• Better understand the different stages of COPD

• Recognise changes in breathing mechanics in people with COPD

• Choose a manual therapy technique that is appropriate for COPD

• Create a manual therapy treatment plan for someone with COPD

Timetable

09.00 – 09.30   Registration

09.30 – 10.30    Introduction, prevalence & classification of COPD

10.30 – 11.30     Musculoskeletal anatomy & pathomechanics of COPD

11.30 – 12.30     Current management strategies for COPD – case examples

12.30 – 13.30     Lunch break

13.30 – 14.30     Manual therapy (MT) techniques for COPD – how to choose

14.30 – 15.30     Exercise, its role in COPD management and outcome measures

15.30 – 16.30     MT & Exercise protocol – efficacy, adverse events, consent

16.30 – 17.30     Case-based scenario discussion

Osteopathic practice standards and other CPD elements covered
A) Communication and patient partnership A1, A5
B) Knowledge, skills and performance B1, B2, B3, B4
C) Safety and quality in practice C1, C6

D) Professionalism D3, D7, D10

Communication and Consent:

1 hour in total.

Information related to COPD-stage prognosis.

Information related to osteopathic intervention and its effect on COPD.

Model answers to commonly asked questions about this management approach.

Discussion around informed consent for all components of the intervention.

Objective Activity

The course includes discussion of several case-based scenarios.

This element accounts for a total of 1 hour of the course.

The format of the case-based discussions includes staged unveiling of presenting symptoms and signs of COPD, appropriate further investigations, management options, potential complications of intervention including adverse events, prognosis and consent.     

Roger Engel is an Osteopath and Chiropractor with over 40 years’ experience in clinical practice in Australia, the US and Indonesia. He currently holds appointments at two Australian universities as an Adjunct Associate Professor in the Faculty of Health at Southern Cross University and Honorary Senior Research Fellow in the Faculty of Medicine Health and Human Sciences at Macquarie University. Roger is a clinician scientist with a PhD who has been involved in clinical research for more than 25 years. His research interests cover several fields including the non-pharmacological management of chronic respiratory disease, paediatric and maternal care, and more recently post-concussion syndrome. He has authored over 75 papers in peer-reviewed journals and supervises PhD and Masters by Research students.

How can I contact the organiser with any questions?

For more information contact the CPD team at cpd@uco.ac.uk.

You will be emailed information about the course approximately 1 week before the seminar.

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