A review of analgesic and emotive breathing: a multidisciplinary approach

Bordoni, Bruno; Marelli, Fabiola; Bordoni, Giovannni

doi:10.2147/jmdh.s101208

Cited by 34 publications

(69 citation statements)

References 56 publications

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“…The pain perception is reduced in inspiratory apnea, when the diaphragm is lowered [17]. This event suggests the intervention of baroreceptors.…”

Section: The Diaphragm Influences the Pain Perception And The Emotionmentioning

confidence: 85%

“…The phrenic nerve (C3-C5) receives pulses from groups of medullary neurons of the pre-Bötzinger complex and parafacial retrotrapezoid complex, connected in turn to the retroambiguous nucleus of the medulla, although these mechanisms are not completely clear [17]. It is a mixed nerve, sending efferent fibers and receiving sensitive afferents; it provides motor innervation to the diaphragm, and receives afferent information from vena cava, pericardium, pleura, Glisson capsule and from the infra-diaphragmatic peritoneal spaces clear [18].…”

Section: The Diaphragm Influences the Pain Perception And The Emotionmentioning

confidence: 99%

“…This event suggests the intervention of baroreceptors. During this respiratory action, the systolic pressure increases with a decrease in the cardiac frequency [17]. We know that, when the baroreceptor located in the carotid body and in the area of the aortic arch (in the adventitia of the vessels) are stimulated by the cardiac cycle (in particular during the systolic phase), the nociceptive stimulus is attenuated by the activation of baroreceptors [17].…”

Section: The Diaphragm Influences the Pain Perception And The Emotionmentioning

confidence: 99%

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Depression, anxiety and chronic pain in patients with chronic obstructive pulmonary disease: the influence of breath

Bordoni

Marelli²,

Bruno

et al. 2017

Monaldi Arch Chest Dis

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Chronic obstructive pulmonary disease (COPD) is a major public health problems, causing significant mortality and morbidity in the world. It is a complex and progressive disease, characterized by chronic inflammation and dysfunction of the respiratory airways. The article reviews the available information on the potential role of the diaphragm in this disease. The purpose is to identify a potential correlation between symptoms such as depression, anxiety and chronic pain, frequently observed in COPD, with the activity of the diaphragm. The morphology and metabolism of the diaphragm are usually modified in the presence of COPD: a correlation between this symptoms and a pathological adaptation of breathing can be hypothesized. The management of these conditions should always be multidisciplinary, in order to have a global vision of the patient.

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“…The pain perception is reduced in inspiratory apnea, when the diaphragm is lowered [17]. This event suggests the intervention of baroreceptors.…”

Section: The Diaphragm Influences the Pain Perception And The Emotionmentioning

confidence: 85%

Section: The Diaphragm Influences the Pain Perception And The Emotionmentioning

confidence: 99%

Section: The Diaphragm Influences the Pain Perception And The Emotionmentioning

confidence: 99%

See 1 more Smart Citation

Depression, anxiety and chronic pain in patients with chronic obstructive pulmonary disease: the influence of breath

Bordoni

Marelli²,

Bruno

et al. 2017

Monaldi Arch Chest Dis

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“…The respiratory diaphragm has neurological and fascia connections such that any dysfunction of it will cause alterations not only locally but also systemically [11][12][13]. With current scientific knowledge, we can speak of the manual treatment of the 5 diaphragms: diaphragm muscle, pelvic floor, the buccal floor, the thoracic outlet and the tentorium of the cerebellum.…”

Section: Objectivesmentioning

confidence: 99%

The Five Diaphragms in Patients Following Cardiac Surgery in Sternotomy: An Observational Study

Bordoni¹

2017

IJCAM

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The recovery and rehabilitation process of patients following heart surgery in sternotomy is lengthy and requires significant time. This observational study on five diaphragms in patients undergoing a sternotomy is the first of its kind.Objectives: Evaluate the position of the 5 bodily diaphragms, creating a platform of useful information for the practice of manual therapy. Understand if the diaphragm position coincides with the clinical status of the patient.Setting: Department for Cardiac Rehabilitation, Foundation Don Carlo Gnocchi IRCCS. Materials and methods:From January 2012 to July 2016, 300 cardiac patients underwent evaluation following a cardiothoracic intervention. In a supine position, palpation was conducted on the pelvic floor, the respiratory diaphragm, the thoracic outlet, the buccal floor and the cerebellar tentorium. The evaluation was undertaken on the first day of recovery in the ward. Rating scales were conducted such as the VAS, the walking test and the air life, an instrument for measuring the volume of air inhaled.Results: Eleven different positional organisation structures of the 5 diaphragms have been highlighted which do not correspond to the patient's clinical status. Conclusions:The data collected from the study allows us to obtain important information to guide the work of the manual therapist, but does not have a direct relationship with the patient's functional status.

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“…This relationship is based on exchanges of information between the brain stem and the brain centers such as the limbic area and cortex [5]. The amygdala (limbic system) is connected through afferent and efferent ways to each of the respiratory areas; the person's experience and its history influence the behavior of the diaphragm [5].…”

mentioning

confidence: 99%