Effects of diaphragm muscle treatment in shoulder pain and mobility in subjects with rotator cuff injuries: A dataset derived from a pilot clinical trial

Abstract

The rotator cuff inflammatory or degenerative pathology is the main cause of shoulder pain. The shoulder and diaphragm muscle have a clear relation through innervation and the connection through myofascial tissue. A prospective, randomized, controlled, single-blind (assessor) pilot clinical trial was performed with a sample size of 27 subjects with rotator cuff injuries and with clinical diagnosis of myofascial pain syndrome at shoulder. The sample were divided into 3 groups of treatment (9 subjects per group): A direct treatment over the shoulder by ischemic compression of myofascial trigger points (MTP) (control / rotator cuff group). Diaphragm manual therapy techniques (diaphragm group). Active diaphragm mobilization by breathing exercises (breathing exercises group). The pain and range of shoulder motion were assessed before and after treatment in all the participants by inclinometry, NRS of pain in shoulder movements and pressure algometry. Methodology and full data analyzing the effect of the three interventions are presented in this article. These data could give a basis for further experiments on revealing the underlying mechanism of action of the visceral manual therapy in reducing the symptoms of shoulder pain.

Effect of Diaphragmatic Breathing on Shoulder Rotational Mobility- Single-Blind Randomized Controlled Study

“…Fernandez-Lopez et al (2021) published as a data set examines the effect of diaphragmatic muscle training on shoulder pain and mobility in shoulder pain 7 . This study planned to investigate the effectiveness of manual approaches and breathing exercises based on the diaphragm.…”

“…The diaphragm, a dome-shaped muscle that separates the chest cavity from the abdomen, is essential for human health and function. It is related to the shoulder in terms of embryological origin 3,4 , myofascial and neural connection (phrenic nerve) [5][6][7] and muscle chain theory 8 . Different muscle groups can work together in a continuous, coordinated, and synergistic manner to efficiently transfer muscle energy and create a fully developed and well-functioning muscle chain.…”

Diaphragm dysfunction is found in patients with chronic painful temporomandibular disorder: A case-control study

“…This feed-forward regulatory mechanism that stabilizes the trunk is the physiological basis of the musculoskeletal system for the prevention of movement injuries. Diaphragm-related training has benefited patients with musculoskeletal or digestive problems such as shoulder pain [ 21 ], chronic low back pain [ 16 ], and gastroesophageal reflux disease (GERD) [ 18 ], which are common co-morbidities of TMD [ 3 , 9 , 20 ]. Currently, there is grade B evidence that breathing exercises improve pain, respiratory function, and/or quality of life in patients with chronic, non-specific low back pain [ 23 ].…”

“…In recent years, the assessment and intervention of the diaphragm have received increasing attention in the research and clinical practice of musculoskeletal chronic pain and dysfunction. In addition, abnormal diaphragm function has been observed in patients with various musculoskeletal disorders and favorable outcomes have been obtained after specific interventions [ [21] , [22] , [23] ]. The diaphragm is a muscle with two tasks: providing inspiratory power and regulating trunk stability.…”

Methods for Diagnosing and Predicting Diaphragm Dysfunction in the Recovery Period of a Stroke: a Narrative Review

“…Вклад диафрагмы в дыхательный акт при спокойном дыхании, особенно в положении лежа на спине, достигает 70 % и более от общего объема дыхания [19]. Описаны случаи корреляции дисфункции диафрагмы с нарушением функции глотания [20], патологией вращательной манжеты плеча [21], нарушением постурального контроля [19].…”