Effects of diaphragm stretching on posterior chain muscle kinematics and rib cage and abdominal excursion: a randomized controlled trial

González-Álvarez, Francisco José; Valenza, Maríe Carmen; Torres‐Sánchez, Irene; Cabrera‐Martos, Irene; Rodríguez‐Torres, Janet; Castellote-Caballero, Yolanda

doi:10.1590/bjpt-rbf.2014.0169

Cited by 22 publications

(15 citation statements)

References 24 publications

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“…Also, since this questionnaire items assess the pain Improved chest expansion was observed after treatment in both groups. Improved xiphoid level chest expansion after diaphragm myofascial release is consistent with the ndings of previous studies (14,15,26) and could be partially related to diaphragm attachments. Muscular bers of the diaphragm are attached to the sternum (xiphoid process), lower 6 ribs, and lumbar vertebrae (the L1, L2, and L3 vertebrae and arcuate ligaments) (12).…”

Section: Discussionsupporting

confidence: 91%

Added Value of Diaphragm Myofascial Release on Forward Head Posture and Chest Expansion in Patients With Neck Pain: A Randomized Controlled Trial

Haghighat¹,

Moradi²,

Rezaie³

et al. 2020

Preprint

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Background: Despite the increasing use of diaphragm myofascial release technique in clinical practice, there is no study on the effect of this technique on musculoskeletal outcomes of patients with neck pain. The purpose of this study was to evaluate the added value of diaphragm myofascial release on forward head posture, chest expansion, and functional disability in patients with neck pain.Methods: In this randomized controlled trial, 46 women with neck pain between the age of 18 and 45 years old were randomly allocated to two groups; the intervention group received 4 diaphragm myofascial release techniques once a week, for 4 weeks. Both intervention and control groups received the same neck exercise program 3 times a week for 4 weeks. Forward head posture, chest expansion, and neck functional disability were measured using craniovertebral angle, circometry, and Copenhagen neck functional disability index, respectively, before and one day after treatment.Results: The results of the paired t-test showed significant increases in craniovertebral angle (control and intervention: P<0.001) and chest expansion (control: P=0.001, intervention<0.001) and a significant decrease in the functional disability score (control and intervention: P<0.001) of patients with neck pain in both groups. A significant greater craniovertebral angle (P=0.01) and chest expansion (P=0.03) were also seen in the intervention group compared with the controls.Conclusion: Adding diaphragm myofascial release to neck exercises was associated with significantly greater improvements in forward head posture and chest expansion than neck exercises alone. Therefore, the diaphragm myofascial release could be useful in the management of neck pain patients with FHP. Trial registration: IRCT20191116045461N1 (Iranian Registry of Clinical Trials). Registered 23 December 2019, https://en.irct.ir/trial/43741.

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Section: Discussionsupporting

confidence: 91%

Added Value of Diaphragm Myofascial Release on Forward Head Posture and Chest Expansion in Patients With Neck Pain: A Randomized Controlled Trial

Haghighat¹,

Moradi²,

Rezaie³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Astudy done by Noll et al (2008) has reported a positive result on pulmonary function after the patients underwent the Redoming of Diaphragm technique (Noll et al, 2008). In a study done by González-Álvarez et al (2016) the diaphragm stretch technique was performed on healthy subjects which has shown an improvement in the posterior chain kinematics (González-Álvarez et al, 2016). Bhilpawar and Arora (2013) conducted a study with a combination of manual Therapy including the diaphragmatic stretch technique or redoming of diaphragm technique which showed a signi icant improvement in chest expansion and improvement in respiratory rate (Bhilpawar and Arora, 2013).…”

Section: Resultsmentioning

confidence: 99%

The effect of diaphragmatic stretch technique on diaphragmatic excursion in chronic obstructive pulmonary disease

Nair¹,

Krishnaprasad²,

Alaparthi

et al. 2020

ijrps

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Chronic Obstructive Pulmonary Disease (COPD) is a preventable and treatable pulmonary disease that has extensive pulmonary and pathological adaptations. Few of these pathological changes are airway , persistent airflow limitation, finally leading to pulmonary hyperinflation. The diaphragm, which is the primary muscle of inspiration, is put through an excessive load due to the hyperinflation leading to its flattening, shortening and contraction at a mechanical disadvantage. These changes may lead to an increase in the work of breathing, a reduction in exercise tolerance and functional capacity, which makes it a potential target for therapeutic intervention. This single group and post-intervention study are aimed to find the effects of Diaphragmatic stretch technique on a diaphragmatic excursion in patients with mild or moderate COPD. The intervention was performed on the patients for two sets consisting of 10 breaths each with a 1-minute interval in between. The outcome measures recorded were diaphragmatic excursion and chest expansion which were taken before and immediately after the intervention. Results of the study showed a positive and statistically significant increase in the outcome measures following the intervention. The Diaphragmatic Stretch Technique has a considerable influence on patients with mild or moderate COPD without causing any or adverse effects.

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“…Previous studies explored the effect of the diaphragmatic release technique in subjects with COPD 16,32 and in subjects who were healthy and sedentary. 14,15,18,33,34 Rocha et al 16 analyzed the effect of 6 treatments with the diaphragmatic release technique versus a sham treatment in subjects with COPD on nonconsecutive days over the course of 2 weeks. Their results showed significant improvements in diaphragmatic mobility, inspiratory capacity, and exercise capacity.…”

Section: Discussionmentioning

confidence: 99%

Prospective Effects of Manual Diaphragmatic Release and Thoracic Lymphatic Pumping in Childhood Asthma

2019

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BACKGROUND: Manual noninvasive respiratory techniques have traditionally been used to treat respiratory pathologies. The aim of this study was to analyze the effects of the diaphragmatic release technique and the thoracic lymphatic pump technique versus conventional respiratory retraining in children with asthma. METHODS: Using a quasi-experimental design, 60 children with asthma were allocated to undergo the diaphragmatic release technique (n ‫؍‬ 20), thoracic lymphatic pump technique (n ‫؍‬ 20), or conventional respiratory retraining (n ‫؍‬ 20) in this study. Serum immunoglobulin E levels, diaphragmatic mobility, pulmonary function, and P (A-a)O 2 were assessed before and after 12 treatment sessions that were conducted over nonconsecutive days in a 4-week program. RESULTS: After 12 treatments, the changes in the serum immunoglobulin E level for each group was not significantly different from the other groups. Compared with conventional respiratory retraining, the diaphragmatic release technique was associated with a significant improvement in FVC (P ‫؍‬ .001) and FEV 1 (P ‫؍‬ .002); the thoracic lymphatic pump technique showed no differences. With regard to diaphragmatic mobility, both the diaphragmatic release technique and the thoracic lymphatic pump technique yielded significantly favorable effects when compared with conventional respiratory retraining (P < .001 and P ‫؍‬ .01, respectively). Further, no significant between-group differences were detected in terms of the P (A-a)O 2 (P ‫؍‬ .07). CONCLUSIONS: The thoracic lymphatic pump technique and conventional respiratory retraining approaches were helpful interventions that could be used to alleviate the symptoms of childhood asthma. Nevertheless, the diaphragmatic release technique was a potentially more effective intervention.

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Effects of diaphragm stretching on posterior chain muscle kinematics and rib cage and abdominal excursion: a randomized controlled trial

Cited by 22 publications

References 24 publications

Added Value of Diaphragm Myofascial Release on Forward Head Posture and Chest Expansion in Patients With Neck Pain: A Randomized Controlled Trial

Added Value of Diaphragm Myofascial Release on Forward Head Posture and Chest Expansion in Patients With Neck Pain: A Randomized Controlled Trial

The effect of diaphragmatic stretch technique on diaphragmatic excursion in chronic obstructive pulmonary disease

Prospective Effects of Manual Diaphragmatic Release and Thoracic Lymphatic Pumping in Childhood Asthma

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