Immediate effects of diaphragmatic myofascial release on the physical and functional outcomes in sedentary women: A randomized placebo-controlled trial

Marizeiro, Débora Fortes; Florêncio, Ana Carolina Lins; Nunes, Ana Carla Lima; Campos, Nataly Gurgel; Lima, Pedro Olavo de Paula

doi:10.1016/j.jbmt.2017.10.008

Cited by 29 publications

(21 citation statements)

References 23 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%

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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%

“…It is documented that neck pain patients especially those with FHP, suffer from respiratory problems in uenced by thoracic spine kyphosis and chest hypomobility (7,(30)(31)(32). Thus, the diaphragm length-tension relationship could be affected (7,26,32).…”

Section: Discussionmentioning

confidence: 99%

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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“…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%

“…In agreement with these results, the present study showed a large effect of the diaphragmatic release technique, with a significant improvement in FVC and FEV 1 , and across other respiratory parameters, for example, PEF. Marizeiro et al 15 evaluated whether diaphragmatic myofascial release could improve chest-wall mobility and respiratory muscle strength in women ages 18 -35 y and who are sedentary. They found an immediate improvement in chest-wall mobility after a single treatment.…”

Section: Discussionmentioning

confidence: 99%

“…[10][11][12][13][14] The diaphragmatic release technique is a manual technique that was developed with the aim of indirectly elongating tight diaphragmatic muscle fibers while promoting greater and more efficient muscle contraction. 15 The diaphragmatic release technique has been used in clinical practice as part of osteopathic medicine or manual therapy techniques to enhance pulmonary function and to improve thoracic mobility in both healthy individuals and patients with COPD or asthma, [15][16][17][18][19] However, the scientific evidence about its effect is still insufficient, particularly in children with asthma. The thoracic lymphatic pump technique is another noninvasive and costeffective technique for children with asthma.…”

Section: Introductionmentioning

confidence: 99%

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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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Respiratory and functional benefits of manual diaphragmatic release for cleaning‐laborers exposed to occupational hazards

Azab,

Elnaggar,

Hamouda

et al. 2024

Physiotherapy Res Intl

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Background and Purpose:To examine the respiratory and functional benefits of manual diaphragmatic release for Cleaning‐Laborers Exposed to Occupational Hazards.MethodsA randomized controlled trial of 36 participants aged 35–45 years was randomly allocated into two groups. The experimental group (n = 18); received manual diaphragm release along with respiratory training exercises, and the control group (n = 18); received respiratory training exercises only. Three times/week for 12 consecutive weeks. The serum immunoglobulin E level, pulmonary functions [forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC, and peak expiratory flow (PEF) rate (PEF)], chest wall mobility, and 6 min walk‐test performance were assessed pre‐ and post‐intervention.ResultsThere was a greater decline in serum immunoglobulin levels (p = 0.003; Partial η2 = 0.23) and enhancement in pulmonary functions [FEV1 (p = 0.025, Partial η2 = 0.14), FVC (p = 0.017, Partial η2 = 0.16), FEV1/FVC (p = 0.028, Partial η2 = 0.13), and PEF (p = 0.012, Partial η2 = 0.17) in the experimental group. Further, there was a greater increase in chest mobility at the xiphoid level (p = 0.002, Partial η2 = 0.25) in the experimental group, but this was not the case at the axillary level (p = 0.29, Partial η2 = 0.03). Still, the 6 min walk‐test performance improved more significantly in the experimental group (p = 0.002, Partial η2 = 0.24).ConclusionThe diaphragmatic release technique may offer a promising approach for mitigating distressing respiratory symptoms, enhancing immune function, and improving 6 min walk‐test performance among cleaning laborers with work‐related respiratory hazards.Trial registrationThe study was retrospectively registered at XXX (ID: NCT05802355).

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Immediate effects of diaphragmatic myofascial release on the physical and functional outcomes in sedentary women: A randomized placebo-controlled trial

Cited by 29 publications

References 23 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

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

Respiratory and functional benefits of manual diaphragmatic release for cleaning‐laborers exposed to occupational hazards

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