In vivo assessment of the diaphragm in young male healthy adults: occupation-based activity-related differences

Egwu, Ogugua Augustine; Bello, Elizabeth Barrera; Njoku, C.

doi:10.5114/ms.2014.47919

Cited by 2 publications

(2 citation statements)

References 32 publications

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“…Studies have established the reliability of ultrasound as a good technique for measuring psoas major muscle thickness; its benefit of easy reproducibility by practitioners of varying experience, especially in areas such as radiographic anatomy, musculoskeletal therapy and sports physiotherapy, has been established [14]. Furthermore, the effect of physical activity on the muscle thickness could be determined, as previous stud-ies have reported that occupation could affect the structural disposition of muscles [15].…”

Section: Introductionmentioning

confidence: 93%

<i>In vivo</i> assessment of thickness of the psoas major muscle in adult male subjects: evaluating occupation-based activity-related differences

Egwu¹,

Eteudo²,

Akunna³

et al. 2017

Arch Med Sci Civil Dis

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A b s t r a c tIntroduction: There is a notable scarcity of in vivo studies on the muscles of the posterior abdominal wall, and the psoas major muscle, which is important in occupation-related lumbopelvic mechanics, is not an exception. Hence, we determined the psoas major muscle thickness (PMMT) in an adult Nigerian population of different occupational groups with the aim of assessing the effect of unregulated occupation-related physical activity on the muscle while identifying its relationships with known anthropometric variables. Material and methods: Eighty apparently healthy males between the ages of 18 and 30 were recruited for the study and divided into two groups: a control group of 40 relatively inactive subjects who were students and an age-matched quasi-experimental group of 40 artisans (manual labourers). B-mode ultrasound was used to measure the thickness of the psoas major muscle at the point of maximum thickness. Results: The mean PMMT for the control group was 31.74 ±7.91 mm and did not significantly correlate with body mass index (r = -0.151, p < 0.05), body surface area (r = -0.255, p > 0.05), height (r = -0.186, p > 0.05), weight (r = -0.244, p > 0.05), or age (r = 0.159, p > 0.05). However, PMMT was significantly greater in the artisan group (40.10 ±4.89 mm) than in the control group (31.74 ±7.91 mm) at p < 0.05. Conclusions: This result is an obvious indication of the effect of unregulated occupation-related physical activity on the muscle, which may lead to a gradual alteration of normal lumbopelvic mechanics in these individuals.

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Section: Introductionmentioning

confidence: 93%

<i>In vivo</i> assessment of thickness of the psoas major muscle in adult male subjects: evaluating occupation-based activity-related differences

Egwu¹,

Eteudo²,

Akunna³

et al. 2017

Arch Med Sci Civil Dis

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“…Fluoroscopy, ultrasound evaluation with using motion mode [3], or brightness mode ultrasonography [4] may be used preoperatively to confirm diaphragmatic paralysis, but we prefer to use thoracic computed tomography for differential diagnosis of herniation or subphrenic tumours.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive thoracoscopic surgery with laparoscopic assistance approaches in diaphragmatic eventration management

Panko¹,

Karpitski²,

Zhurbenko³

et al. 2017

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Introduction: Thoracoscopic plication is an effective treatment for diaphragmatic eventration, but the procedure has some disadvantages such as inadvertent abdominal organ injuries or superficial sutures that are not strong enough. Aim of the research: In this study, we devised and tested the method of diaphragm plication through simultaneous laparoscopic-and thoracoscopic-assisted left mini-thoracotomy. Material and methods: During the period between October 2012 and March 2014 there were four patients operated on for left-sided diaphragmatic paralysis. The average age was 52.3 ±17.8 years. The preoperative examination included a routine laboratory study, spirometry, plain chest radiograph, and computed tomographic scan of the chest. The initial part of the surgery was a two-port laparoscopy to remove the adhesions between the abdominal viscera and the abdominal segment of the diaphragm using bipolar electrocautery. After that, video-assisted thoracoscopic surgery plication of the diaphragm was performed via anterior mini thoracotomy. Results: The mean operation time was 58 ±11 min, and the mean hospital stay was 9.0 ±2.1 days. All of the patients demonstrated good postoperative recovery. The descending distance of the diaphragm after the surgery ranged from two to four intercostal spaces, which was confirmed with plain chest X-ray. The follow-up ranged from 20 to 38 months and showed no recurrence of diaphragm elevation symptoms. Conclusions: Simultaneous thoraco-and laparoscopic assisted mini-thoracotomy surgery for diaphragm plication is a safe procedure with strong positive clinical effect, and it can serve as an alternative to conventional thoracoscopic approaches especially in patients with high risk of inadvertent abdominal organ injuries.

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In vivo assessment of the diaphragm in young male healthy adults: occupation-based activity-related differences

Cited by 2 publications

References 32 publications

<i>In vivo</i> assessment of thickness of the psoas major muscle in adult male subjects: evaluating occupation-based activity-related differences

<i>In vivo</i> assessment of thickness of the psoas major muscle in adult male subjects: evaluating occupation-based activity-related differences

Minimally invasive thoracoscopic surgery with laparoscopic assistance approaches in diaphragmatic eventration management

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