The effect of stabilization exercises on diaphragm muscle thickness and movement in women with low back pain

Dulger, Esra; Bilgin, Sevil; Bulut, Elif; İnce, Deni̇z İnal; Köse, Nezire; Türkmen, Ceyhun; Çetin, Hatice; Karakaya, Jale

doi:10.3233/bmr-169749

Cited by 14 publications

(8 citation statements)

References 35 publications

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“…Our results show that there is an increased thickness of diaphragm during the lifting task after training which may suggest that the role of diaphragm muscle has improved in maintaining trunk stability during upper limb activities as a result of the applied 8-week-long training. Our findings are in line with a previous study of Dülger et al36 They found that as a result of a stabilization exercise program, the thickness of diaphragm increased as well as the stability of the lumbar spine 36…”

Section: Discussionsupporting

confidence: 94%

The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain

Finta¹,

Nagy²,

Bender³

2018

JPR

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PurposeThe aim of this study was to assess the effects of diaphragm training on low back pain and thickness of stabilizer muscles of the lumbar spine.Patients and methodsFifty-two individuals were recruited with a history of chronic low back pain in our randomized controlled trial. The participants were divided randomly into two groups. One of the groups took part in a complex training program and completed with diaphragm training (DT group, n=26). The control (C) group took part only in the complex training (n=21). The thickness of transversus abdominis, diaphragm, and lumbar multifidus muscle was measured with ultrasonography in two positions: lying and sitting. All muscles were assessed in relaxed and in contracted state in the lying position and in a relatively relaxed (calm sitting) and relatively contracted state (during weightlifting) in the sitting position.ResultsAfter the training, severity of the pain was significantly reduced in both the groups. Regarding the thickness of the muscles, there were no changes in group C. The thickness of transversus abdominis increased significantly in relaxed and in relatively relaxed state, but there were no changes in contracted and relatively contracted state in group DT. As for the diaphragm muscle, there were significant increase in the state of supine position and in relatively contracted state, but there was no notable change in relatively relaxed state. With regard to the thickness of lumbar multifidus, a significant increase was only found in the left-sided muscle in relaxed, relatively relaxed, and relatively contracted state and in case of the right-sided one in relatively contracted state in group DT.ConclusionOur results suggest that diaphragm training has an effect also on the thickness of other active stabilizers of the lumbar spine, such as transversus abdominis and lumbar multifidus muscles.

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Section: Discussionsupporting

confidence: 94%

The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain

Finta¹,

Nagy²,

Bender³

2018

JPR

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“…This tool evaluates pain intensity from 0 which corresponds to “no pain” to 10 which corresponds to “pain of maximum intensity”. This scale was applied for the evaluation of pain intensity in a quantitative way [ 38 ].…”

Section: Methodsmentioning

confidence: 99%

The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial

Vicente-Campos

Sánchez-Jorge

Terrón-Manrique

et al. 2021

JCM

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Background: Chronic low back pain (LBP) has been stated as one of the main health concerns in the XXI century due to its high incidence. Objective: The objective of this study was to determine the effects of an 8-week program of hypopressive abdominal gymnastics (HAG) on inspiratory muscle strength, diaphragm thickness, disability and pain in patients suffering from non-specific chronic LBP. Methods: A total of 40 patients with chronic LBP were randomly divided into two groups. The experimental group carried out an 8-week supervised program of HAG (two sessions/week), whereas the control group did not receive any treatment. Outcomes were measured before and after the intervention, comprising diaphragm thickness during relaxed respiratory activity, maximal inspiratory pressure (PImax), pain intensity (NRS), pressure pain threshold and responses to four questionnaires: Physical Activity Questionnaire (PAQ), Roland–Morris Disability Questionnaire (RMQ), Central Sensitization Inventory (CSI) and Tampa Scale of Kinesiophobia-11 Items (TSK-11). Results: Statistically significant differences (p < 0.05) were observed for greater thickness of the left and right hemi-diaphragms at inspiration, as well as higher PImax and decreased NRS, CSI and RMQ scores in the intervention group. After treatment, the increases in the thickness of the left and right hemi-diaphragms at inspiration and PImax, as well as the decrease in the NRS and RMQ scores, were only predicted by the proposed intervention (R2 = 0.118–0.552). Conclusions: An 8-week HAG intervention seemed to show beneficial effects and predicted an increase in diaphragm thickness and strength during inspiration, as well as a reduction in pain intensity, central sensitization and disability, in patients suffering from chronic non-specific LBP with respect to non-intervention.

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“…Our results show that there is an increased thickness of diaphragm during the lifting task after training which may suggest that the role of diaphragm muscle has improved in maintaining trunk stability during upper limb activities as a result of the applied 8-weeklong training. Our findings are in line with a previous study of Dülger et al 83 They found that as a result of a stabilization exercise program the thickness of diaphragm increased as well as the stability of the lumbar spine. 83 Considering lumbar multifidus muscle in prone position, significant increase was only found in case of the left-sided one in the relaxed state.…”

Section: Effects Of the Conventional Exercises Completed With Diaphrasupporting

confidence: 94%

“…Our findings are in line with a previous study of Dülger et al 83 They found that as a result of a stabilization exercise program the thickness of diaphragm increased as well as the stability of the lumbar spine. 83 Considering lumbar multifidus muscle in prone position, significant increase was only found in case of the left-sided one in the relaxed state. There were no significant changes in case of contracted states of the left-sided muscle or in both states of the right- case of our testing procedure one dumbbell was lifted with both hands therefore it is possible that the dominant arm had a bigger contribution in the exercise.…”

Section: Effects Of the Conventional Exercises Completed With Diaphrasupporting

confidence: 94%

Effects of Diaphragm Strengthening on Severity of Pain and Functional Parameters in Patients with Chronic Nonspecific Low Back Pain

Finta¹

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The effect of stabilization exercises on diaphragm muscle thickness and movement in women with low back pain

Abstract: As a result, stabilization exercises increase diaphragm muscle thickness and improve lumbopelvic stability in women with low back pain. Therefore, stabilization exercises should be considered as a part of the treatment program in low back pain.

Cited by 14 publications

References 35 publications

The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain

The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain

The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial

Effects of Diaphragm Strengthening on Severity of Pain and Functional Parameters in Patients with Chronic Nonspecific Low Back Pain

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