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- Title
Aplicabilidade clínica das técnicas de liberação manual diafragmática: uma revisão sistemática.
- Authors
Marieli Danieli, Dulce; de Almeida Gomes, Fabíola; Eibel, Bruna; Dhein, William
- Abstract
BACKGROUND: The diaphragm is the main respiratory muscle and plays an important role in breathing and physiological regulation. A therapy that aims to improve these conditions regarding the diaphragm, is the manual diaphragmatic release technique. OBJECTIVE: The aim of this study was to verify the clinical applicability of manual diaphragmatic release techniques and searching the main techniques, population, evaluated variables and outcomes. METHODS: The following electronic databases were searched: PubMed, Scielo and Science Direct, with the descriptors "Diaphragm [Mesh]" and "Musculoskeletal Manipulations [Mesh]" with their correspondents in the same language. There were included randomized clinical trial, non-randomized clinical trials, semi and quasiexperimental studies and pilot or case studies, which addressed manual diaphragmatic release techniques. RESULTS: There are various diaphragmatic release techniques, the most mentioned are: normalization of the diaphragm pillars, stretching of the diaphragm, relaxation of the diaphragm pillars and protocols for osteopathic manipulative therapy (OMT) for the diaphragm. The main populations studied were healthy patients, with low back pain, asthmatics, chronic pulmonary obstructive disease, constipated, cardiac patients and with gastroesophageal reflux. The main outcomes assessed are musculoskeletal variables (pain, flexibility, range of motion, diaphragmatic thickness), cardiorespiratory variables (maximal inspiratory/expiratory pressure (MIP and MEP), chest mobility, heart and respiratory rate), quality of life and gastrointestinal/gastroesophageal disorders. CONCLUSION: The clinical applicability of diagrammatic release techniques is being investigated in association with other osteopathic techniques, in protocols of OMT in healthy subjects, patients with lung diseases, heart disease, pregnant women, scar tissue, constipated, with gastroesophageal reflux, osteoarthritis, cervicalgia and with low back pain. There is evidence of reduction and elimination of musculoskeletal pain, increased MIP, increased chest mobility, increase on health quality, decrease of bloating and abdominal pain related to constipation and decrease of reflux symptoms.
- Subjects
LUMBAR pain; OBSTRUCTIVE lung diseases; MANIPULATION therapy; GASTROESOPHAGEAL reflux; ABDOMINAL pain; CIGARETTE smoke; MESH networks
- Publication
Caderno de Educação Física e Esporte, 2020, Vol 18, Issue 3, p111
- ISSN
2318-5104
- Publication type
Article
- DOI
10.36453/2318-5104.2020.v18.n3.p111